Contemporary management of abdominal surgical emergencies in infants and children

Heurn, L.W.E. van; Pakarinen, Mikko P.; Wester, Tomas

doi:10.1002/bjs.9335

Cited by 33 publications

(16 citation statements)

References 67 publications

(74 reference statements)

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“…Our findings showed that when the aetiology of surgical abdomen was matched with age groups and gender of our patients, the relative frequency of the various causes was consistent with earlier reports was obtained [1][2][3][7][8][9][10][11] . Patients below five years were excluded from the study as most of them were referred directly to the specialist paediatrics surgery unit where better ancillary support [intensive care unit and paediatrics anaesthetists] services were available.…”

Section: Discussionsupporting

confidence: 92%

See 1 more Smart Citation

Surgical Abdomen in School Age Children: A Prospective Review From Two Centers In SouthWestern Nigeria

Etonyeaku¹,

Talabi²,

Akinkuolie³

et al. 2017

East. Cent. Afr. J. Surg.

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Background: Surgical abdomen traverses all age groups. We sought to define the aetiology, patients' characteristics, and outcome of management amongst children Methods: Two years prospective review of patients aged 5-15 years managed for surgical abdomen at the Wesley Guilds Hospital Ilesa and Mishmael Medical Centre Akure, Nigeria. Results: Fifty two patients were treated. The male: female ratio was 1:1. The age range was 5years to 15years (mean=11.25 ±2.24years). Mean duration of illness was 29.5hours (range 2-72hours). Gut perforation was the most common aetiology (n=39; 75%); with perforations due to infections most prevalent (n= 34; 87.2%). Ten cases (19.2%) were trauma related and showed male predominance. Obstructed gut accounted for 15.4% (n=8) of cases; and showed female predominance. Five out of the eight small bowel obstructions (62.5%) were due to post operation adhesions. Pre-operative and post-operative diagnoses were congruent in 90.4% (n=47) of cases. Major post-operative complications were surgical site infection (20; 38.5%), and pneumonia (5; 9.6%). The average hospital stay was 9days (range 4-21days). Mortality rate was 1.9% (n=1). Conclusion: Acute abdomen requiring surgical intervention is mainly infective origin. The male child is more at risk of abdominal trauma while gut obstruction was more common in females.

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Section: Discussionsupporting

confidence: 92%

“…Pain is the predominant symptom in patients with acute abdomen. The aetiology of this acute abdominal emergency is numerous and includes traumatic, infectious and inflammatory conditions 1 . Of importance is the need for a quick decision on whether it is a surgical abdomen (i.e.…”

Section: Introductionmentioning

confidence: 99%

Surgical Abdomen in School Age Children: A Prospective Review From Two Centers In SouthWestern Nigeria

Etonyeaku¹,

Talabi²,

Akinkuolie³

et al. 2017

East. Cent. Afr. J. Surg.

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show abstract

“…Takehara and coworkers had one salpingo-oophorectomy in 15 patients with irreducible ovary and Boley and co-workers report four non-viable ovaries in another group of 15 patients (16,17). In view of these results and our own findings we consider an irreducible ovary an indication for emergency surgery in contradiction to a newly published recommendation by van Heurn and co-workers (18).…”

Section: Accepted Manuscriptcontrasting

confidence: 71%

Irreducible inguinal hernia in children: how serious is it?

Houben

Chan

Mou

et al. 2015

Journal of Pediatric Surgery

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“…2 The diagnosis of appendicitis can be difficult in children because its symptoms vary widely, and a delay in its diagnosis is associated with increased morbidity and mortality. 8 Thus, it is necessary to use more laboratory tests and imaging methods in patients with suspected acute appendicitis. 9 In our hospital, the percent of misdiagnosis was about 9%.…”

Section: Discussionmentioning

confidence: 99%