Document Detail


Laparoscopy as an adjunct to peritoneal drainage in perforated necrotizing enterocolitis.
MedLine Citation:
PMID:  16968195     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intestinal perforation in very low birth weight infants with necrotizing enterocolitis has a high morbidity and mortality. We report the use of laparoscopy on day 30 of life in the treatment of a very low birth weight infant (900 g) with perforated necrotizing enterocolitis. The question of laparotomy versus peritoneal drain is ongoing. Laparoscopy may have a major role to play in the answer to this debate. The versatility of laparoscopy enables good visualization of the bowel and organs: a drain can be placed in a port site if there is no fecal contamination and a more conservative approach is warranted, or a conversion to a laparotomy can be undertaken if there are obvious feces or necrotic bowel. We feel that laparoscopy in the initial evaluation of necrotizing enterocolitis is invaluable, and can avoid potentially unnecessary surgery in an already extremely unwell infant.
Authors:
Claire Clark; Gordon A Mackinlay
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of laparoendoscopic & advanced surgical techniques. Part A     Volume:  16     ISSN:  1092-6429     ISO Abbreviation:  J Laparoendosc Adv Surg Tech A     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-09-13     Completed Date:  2007-02-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706293     Medline TA:  J Laparoendosc Adv Surg Tech A     Country:  United States    
Other Details:
Languages:  eng     Pagination:  411-3     Citation Subset:  IM    
Affiliation:
Royal Hospital for Sick Children, Edinburgh, Scotland, United Kingdom. Claire.bourne@btinternet.com
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MeSH Terms
Descriptor/Qualifier:
Combined Modality Therapy
Drainage*
Enterocolitis, Necrotizing / complications,  surgery*
Female
Humans
Infant, Newborn
Infant, Very Low Birth Weight
Intestinal Perforation / etiology,  surgery*
Intestine, Small / pathology*,  radiography,  surgery*
Laparoscopy*
Radiography, Abdominal

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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