title: [Treatment of the postoperative bowel obstructions in children: laparoscopic vs. open adhesiolysis].
abstract: OBJECTIVE
  To compare the results of laparoscopic versus open adhesiolysis in children affected by postoperative bowel obstruction.
  
  
  METHODS
  Retrospective study reviewing charts of all patients who were operated on due to postoperative adhesions in our Department. Demographic data, clinical characteristics and postoperative data were collected.
  
  
  RESULTS
  During the last 8 years, 37 patients were operated on for postoperative intestinal obstructions. 40.5% were operated by laparoscopy and 59.5% by laparotomy. Mean ages were 6.31 and 4.32 years in laparoscopic and open groups, respectively. There were no differences in days of evolution of the occlusion, neither in their medical history. Patients in laparoscopic group had better outcomes in the need of central lines (15% vs 61.90% p= 0.012), use of parenteral nutrition (38.46% vs 83.33% p= 0.005), beginning of the enteral nutrition (4.04 vs 8.17 days p= 0.004) and hospital stay (7.77 vs 13.05 days p= 0.027).
  
  
  CONCLUSIONS
  Open and laparoscopic adhesiolysis are effective to treat adhesive cases. Laparoscopic adhesiolysis has some advantages over open surgery: less need of central lines and parenteral nutrition, earlier start of enteral nutrition, less rate of complications and shorter hospital stay.
authors: Hospital General Universitario de Alicante.
authors: N
authors: N
authors: Albertos Mira-Marcelí
authors: Hospital General Universitario de Alicante.
authors: N
authors: N
authors: Gallego Mellado
authors: Hospital General Universitario de Alicante.
authors: P
authors: P
authors: Deltell Colomer
authors: Hospital General Universitario de Alicante.
authors: J
authors: J
authors: Mira Navarro
authors: Hospital General Universitario de Alicante.
authors: A
authors: A
authors: Encinas Goenechea
authors: Hospital General Universitario de Alicante.
authors: O
authors: O
authors: Sánchez París
authors: Hospital General Universitario de Alicante.
authors: E
authors: E
authors: Liceras Liceras
authors: Hospital General Universitario de Alicante.
authors: F
authors: F
authors: González López
authors: Hospital General Universitario de Alicante.
authors: M E
authors: ME
authors: Martín Hortigüela
authors: Hospital General Universitario de Alicante.
authors: C
authors: C
authors: Navarro de la Calzada
authors: Hospital General Universitario de Alicante.
authors: J
authors: J
authors: Gonzálvez Piñera
keywords: Adhesiolysis; Children; Complications; Laparoscopy; Postoperative bowel obstruction