High incidence of postoperative bowel obstruction in newborns and infants

Postoperative bowel obstruction after laparoscopic and open appendectomy in children: a 15-year experience

“…In this study, development of PBO after appendectomy for perforated appendicitis was reported to be 2.6%, whereas the incidence of PBO for nonperforated cases was reported to be 0.3% [16].…”

“…Young et al [16], in their study of PBO in the pediatric population, reported 10 cases of PBO development from a total of 1021 appendectomies. In this study, development of PBO after appendectomy for perforated appendicitis was reported to be 2.6%, whereas the incidence of PBO for nonperforated cases was reported to be 0.3% [16].…”

Postoperative Intestinal Obstruction after Laparoscopic Versus Open Surgery in the Pediatric Population: A 15-year Review

“…Postoperative intestinal obstruction can be managed conservatively, especially in the early stages, but subsequently 40 % to 60 % of these children will require some kind of surgical intervention [1,15] . In the early eighties Festen reported that 2.2 % of children undergoing abdominal surgery would be re-operated for mechanical intestinal obstruction, and recently Choudry et al reported a similar incidence of re-operations [2,5] .…”

“…In children, as in adults, PIO is often caused by adhesions. The incidence in the pediatric population is reported to range from 2.2 % to 2.8 % [5,15] . In its early stages, PIO in children can be managed conservatively [6] .…”

“…In its early stages, PIO in children can be managed conservatively [6] . Ultimately, 40 % to 60 % will require some kind of surgical intervention [1,15] . Even more, delay of adhesiolysis has been reported to result in increased morbidity [10] .…”