Page 6 - World Journal of Laparoscopic Surgery

Laparoscopic vs Open Surgical Management of Adhesive Bowel Obstruction in Children
thick vascular bands away from the bowel wall. We always run 7. O’Connor DB, Winter DC. The role of laparoscopy in the management
the bowel from duodeno-jejunal junction till ileo-caecal area of acute small-bowel obstruction: a review of over 2000 cases. Surg
to make sure we lyse all adhesions and to inspect the bowel Endosc 2012;26(1):12–17. DOI: 10.1007/s00464-011-1885-9.
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postoperative complications in our open laparotomy group and adhesive small bowel obstruction: is it the gold standard in children
laparoscopic group we observed that serosal tear happened in too? Surg Endosc 2013;27(10):3927–3928. DOI: 10.1007/s00464-013-
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20 out of 42 open surgery cases while no such injuries occurred 9. Anderson SA, Beierle EA, Chen MK. Role of laparoscopy in the
in laparoscopic group. This could be because of the fact that in prevention and in the treatment of adhesions. Semin Pediatr Surg
laparoscopic group adhesions were divided more precisely and 2014;23(6):353–356. DOI: 10.1053/j.sempedsurg.2014.06.007.
always under magnified vision. Serosal tears and subsequent 10. Alemayehu H, David B, Desai AA, et al. Laparoscopy for small bowel
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seroma or wound infection in laparotomy group. There was no 13. Akgur FM, Tanyel FC, Buyukpamukcu N, et al. Adhesive small
wound related complication in laparoscopic group which could be bowel obstruction in children: the place and predictors of success
one reason for shorter hospital stay in this group of patients. Lee for conservative treatment. J Pediatr Surg 1991;26:37–41. DOI:
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the management of adhesive small bowel obstruction and found 14. Vijay K, Anindya C, Bhanu P, et al. Adhesive small bowel obstruction
that laparoscopic treatment was associated with shorter median (ASBO) in children—role of conservative management. Med J
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(5.6% vs 10.4%), and lower mean total hospital costs. Although malrotation and the Ladd’s procedure: a 15-year review. Pediatr Surg
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laparoscopic lysis of adhesions in the management of intestinal
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92 World Journal of Laparoscopic Surgery, Volume 12 Issue 3 (September–December 2019)