title: [Intestinal ischemia resulting from previous laparotomy].
abstract: BACKGROUND
  Acute adhesive obstruction of the small intestine is a surgical emergency in which there is a risk of intestinal ischemia. By delaying diagnosis and institution of appropriate treatment for ischemic obstruction, morbidity and mortality increase.
  The hospital records of 63 patients with diagnosis of intestinal obstruction and regional ischemia due to fibroadhesive peritonitis were reviewed in an attempt to identify criteria that could be used to separate patients who would require an emergency operation; 39 (61.9%) were male and three (4.7%) newborn. This complication was seen after 3 years of age in 39 patients (69.1%). Appendicitis was first cause with 26 cases (41.2%). Range of time of appearance after operation was from 1 week to 15 years (median 10 months). In 87% of patients the operation was a second procedure. All had gangrene and an enterostomy was constructed. General morbidity rate was 80%. Four children died.
  
  
  CONCLUSIONS
  It is mandatory to identify which patients require non conservative management.
authors.affiliation: Academia Nacional de Medicina, Departamento de Cirugía General, Hospital Pediátrico Moctezuma.
authors.forename: Carlos
authors.initials: C
authors.lastname: Baeza-Herrera
authors.forename: Luis Manuel
authors.initials: LM
authors.lastname: García-Cabello
authors.forename: Donaciano
authors.initials: D
authors.lastname: Villalobos-Ayala
authors.forename: Salomón Tonathiu
authors.initials: ST
authors.lastname: Domínguez-Pérez
authors.forename: Francisco
authors.initials: F
authors.lastname: Mora-Hernández
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007410:Intestinal Diseases / Q000209:etiology*; D007415:Intestinal Obstruction / Q000209:etiology; D007422:Intestines / Q000098:blood supply*; D007511:Ischemia / Q000209:etiology*; D007813:Laparotomy / Q000009:adverse effects*; D008297:Male; D010538:Peritonitis / Q000209:etiology*; D000267:Tissue Adhesions / Q000209:etiology