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2003, Number 5

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Gac Med Mex 2003; 139 (5)

Previous Laparotomy-Induced Intestinal Ischemia

Baeza-Herrera C, García-Cabello LM, Villalobos-Ayala D, Domínguez-Pérez ST, Mora-Hernández F

Language: Spanish
References: 27
Page: 465-469
PDF size: 241.52 Kb.


ABSTRACT

Introduction. Acute adhesive obstruction of the small intestine is a surgical emergency in which there is a risk of intestinal ischemia. By delaying diagnosis and institution of appropriate treatment for ischemic obstruction, morbidity and mortality increase. Material, method and results. The hospital records of 63 patients with diagnosis of intestinal obstruction and regional ischemia due to fibroadhesive peritonitis were reviewed in an attempt to identify criteria that could be used to separate patients who would require an emergency operation; 39 (61.9%) were male and three (4.7%) newborn. This complication was seen after 3 years of age in 39 patients (69.1%). Appendicitis was first cause with 26 cases (41.2%). Range of time of appearance after operation was from 1 week to 15 years (median 10 months). In 87% of patients the operation was a second procedure. AII had gangrene and an enterostomy was constructed. General morbidity rate was 80%. Four children died. Conclusion. It is mandatory to identify early complicated patients.


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