Exploratory laparotomy for acute intestinal conditions in children: A review of 10 years of experience with 334 cases

Ghritlaharey, Rajendra K; Budhwani, KS; Shrivastava, Dhirendra

doi:10.4103/0189-6725.78671

Cited by 17 publications

(17 citation statements)

References 22 publications

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“…13 It was the most common indication of laparotomy in paediatric patients and also forms an important cause of mortality and morbidity in them. 14,15 This similar type of study were carried out by Gangopadhyay et al in 765 cases, Park CH and Woo et al in 77 cases and Adeyemi D et al in 211 cases and they found male and female ratio was 2.3:1, 3.2:1 and 3:1 respectively while in present study, M:F ratio was 3:2 with higher female ratio as compared to other studies (Table 7). [16][17][18] Park CH and Woo et al also studied clinical features in their study in 77 paediatric patients with intestinal obstruction.…”

Section: Resultssupporting

confidence: 85%

A prospective study of intestinal obstruction in paediatric age group

2017

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Background: Intestinal obstruction can occur at any age in the paediatric population1-4. Bowel obstruction in children differs from that in adults in terms of etiology, presentation and even the management. The aim of the study was to find out various etiologies, clinical features, outcome and mortality of paediatric age groups with intestinal obstruction and their relation to age and sex distribution.Methods: This is a prospective study of 50 cases of paediatric age group with signs and symptoms of intestinal obstruction which were admitted in Sir Sayajirao Gaekwad Hospital, Vadodara, India during period of December 2004 to November 2006. Surgical intervention was carried out where indicated otherwise patients were managed conservatively. Data was analysed in SPSS version 10 statistical software for percentage and frequencies.Results: Total 50 patients were included in the study. Among these 30 were males and 20 were females with M: F ratio of 3:2. Majority of them were 25 neonates of age group of 1-7 days (50%), followed by 7 infants of 1 months- 1 years (14%) and 18 children aged 1 years-12 years (36%). Out of 50 patients, 41 (82%) patients had congenital causes in which 21(42%) patients had imperforate anus followed by Hirschprung’s disease in 8(16%), Meckel’s diverticulum in 6(12%), jejunal atresia in 4(8%), hypertrophic pyloric stenosis in 2 patients (4%) and 9(18%) patients had acquired causes in which intussusception was in 5(10%) patients, abdominal tuberculosis in 2(4%) and gangrenous appendix in 2(4%) patients. Total mortality was 6 out of 25 neonates and there were no mortality in infants and children groups.Conclusions: Majority of patients were neonates than infants and children with slight male preponderance with male: female ratio of 3:2. Congenital causes of intestinal obstruction were more common (82%) than the acquired causes (18%). Postoperative septicaemia was more common and overall mortality was exclusively in neonates.

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Section: Resultssupporting

confidence: 85%

A prospective study of intestinal obstruction in paediatric age group

2017

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“…In another report of 334 children (excluding neonates, atresias, anorectal malformations, Hirschsprung's disease, trauma and tumours) with peritonitis, [16] 44 (13.2%) required terminal ileostomy. Of 290 that did not have ileostomy, 28 (9.7%) needed re-exploration for anastomotic leak, burst abdomen or faecal fistula, while three (6.8%) of the ileostomy group needed to be re-explored.…”

Section: Discussionmentioning

confidence: 98%

Role of damage control enterostomy in management of children with peritonitis from acute intestinal disease

Ameh

Ayeni

Akau

et al. 2013

Afr J Paediatr Surg

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“…A scoring system using characteristic physical findings, such as the Alvarado score, does not provide sufficient sensitivity and specificity for the diagnosis. Exploratory laparoscopy has been used as a diagnostic treatment 13 . Exploratory laparoscopy is also useful in terms of the transition to surgical treatment.…”

Section: Discussionmentioning

confidence: 99%

Single-incision laparoscopic appendectomy for treating appendicitis in a patient with gastrointestinal malrotation

Tsukada

Kaji

Higashi

et al. 2014

International Journal of Surgery Case Reports

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INTRODUCTIONIntestinal malrotation is a rare congenital anomaly, and acute appendicitis associated with intestinal malrotation is extremely rare.PRESENTATION OF CASE We report a rare case of a 47-year-old Japanese woman diagnosed with barium-related perforated appendicitis associated with intestinal malrotation. We used a transumbilical single-incision laparoscopic approach to resect the appendix, and the procedure was completed successfully without perioperative complications.DISCUSSIONTo our knowledge, single-incision laparoscopic surgery for appendicitis associated with intestinal malrotation has not been reported yet. In cases with mobile cecum such as this one, mobilization from inflammatory adhesion of the surrounding structures is easy.CONCLUSIONWe conclude that transumbilical single-incision laparoscopic appendectomy is a simple and less invasive method for treating appendicitis associated with intestinal malrotation.

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Exploratory laparotomy for acute intestinal conditions in children: A review of 10 years of experience with 334 cases

Cited by 17 publications

References 22 publications

A prospective study of intestinal obstruction in paediatric age group

A prospective study of intestinal obstruction in paediatric age group

Role of damage control enterostomy in management of children with peritonitis from acute intestinal disease

Single-incision laparoscopic appendectomy for treating appendicitis in a patient with gastrointestinal malrotation

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