• Semin. Pediatr. Surg. · Dec 2014

    Review

    Epidemiology of adhesions in infants and children following open surgery.

    • Bhanumathi Lakshminarayanan, Amy O Hughes-Thomas, and Hugh W Grant.
    • Department of Pediatric surgery, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, UK.
    • Semin. Pediatr. Surg. 2014 Dec 1;23(6):344-8.

    AbstractAdhesions 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%.Copyright © 2014 Elsevier Inc. All rights reserved.

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