Incidence of postoperative adhesion obstruction following neonatal laparotomy
- 1 September 1986
- journal article
- research article
- Published by Oxford University Press (OUP) in British Journal of Surgery
- Vol. 73 (9), 762-764
- https://doi.org/10.1002/bjs.1800730929
Abstract
Of 649 neonates undergoing laparotomy in a 10 year period, 54 (8.3 per cent) developed adhesion related intestinal obstruction requiring surgical treatment. In 16 infants the obstruction followed a period of prolonged postoperative ileus, while the remaining 38 had completely recovered from the previous surgical procedure before the development of obstruction. The adhesion obstruction occurred after a single neonatal laparotomy in 35 cases but the remaining 19 had undergone subsequent laparotomies; 75 per cent of the obstructions developed within 6 months and 90 per cent within 1 year of surgery. The highest risk groups were infants undergoing correction of gastroschisis (15.4 per cent) and malrotation (15 per cent). There were nine deaths, two of which were a direct consequence of the adhesion obstruction.Keywords
This publication has 3 references indexed in Scilit:
- Postoperative Small Bowel Obstruction in Infants and ChildrenAnnals of Surgery, 1982
- An assessment of the surgical treatment of adhesive small bowel obstruction in infants and childrenJournal of Pediatric Surgery, 1981
- Recurrent Intestinal Obstruction in the Neonatal PeriodArchives of Disease in Childhood, 1963