Relaparotomie im Kindesalter

Translated title of the contribution: Relaparotomy in childhood

Rainer W G Gruessner, G. Pistor, D. nii Amon Kotei, A. Kuhnert

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

From 1.1.1976 to 31.12.1983 1,793 laparotomies were performed on children up to the age of 15 years at the Hospital of Pediatric Surgery, Mainz University. The incidence of acute unplannend relaparotomies was 4.6%. The most frequent indication of acute relaparotomy was postoperative obstruction due to adhesions (in 53 % of all cases); burst abdomen, peritonitis, intestinal perforation, anastomotic insufficiency and secondary hemorrhage were less frequent causes of repeated abdominal procedures. 15% of all relaparotomised children underwent more than one repeat laparotomy. More than 40% of acute relaparotomies were performed on children within their first year of life. 56% of all relaparotomies had to be performed within the first four postoperative weeks, 87% within the first year. The lethality rate of acute relaparotomy was 15%. Lethality was especially high in children suffering from anastomotic insufficiency or burst abdomen; it increased with the number of relaparotomies. The significance of preoperative sonography for the diagnosis leading to acute unplanned relaparotomies is discussed and commented with examples.

Original languageGerman
Pages (from-to)167-180
Number of pages14
JournalLangenbecks Archiv für Chirurgie
Volume367
Issue number3
DOIs
StatePublished - Sep 1986
Externally publishedYes

Fingerprint

Abdomen
Laparotomy
Intestinal Perforation
Pediatric Hospitals
Peritonitis
Ultrasonography
Hemorrhage
Incidence

Keywords

  • Preoperative sonography
  • Relaparotomy in childhood

ASJC Scopus subject areas

  • Surgery

Cite this

Relaparotomie im Kindesalter. / Gruessner, Rainer W G; Pistor, G.; Kotei, D. nii Amon; Kuhnert, A.

In: Langenbecks Archiv für Chirurgie, Vol. 367, No. 3, 09.1986, p. 167-180.

Research output: Contribution to journalArticle

Gruessner, RWG, Pistor, G, Kotei, DNA & Kuhnert, A 1986, 'Relaparotomie im Kindesalter', Langenbecks Archiv für Chirurgie, vol. 367, no. 3, pp. 167-180. https://doi.org/10.1007/BF01258935
Gruessner, Rainer W G ; Pistor, G. ; Kotei, D. nii Amon ; Kuhnert, A. / Relaparotomie im Kindesalter. In: Langenbecks Archiv für Chirurgie. 1986 ; Vol. 367, No. 3. pp. 167-180.
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