Small Bowel Obstruction after Laparoscopic Appendectomy in Children

Belén Aneiros Castro, Indalecio Cano Novillo, Araceli García Vázquez, Pedro Yuste García, Eduardo Ferrero Herrero and Andrés Gómez Fraile

Department of Pediatric Surgery, Hospital 12 de Octubre, Madrid, Spain
Department of General Surgery, Hospital 12 de Octubre, Madrid, Spain

^*Correspondance to: Belén Aneiros Castro 

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Abstract:

Introduction: The aim of this study is to determine the characteristics and the treatments of the patients with bowel obstruction after laparoscopic appendectomy. Material and
Methods: A retrospective study was conducted to analyze laparoscopic appendectomy performed in our center between 2000 and 2013. Bowel obstruction was diagnosed by physical examination and radiographic. Stata software was used to analyze all the statistical data.
Results: There were 1,734 patients, of which 17 patients developed bowel obstruction (1%). The mean age of the patients was 8.0 years. Overall, 70.6% were male and 29.4% were female. Bowel obstruction occurred in 12 patients in the immediate post-operative period, in 8 patients in the delayed post-operative period and in 3 patients in both periods. All the patients with bowel obstruction in the immediate post-operative period underwent operative intervention; 50% were completed by the laparoscopic approach and 50% by open approach. Intra-abdominal abscess occurred in 66.6% of the patients. In the delayed post-operative period, 7 patients were managed conservatively and 1 patient was managed by open surgical approach. The patients that developed bowel obstruction in both periods were managed by open surgical approach in the immediate postoperative period.
Conclusion: Bowel obstruction after laparoscopic appendectomy is an uncommon complication. Like the most recent studies, our results support that laparoscopic appendectomy reduces the incidence of bowel obstruction. In addition, this approach can be used to treat this complication in determinate cases.

Keywords:

Bowel obstruction; Appendectomy; Laparoscopy

Cite the Article:

Castro BA, Novillo IC, Vázquez AG, García PY, Herrero EF, Fraile AG. Small Bowel Obstruction after Laparoscopic Appendectomy in Children. World J Surg Surgical Res. 2018; 1(1): 1001.