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- Title
Management of adhesive bowel obstruction in children is changed by laparoscopy.
- Authors
van der Zee, D. C.; Bax, N. M. A.; Bax, N M
- Abstract
<bold>Background: </bold>With new advances in diagnostic and therapeutic tools, the early management of adhesive bowel obstruction has become feasible.<bold>Methods: </bold>In a retrospective study, 20 children with adhesive bowel obstruction were investigated to assess the possible advantages of the laparoscopic approach.<bold>Results: </bold>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.<bold>Conclusions: </bold>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.
- Publication
Surgical Endoscopy, 1999, Vol 13, Issue 9, p925
- ISSN
0930-2794
- Publication type
journal article
- DOI
10.1007/s004649901136