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2016, Number S2

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Gac Med Mex 2016; 152 (S2)

Efficacy of Intestinal Splinting in Hostile Abdomen Secondary to Postoperative Flanges in Pediatric Patients

Bracho-Blanchet E, Langarica-Bulos M, Dávila-Pérez R, Fernández-Portilla E, Zalles-Vidal C, Nieto-Zermeño J

Language: Spanish
References: 30
Page: 47-56
PDF size: 137.17 Kb.


ABSTRACT

Objective: To show the efficacy of intestinal splinting to increase the time free of intestinal obstruction in children with adhesive hostile abdomen. Methods: Retrospective analysis from 2000 to 2011 and long-term follow-up. We compared the time free of surgical intestinal obstruction before and after intestinal splinting. Results: Twenty intestinal splints in 19 patients were included. Congenital diseases were the main cause. Median age at operation was six months, all the patients had previous abdominal surgeries with median of three, and two of them were because of intestinal obstruction. The splint was removed at a median of 28 days. With a follow-up of 1-183 months we had only one surgical recurrence of the intestinal obstruction. The time free of surgical intestinal obstruction was significantly longer than the same time before intestinal splinting, with Z value = –3.594 (p = ‹ 0.0001) on Wilcoxon test. Conclusions: This is the second report of exclusively children with intestinal splinting and shows that it is effective in increasing the time free of surgical intestinal obstruction.


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