[Postoperative adhesive intestinal obstruction in children]

Abstract

An analysis of 110 cases is presented. Pathogenesis, diagnosis, policy of treatment and prevention of adhesive intestinal obstruction (AIO) are considered. Progressing peritonitis, underestimation of the operative findings and insufficient intensive therapy are thought to be causes of postoperative AIO. Careful sanitation of the abdominal cavity during operation, refusal of an injection of antibiotics into the abdominal cavity, combination of prolonged peridural analgesia with intensive therapy are recommended to prevent postoperative AIO. Recurrent AIO were noted in 8,1% of the operated patients.