E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research 


Evaluation of a series of patients operated for adhesive intestinal obstructions

Nazile Erturk, Kaan Sönmez, Nuri Kale.

Abstract
Background: The risk of bowel obstruction after laparotomy in infants and children, especially in developing countries, has not been well researched.
Objectives: The aim of this study was to perform a detailed analysis of adhesions and the risk factors for adhesion-associated intestinal obstruction after laparotomy in children.
Methods: This retrospective study involved patients who were operated between January 1990 and January 2001 on for postoperative adhesive intestinal obstruction (AIO).
Results: During a 11-year period, a total of 45 patients aged 6 days to 14 years (mean 7.75 years) were operated on after 1341 laparotomies. The incidence of AIO was 3.35%. Six (13.3%) patients were urgently operated on while 29 (64.4%) patients were operated on in the first 3 days. The patients were operated on at 6th postoperative day at the earliest and at 10 years at the latest. Each of two children with midgut volvulus (relative risk 50%) and jejunal atresia (relative risk 27.7%) were operated on twice. The mortality and morbidity rates were found to be 2.2% (1 patient) and 22.2%, respectively. AIO was most commonly observed after operations involving the pelvic area (77.7%). Appendectomy, trauma, invagination, and megacolon surgeries were the most common postoperative causes of AIO.
Conclusion: This study showed that adhesions in children occurred more commonly after lower abdominal surgery. The risks were closely related to the site and type of the first surgery. Although the risk of having adhesions was very high in the first years, it also persists in the following years.

Key words: Intestinal obstruction; Adhesions; Abdominal surgery; Children; adhesion prevention


 
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How to Cite this Article
Pubmed Style

Nazile Erturk, Kaan Sonmez, Nuri Kale. Evaluation of a series of patients operated for adhesive intestinal obstructions. Int J Surg Med. 2017; 3(3): 167-172. doi:10.5455/ijsm.adhesions-abdominal-surgery-infants


Web Style

Nazile Erturk, Kaan Sonmez, Nuri Kale. Evaluation of a series of patients operated for adhesive intestinal obstructions. http://www.ejos.org/?mno=264263 [Access: April 26, 2019]. doi:10.5455/ijsm.adhesions-abdominal-surgery-infants


AMA (American Medical Association) Style

Nazile Erturk, Kaan Sonmez, Nuri Kale. Evaluation of a series of patients operated for adhesive intestinal obstructions. Int J Surg Med. 2017; 3(3): 167-172. doi:10.5455/ijsm.adhesions-abdominal-surgery-infants



Vancouver/ICMJE Style

Nazile Erturk, Kaan Sonmez, Nuri Kale. Evaluation of a series of patients operated for adhesive intestinal obstructions. Int J Surg Med. (2017), [cited April 26, 2019]; 3(3): 167-172. doi:10.5455/ijsm.adhesions-abdominal-surgery-infants



Harvard Style

Nazile Erturk, Kaan Sonmez, Nuri Kale (2017) Evaluation of a series of patients operated for adhesive intestinal obstructions. Int J Surg Med, 3 (3), 167-172. doi:10.5455/ijsm.adhesions-abdominal-surgery-infants



Turabian Style

Nazile Erturk, Kaan Sonmez, Nuri Kale. 2017. Evaluation of a series of patients operated for adhesive intestinal obstructions. International Journal of Surgery and Medicine, 3 (3), 167-172. doi:10.5455/ijsm.adhesions-abdominal-surgery-infants



Chicago Style

Nazile Erturk, Kaan Sonmez, Nuri Kale. "Evaluation of a series of patients operated for adhesive intestinal obstructions." International Journal of Surgery and Medicine 3 (2017), 167-172. doi:10.5455/ijsm.adhesions-abdominal-surgery-infants



MLA (The Modern Language Association) Style

Nazile Erturk, Kaan Sonmez, Nuri Kale. "Evaluation of a series of patients operated for adhesive intestinal obstructions." International Journal of Surgery and Medicine 3.3 (2017), 167-172. Print. doi:10.5455/ijsm.adhesions-abdominal-surgery-infants



APA (American Psychological Association) Style

Nazile Erturk, Kaan Sonmez, Nuri Kale (2017) Evaluation of a series of patients operated for adhesive intestinal obstructions. International Journal of Surgery and Medicine, 3 (3), 167-172. doi:10.5455/ijsm.adhesions-abdominal-surgery-infants