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[Early commissural ileus after appendectomy in children]
Klinicheskaia Khirurgiia
|January 1, 1991
Summary
Early commissural ileus (ECI) treatment in children has evolved. Conservative measures introduced in 1980 significantly reduced surgical interventions for ECI after appendectomy, proving effective in most cases.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
Background:
- Early commissural ileus (ECI) is a potential complication following appendectomy in children.
- Treatment strategies for ECI have evolved over time.
- Historically, active surgical intervention was the primary approach.
Purpose of the Study:
- To present the results of ECI treatment after appendectomy in children from 1971 to 1988.
- To compare the outcomes of different treatment tactics.
- To evaluate the effectiveness of conservative measures.
Main Methods:
- Retrospective analysis of pediatric patients who underwent appendectomy between 1971 and 1988.
- Comparison of treatment outcomes before and after the introduction of conservative measures in 1980.
- Data collection on ECI incidence, surgical interventions, and treatment effectiveness.
Main Results:
- Before 1980, 28 out of 4412 patients (0.68%) developed ECI, with 18 requiring surgery (7 repeatedly).
- After 1980, 12 out of 4281 patients (0.28%) developed ECI.
- Conservative measures were effective in avoiding surgery in over 60% of patients and successful in 2/3 of those treated conservatively.
- No lethal outcomes were reported in either treatment period.
Conclusions:
- The introduction of conservative management significantly decreased the incidence and need for surgical intervention in pediatric ECI post-appendectomy.
- Conservative measures are effective and preferable in managing ECI, reducing surgical morbidity.
- ECI treatment has become safer and less invasive.