[Remote results of surgical treatment of intestinal trauma in children]

Area of Science:

• Pediatric Surgery
• Trauma Surgery
• Gastrointestinal Surgery

Context:

• Surgical treatment of intestinal injuries in children.
• Long-term follow-up (1-22 years) of 67 pediatric patients.
• Analysis of outcomes based on timing of surgery and management protocols.

Purpose:

• To evaluate the long-term results of surgical treatment for intestinal injuries in children.
• To identify factors influencing surgical outcomes, including timing and postoperative care.
• To correlate specific management strategies with patient outcomes.

Summary:

• Good outcomes were observed in 32 children with isolated intestinal injuries treated early (<12 hours) with complex postoperative management.
• Fair results were noted in 17 children with delayed treatment (>12 hours) and complications, with only 50% receiving anti-adhesion therapy and incomplete fluid resuscitation.
• Poor results occurred in 18 patients with combined intestinal trauma who did not receive a complete therapeutic regimen, leading to complications.

Impact:

• Highlights the critical importance of timely surgical intervention for pediatric intestinal trauma.
• Emphasizes the benefits of a comprehensive postoperative management protocol for improving patient outcomes.
• Provides evidence for optimizing treatment strategies in pediatric surgical patients with gastrointestinal injuries.