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[Microlaparoscopic treatment of adhesive intestinal obstruction in children]
Gan Yao1, Yu-zhou Li, Jian-sheng Liang
1Department of Pediatric Surgery, The First People's Hospital of Foshan, Guangdong Foshan 528000, China. ygan@fsyyy.com
Insights
Microlaparoscopic adhesiolysis offers a safe and effective treatment for pediatric adhesive intestinal obstruction. This minimally invasive approach demonstrates good clinical outcomes and rapid recovery, reducing hospital stays.
Area of Science:
- Pediatric surgery
- Minimally invasive surgery
- Gastrointestinal surgery
Context:
- Adhesive intestinal obstruction is a common complication following abdominal surgery in children.
- Traditional open surgery for adhesive intestinal obstruction can lead to prolonged recovery and increased morbidity.
- Microlaparoscopy presents a potential alternative for managing this condition.
Purpose:
- To evaluate the clinical significance and outcomes of microlaparoscopic adhesiolysis in pediatric patients with adhesive intestinal obstruction.
- To assess the safety, feasibility, and efficacy of this minimally invasive technique.
Summary:
- A retrospective analysis of 18 pediatric patients who underwent microlaparoscopic adhesiolysis for adhesive intestinal obstruction.
- The procedure was successfully completed in all cases with an average operative time of 30 minutes.
- Patients experienced short recovery periods, with early ambulation and feeding, and an average hospital stay of 4 days, with no complications reported.
Impact:
- Microlaparoscopic adhesiolysis is a simple, safe, and feasible surgical option for pediatric adhesive intestinal obstruction.
- This technique facilitates faster patient recovery and shorter hospitalizations compared to conventional methods.
- The findings support the broader adoption of microlaparoscopy in pediatric surgical practice for selected cases.
Objective:
To evaluate the clinical significance of microlaparoscopic treatment for adhesive intestinal obstruction in children.
Methods:
Adhesion -lysis operation was performed in 18 patients with adhesive intestinal obstruct ion by microlaparoscope from March 2001 to January 2004. The clinical data were analyzed retrospectively.
Results:
Microlaparoscope assisted accretion-lysis operation was successfully performed in all patients. The operative time ranged from 15 min to 45 min (averaged 30 min), the aerofluxus time ranged from 12 hours to 28 hours (averaged 22 hours) after operation. All patients can take general activity at the first day and take in food at the second day after operation respectively. The hospital stay ranged from 3 to 5 days (averaged 4 days) without complications. All patients were followed-up from 3 months to 18 months (average d 6 months). All patients recovered well without occurrence of adhesive intestinal obstruction.
Conclusions:
Micro-laparoscope assisted adhesion-lysis operation is a simple,safe,and feasible approach for adhesive intestinal obstruction in children.
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