D C van der Zee1, N M Bax. 1. Department of Pediatric Surgery, Wilhelmina Children's University Hospital, Post Office Box 85090, 3508AB Utrecht, The Netherlands.
Abstract
BACKGROUND: With new advances in diagnostic and therapeutic tools, the early management of adhesive bowel obstruction has become feasible. METHODS: In a retrospective study, 20 children with adhesive bowel obstruction were investigated to assess the possible advantages of the laparoscopic approach. RESULTS: Laparoscopy was performed in nine children. Six of them were managed laparoscopically. Recovery was uneventful. In two children, extensive adhesions warranted elective conversion. The single complication occurred in a child with obstruction of the colon due to perforation caused by a small instrument. Eleven children underwent primary laparotomy for adhesive obstruction. Five of them had a single band and might have benefited from a laparoscopic approach. CONCLUSIONS: Laparoscopic management of adhesive bowel obstruction in children is feasible and safe in experienced hands. Early management saves the child a great deal of discomfort and allows a quick recovery with early discharge.
BACKGROUND: With new advances in diagnostic and therapeutic tools, the early management of adhesive bowel obstruction has become feasible. METHODS: In a retrospective study, 20 children with adhesive bowel obstruction were investigated to assess the possible advantages of the laparoscopic approach. RESULTS: Laparoscopy was performed in nine children. Six of them were managed laparoscopically. Recovery was uneventful. In two children, extensive adhesions warranted elective conversion. The single complication occurred in a child with obstruction of the colon due to perforation caused by a small instrument. Eleven children underwent primary laparotomy for adhesive obstruction. Five of them had a single band and might have benefited from a laparoscopic approach. CONCLUSIONS: Laparoscopic management of adhesive bowel obstruction in children is feasible and safe in experienced hands. Early management saves the child a great deal of discomfort and allows a quick recovery with early discharge.
Authors: Hester Yui Shan Cheung; Wing Tai Siu; Kwok Kay Yau; John Kam Wai Chan; Chung Ngai Tang; Michael Ka Wah Li Journal: Surg Today Date: 2008-07-09 Impact factor: 2.549