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[Postoperative rupture of the abdominal wall in children (author's transl)]
Zentralblatt Fur Chirurgie
|January 1, 1977
Insights
Abdominal wound rupture after laparotomy in children occurred in 1.9% of cases, primarily in infants. The original disease significantly influenced rupture frequency and led to a 23% mortality rate in newborns and infants.
Area of Science:
- Pediatric surgery
- Surgical complications
- Abdominal trauma
Context:
- Review of 105 cases of abdominal wound rupture from 5,552 pediatric laparotomies (1960-1975).
- Focus on incidence, risk factors, and outcomes in pediatric patients.
- Analysis highlights the significance of underlying conditions.
Purpose:
- To evaluate the incidence and characteristics of abdominal wound rupture in pediatric patients.
- To identify factors influencing rupture frequency, particularly the role of the primary disease.
- To assess the mortality associated with abdominal wound rupture in this cohort.
Summary:
- Abdominal wound rupture occurred in 1.9% of pediatric laparotomies.
- Infants and newborns were most affected, with rupture frequency linked to the original disease.
- A significant 23% mortality rate was observed, predominantly in the youngest patients.
Impact:
- Provides critical data on a rare but serious surgical complication in pediatric patients.
- Highlights the need for careful consideration of underlying conditions in preventing wound dehiscence.
- Informs surgical practice and risk assessment in pediatric abdominal surgery.
Abstract:
An evaluation of 105 cases of abdominal wound rupture is reported which represents 1.9% of a total of 5,552 laparotomies performed in children during the years 1960 to 1975. Most ruptures occurred in infants. Prior to other reasons, the frequency seems to depend on the original disease. 23% of the cases, predominantly newborns and infants, had a lethal course.