Abstract | INTRODUCTION: Adhesive small bowel obstruction (SBO) is a common postoperative complication. Published data in the pediatric literature characterizing SBO are scant. Furthermore, the relationship between the risk of SBO for a given procedure is not well described. To evaluate these parameters, we reviewed the incidence of SBO after laparoscopic appendectomy (LA) and open appendectomy (OA) performed at our institution. METHODS: With institutional review board approval, all patients that developed SBO after appendectomy for appendicitis from January 1998 to June 2005 were investigated. Hospital records were reviewed to identify the details of their postappendectomy SBO. The incidences of SBO after LA and OA were compared with chi2 analysis using Yates correction. RESULTS: CONCLUSIONS: The overall risk of SBO after appendectomy in children is low (0.7%) and is significantly related to perforated appendicitis. Small bowel obstruction after LA appears statistically less common than OA. Laparoscopic appendectomy remains our preferred approach for both perforated and nonperforated appendectomy.
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Authors | Kuo Jen Tsao, Shawn D St Peter, Patricia A Valusek, Scott J Keckler, Susan Sharp, George W Holcomb 3rd, Charles L Snyder, Daniel J Ostlie |
Journal | Journal of pediatric surgery
(J Pediatr Surg)
Vol. 42
Issue 6
Pg. 939-42; discussion 942
(Jun 2007)
ISSN: 1531-5037 [Electronic] United States |
PMID | 17560198
(Publication Type: Comparative Study, Evaluation Study, Journal Article)
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Topics |
- Adolescent
- Appendectomy
(methods, statistics & numerical data)
- Appendicitis
(surgery)
- Child
- Cohort Studies
- Female
- Follow-Up Studies
- Humans
- Incidence
- Intestinal Obstruction
(epidemiology, etiology)
- Intestinal Volvulus
(epidemiology, etiology)
- Intestine, Small
(surgery)
- Laparoscopy
(statistics & numerical data)
- Male
- Postoperative Complications
(epidemiology, etiology)
- Retrospective Studies
- Tissue Adhesions
(epidemiology, etiology)
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