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.
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van der Zee, D., Bax, N. Management of adhesive bowel obstruction in children is changed by laparoscopy. Surg Endosc 13, 925–927 (1999). https://doi.org/10.1007/s004649901136
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DOI: https://doi.org/10.1007/s004649901136