[Small bowel obstruction and laparoscopic treatment in children].
From 1992 to 1996, 15 children with an acute small bowel obstruction were treated by laparoscopy. There were 10 boys and 5 girls between 6 to 15 years. They had been formerly operated in the neonatal period (4 cases), for appendectomy (9 cases), or ureteronephrectomy for Wilm's tumor (1 case), and caudal pancreatectomy after a traumatism (1 case). Thirteen times it was the first obstruction and twice the second or more (but never treated by surgery). Conversion in laparotomy was necessary in 4 cases. There were no operative complication. We noted a quick recovery (12 hours), an early discharge (3.5 days), and a good postoperative comfort. Laparoscopic viscerolysis for acute small bowel obstructions seems to be a good treatment in children.
Becmeur
F
F
Service de Chirurgie Infantile, Hôpitaux Universitaires de Strasbourg.
Hofmann-Zango
I
I
Moog
R
R
Sauvage
P
P
D000293:Adolescent; D002648:Child; D003657:Decision Making; D005260:Female; D005772:Gastrointestinal Transit / Q000502:physiology; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D007421:Intestine, Small / Q000601:surgery*; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D007902:Length of Stay; D008297:Male; D011184:Postoperative Period; D016896:Treatment Outcome