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Intestinal volvulus: an experience in a developing country

M Maung1, H Saing

  • 1Department of Pediatric Surgery, Yangon Children's Hospital, Myanmar.

Journal of Pediatric Surgery
|May 1, 1995
PubMed
Summary
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Pediatric volvulus surgery is complex, with high shock and resection rates. Despite a significant mortality rate, recent improvements in healthcare access have led to better survival outcomes for children.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Surgical Outcomes

Background:

  • Volvulus in children presents a significant surgical challenge.
  • Many pediatric patients with volvulus present with severe symptoms like shock and dehydration.
  • High rates of intestinal resection are often necessary.

Purpose of the Study:

  • To analyze surgical outcomes for pediatric volvulus.
  • To identify factors contributing to mortality in pediatric volvulus cases.
  • To evaluate the impact of healthcare system improvements on survival rates.

Main Methods:

  • Retrospective analysis of 82 children undergoing surgery for volvulus.
  • Categorization of patients by age group (neonates, infants, children).

Related Experiment Videos

  • Assessment of presenting symptoms, surgical interventions, and outcomes.

    • Main Results:

    • A high incidence of shock (88%) and peritoneal signs (74%) was observed.
    • The intestinal resection rate was 61%.
    • Mortality rate was 38%, primarily due to septicemia, shock, and multiorgan failure.

    Conclusions:

    • Pediatric volvulus surgery is associated with substantial morbidity and mortality.
    • Improvements in preventive health, transport, and referral systems are crucial for enhancing survival.
    • Early diagnosis and intervention are vital for improving outcomes in pediatric volvulus.