Surgical treatment of the adhesive interstinal obstruction in children

Abstract

Introduction. Adhesive intestinal obstruction (AIO) is one of the most difficult and unsolved problems of the abdominal surgery in children. Aim of the study. To explore the possibility of using hyaluronic acid solution for the treatment of intraperitoneally adhesions in children. Methods. 84 children were operated on AIO. The children were divided into two groups. HAS was not used in I group (56 patients). HAS was used in II group (28 patients). The follow-up of children from 1 to 4 years. From 84 patients on AIO: 21 (25 %) operated on for early adhesive intestinal obstruction, 63 (75 %) – on late adhesive intestinal obstruction. Recurrent AIO was in 12 (14,29 %) children. Results. In the I group (56 children) in the first year after surgery with adhesion syndrome turned 13 (23,21 %) children, up to 4 years - 20 (35,71 %) patients. In the II group (28 children) adhesion syndrome (cured conservatively) over 3 years postoperative period turned 2 (7,14 %) patients, indicating the effectiveness of hyaluronic acid solution for the purpose for treatment of the adhesions abdominal cavity in children. Conclusion. The hyaluronic acid solution is effective in the treatment of adhesive intestinal obstruction in children and is accompanied by a recurrence of the adhesion syndrome 7,14 % (n=28 children) on the difference in the group without using it – 35,71 % (n=56 children).