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[The efficacy of the Childs-Phillips mesenteric plication in intestinal obstruction]
A Fernández Sánchez1, P Fernández Eire, J M Gutiérrez Dueñas
1Departamento de Cirugía Pediátrica, Clínica Infantil La Paz, Madrid.
Insights
The Childs-Phillips procedure effectively treated pediatric patients with recurrent bowel obstruction, showing no recurrences in a 6.5-year follow-up. This surgical approach offers a promising solution for complex gastrointestinal conditions in children.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Surgical Outcomes
Context:
- The study evaluated the efficacy of the Childs-Phillips procedure in managing pediatric patients experiencing recurrent bowel obstruction.
- A cohort of fourteen pediatric patients treated between 1975 and 1988 at Children's Hospital La Paz were analyzed.
Purpose:
- To assess the long-term outcomes and recurrence rates of bowel obstruction following the Childs-Phillips procedure in pediatric surgical patients.
- To determine the safety and effectiveness of this surgical technique for various gastrointestinal conditions.
Summary:
- Fourteen pediatric patients underwent the Childs-Phillips procedure for postoperative recurrent bowel obstruction.
- Diagnoses included intestinal atresia, Bochdaleck hernia, Hirschsprung disease, intestinal rotation anomalies, hiatal hernia, intussusception, and appendicitis.
- No recurrent bowel obstruction was observed during a mean follow-up of 6.5 years.
Impact:
- The Childs-Phillips procedure demonstrates a high success rate in preventing recurrent bowel obstruction in pediatric surgical patients.
- This study provides valuable evidence supporting the use of the Childs-Phillips procedure for specific pediatric gastrointestinal conditions.
- Findings contribute to the understanding of long-term surgical outcomes in pediatric patients with complex abdominal issues.
Abstract:
From 1975 to 1988 we studied and valued fourteen pediatric patients, treated in the Department of Pediatric Surgery at Children's Hospital La Paz, with the Childs-Phillips procedure by postoperative recurrent bowel obstruction. Ten newborn infants had the following diagnoses: intestinal atresia, 4; Bochdaleck hernia, 3; Hirschsprung disease, 2; intestinal rotation anomalies, 1. Four patients out of neonatal period had: hiatal hernia, 1; intussusception, 1; appendicitis, 2. Six patients had more than one episode of bowel obstruction. The follow-up was 6.5 years (range four months to 13 years), and no recurrent bowel obstruction occurred.