PMID: 3756446Sep 1, 1986Paper

Incidence of postoperative adhesion obstruction following neonatal laparotomy

The British Journal of Surgery
B M Wilkins, L Spitz

Abstract

Of 649 neonates undergoing laparotomy in a 10 year period, 54 (8.3 per cent) developed adhesion related intestinal obstruction requiring surgical treatment. In 16 infants the obstruction followed a period of prolonged postoperative ileus, while the remaining 38 had completely recovered from the previous surgical procedure before the development of obstruction. The adhesion obstruction occurred after a single neonatal laparotomy in 35 cases but the remaining 19 had undergone subsequent laparotomies; 75 per cent of the obstructions developed within 6 months and 90 per cent within 1 year of surgery. The highest risk groups were infants undergoing correction of gastroschisis (15.4 per cent) and malrotation (15 per cent). There were nine deaths, two of which were a direct consequence of the adhesion obstruction.

References

Apr 1, 1963·Archives of Disease in Childhood·K DEVENS

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Citations

May 31, 2012·Pediatric Cardiology·Charissa R PockettLindsay M Ryerson
Mar 7, 2006·Pediatric Surgery International·Feilim Liam Murphy, Anthony L Sparnon
Jul 15, 2006·Pediatric Surgery International·Muhammad S Choudhry, Hugh W Grant
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Nov 16, 2011·ISRN Surgery·Ahmed H Al-Salem, Mohammad Oquaish
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Oct 8, 2013·Journal of Pediatric Surgery·Charissa R PockettLindsay M Ryerson
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Sep 1, 1987·The British Journal of Surgery·B M Wilkins, L Spitz
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Jun 18, 2017·Biomedicine & Pharmacotherapy = Biomédecine & Pharmacothérapie·Vafa Baradaran RahimiVahid Reza Askari

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