Related Experiment Videos
[Treatment of intestinal obstruction after surgery (author's transl)]
Insights
Pediatric abdominal surgery can lead to adhesions causing intestinal obstruction. Intestinal plication, particularly the Childs-Phillips technique, offers good results and is more efficient for managing these complications.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Surgical Complications
Background:
- Postoperative intestinal obstruction due to adhesions is a known complication in children following abdominal surgery.
- Adhesions can lead to significant morbidity and necessitate further surgical intervention.
Purpose of the Study:
- To review children who underwent abdominal surgery and developed postoperative intestinal obstruction.
- To compare the efficacy and safety of two intestinal plication techniques: Childs-Phillips and Noble.
Main Methods:
- Retrospective review of pediatric patients who underwent abdominal surgery over a five-year period.
- Analysis of cases with postoperative intestinal obstruction attributed to adhesions.
- Comparison of outcomes between Childs-Phillips and Noble intestinal plication procedures.
Main Results:
- 2% of children experienced postoperative intestinal obstruction secondary to adhesions.
- Both Childs-Phillips and Noble plication techniques demonstrated good outcomes.
- The Childs-Phillips plication was associated with greater surgical ease and shorter operative time.
Conclusions:
- Intestinal plication is an effective method for managing adhesions causing obstruction in children.
- The Childs-Phillips plication technique is recommended due to its technical advantages and efficiency over the Noble procedure.
Abstract:
A revision of the children which during the last five years have undergone abdominal surgery is presented. 2% showed postoperative intestinal obstruction due to adhesions. Intestinal plication has been performed in children with a great amount of adhesions. A comparison is made of the Childs-Phillips and the Noble plication operation. Results in both cases showed to be good. The greater facility and the shorter duration of the surgery in the Childs-Phillips plication operation make this last technic more advisable.