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[Laparostomy in children].

J Richon, C Le Coultre, P Meyer

    Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood
    |August 1, 1985
    PubMed
    Summary
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    Laparotomy, leaving the abdomen open post-surgery, allows regular checks and effective drainage. This technique shows promise in pediatric cases of postoperative peritonitis with minimal adverse effects.

    Area of Science:

    • Pediatric Surgery
    • Surgical Techniques
    • Abdominal Surgery

    Background:

    • Laparotomy, or open abdomen, is a surgical approach allowing repeated access to the abdominal cavity.
    • In adults, it's typically used for abdominal pathologies involving necrosis or infection.
    • This method aims to avoid repeated surgical trauma to the abdominal wall.

    Observation:

    • The study describes the application of laparotomy in three pediatric surgical cases.
    • The technique was specifically employed in managing postoperative peritonitis.
    • The open abdomen approach facilitated regular revision and drainage efficacy assessment.

    Findings:

    • Laparotomy proved to be a viable method for treating pediatric postoperative peritonitis.
    • The procedure allowed for effective monitoring and management of the abdominal condition.

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  • No significant adverse sequelae were observed in the treated pediatric patients.

    • Implications:

    • Laparotomy is a potentially valuable surgical option for pediatric postoperative peritonitis.
    • This approach may offer a safe alternative with minimal long-term complications in children.
    • Further research could explore the broader application of laparotomy in pediatric abdominal emergencies.