Document Detail

The morbidity and mortality of right hemicolectomy for complicated intussusception in infants.
MedLine Citation:
PMID:  12501272     Owner:  NLM     Status:  MEDLINE    
Infants with intussusception in tropical Africa frequently present late. Intestinal resection for gangrene or perforation may warrant a right hemicolectomy. Over a period of 11 year, 15 (45.5%) of 33 infants with intussusception required bowel resection, 10 of which were right hemicolectomies. The age range of those who had right hemicolectomy was 3-9 months (median 6 months) and duration of symptoms 3-8 days (median 6 days). In addition to features of intussusception, seven (78%) infants were dehydrated and one was anaemic. Six (67%) of 9 infants developed procedure related complications postoperatively. Four (44%) had anastomotic dehiscence, associated with abdominal wound dehiscence in 2. In 3 of the patients, the anastomosis leaked again following repeat resection and anastomosis, necessitating relaparotomy and stoma formation. One (11%) patient each had wound infection and prolonged ileus respectively. Six (67%) patients died, including the 4 who had anastomotic dehiscence. The cause of death was overwhelming infection in 4 patients and aspiration of vomitus in two patients. Recommendations are made to minimize morbidity and mortality in these infants.
E A Ameh
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Nigerian postgraduate medical journal     Volume:  9     ISSN:  1117-1936     ISO Abbreviation:  Niger Postgrad Med J     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2002-12-26     Completed Date:  2003-03-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9613595     Medline TA:  Niger Postgrad Med J     Country:  Nigeria    
Other Details:
Languages:  eng     Pagination:  123-4     Citation Subset:  IM    
Paediatric Surgery Unit, Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
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MeSH Terms
Colectomy / methods,  mortality*
Ileal Diseases / mortality,  surgery*
Intussusception / mortality,  surgery*
Nigeria / epidemiology
Postoperative Complications / mortality*
Retrospective Studies

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