Epidemiology of adhesions in infants and children following open surgery

Abstract Adhesions following intra-abdominal surgery are a major cause of small bowel obstruction. The nature of surgical interventions in children (especially neonates) increases the risk of adhesion-related complications. Following laparotomy in neonates, the collective literature reveals an aggre...

Full description

Saved in:
Bibliographic Details
Published in:Seminars in pediatric surgery 2014-12, Vol.23 (6), p.344-348
Main Authors: Lakshminarayanan, Bhanumathi, MBBS, MRCS, Hughes-Thomas, Amy O., BSc (Hons), MBBS, MRCS (Eng), FRCS (PaedSurg), Grant, Hugh W., BSc, MB ChB, MD, DRCOG, DCH, FRCS (Edin.), FRCS (Engl.)
Format: Article
Language:English
Subjects:
Adhesions
Child
Digestive System Surgical Procedures - adverse effects
Humans
Infant
Infant, Newborn
Intestinal Obstruction - epidemiology
Intestinal Obstruction - etiology
Laparotomy
Paediatrics
Pediatrics
Review
Small bowel obstruction
Surgery
Tissue Adhesions - epidemiology
Tissue Adhesions - etiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Adhesions following intra-abdominal surgery are a major cause of small bowel obstruction. The nature of surgical interventions in children (especially neonates) increases the risk of adhesion-related complications. Following laparotomy in neonates, the collective literature reveals an aggregate mean incidence of adhesive small bowel obstruction (ASBO) of 6.2%; malrotation, 14.2%; gastroschisis, 12.6%; necrotising enterocolitis, 10.4%; exomphalos, 8.6%; Hirschsprung׳s disease, 8.1%; congenital diaphragmatic hernia, 6.3% and intestinal atresia, 5.7%. In children beyond the neonatal period, the aggregate mean incidence was 4.7%; colorectal surgery, 14%; open fundoplication, 8.2%; small bowel surgery, 5.7%; cancer surgery, 5.5%; choledochal cyst, 3.1%; appendicectomy, 1.4% and pyloromyotomy, 0.1%.
ISSN:1055-8586
1532-9453
DOI:10.1053/j.sempedsurg.2014.06.005