Abstract | BACKGROUND AND OBJECTIVES: METHODS: RESULTS: Eleven cases were treated with laparoscopic Meckel diverticulectomy and three with laparoscopic-assisted bowel resection because of extensive gangrene of the intestine. Two of the three cases with significant intestinal gangrene returned several weeks later with small bowel obstruction secondary to adhesions. They were successfully managed with laparoscopic lysis of adhesions. There were no other complications. CONCLUSIONS: Laparoscopy is safe and effective in the management of complicated Meckel diverticulum in children. Most cases can be managed with simple diverticulectomy. Laparoscopy is useful when the diagnosis is uncertain. When extensive gangrene is present, laparoscopy can help to mobilize the intestine and evaluate the degree of damage, irrigate and cleanse the peritoneal cavity, and minimize the incision necessary to accomplish the bowel resection.
|
Authors | Hanna Alemayehu, Gustavo Stringel, Irene J Lo, Jamie Golden, Samir Pandya, Whitney McBride, Oliver Muensterer |
Journal | JSLS : Journal of the Society of Laparoendoscopic Surgeons
(JSLS)
2014 Jul-Sep
Vol. 18
Issue 3
ISSN: 1938-3797 [Electronic] United States |
PMID | 25392652
(Publication Type: Journal Article)
|
Topics |
- Adolescent
- Child
- Child, Preschool
- Female
- Gastrointestinal Hemorrhage
(surgery)
- Humans
- Intestinal Obstruction
(etiology, surgery)
- Intestine, Small
- Laparoscopy
(methods)
- Male
- Meckel Diverticulum
(complications, surgery)
- Retrospective Studies
|