title: Abdominal Cellulitis following a Laparoscopic Procedure: A Rare and Severe Complication.
abstract: Advantages of laparoscopic approach in Hirschsprung disease have been already published decreasing the hospital stay and postoperative adhesions. To our knowledge, we report the first case of postoperative abdominal cellulitis after laparoscopic procedure. A laparoscopic Duhamel pull through was done on a 3-month-old child. Full-thickness biopsy under laparoscopy was performed with intraperitoneal inoculation. Large peritoneal irrigation was used. Abdominal necrotizing cellulitis starting from a port site occurred few days after the procedure requiring repeat surgical excision, broad spectrum antibiotics, and hyperbaric oxygen.
authors.affiliation: Department of General Pediatric Surgery, Robert Debré Hospital, Paris, France.
authors.forename: Arnaud
authors.initials: A
authors.lastname: Bonnard
authors.affiliation: Department of General Pediatric Surgery, Robert Debré Hospital, Paris, France.
authors.forename: Jean Baptiste
authors.initials: JB
authors.lastname: Terrasa
authors.affiliation: Department of Pediatric Gastroenterology, Robert Debré Hospital, Paris, France.
authors.forename: Jerome
authors.initials: J
authors.lastname: Viala
authors.affiliation: Department of Pediatric Intensive Care Unit, Robert Debré Hospital, Paris, France.
authors.forename: Sophie
authors.initials: S
authors.lastname: Aizenfisz
authors.affiliation: Department of Pediatric Pathology, Robert Debré Hospital, Paris, France.
authors.forename: Dominique
authors.initials: D
authors.lastname: Berrebi
authors.affiliation: Department of General Pediatric Surgery, Robert Debré Hospital, Paris, France.
authors.forename: Alaa El
authors.initials: AE
authors.lastname: Ghoneimi
keywords: Hirschsprung; abdominal cellulitis; laparoscopic