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[Postoperative obstructive abdominal complications in children].

E Costa Borrás, J Sancho-Miñana Sánchez, E Sanz Bravo

    Anales Espanoles De Pediatria
    |March 31, 1985
    PubMed
    Summary
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    Pediatric bowel obstruction after abdominal surgery is common, often occurring within three months. Adhesions are the primary cause, necessitating further surgical intervention in many cases.

    Area of Science:

    • Pediatric Surgery
    • Gastrointestinal Surgery

    Context:

    • A retrospective review of 2,350 laparotomies performed between 1971 and 1982 in a pediatric surgical department.
    • Focus on complications arising from initial abdominal surgeries in neonates, infants, and children.

    Purpose:

    • To investigate the incidence and causes of bowel obstruction following initial abdominal surgery in pediatric patients.
    • To determine the timing and etiological factors of secondary bowel obstruction.

    Summary:

    • Out of 2,350 laparotomies, 67 patients (2.85%) developed bowel obstruction requiring a second laparotomy.
    • In 86.56% of these cases, obstruction manifested within three months post-operation.
    • Adhesions were identified as the cause in 80.59% (54 patients), while abscesses accounted for the remaining cases (12 patients).

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    Impact:

    • Highlights the significant risk of adhesion-related bowel obstruction in pediatric surgical patients.
    • Informs surgical practice regarding the long-term surveillance and potential preventative strategies for postoperative complications.