Festen C
Ann Surg. 1982 Nov;196(5):580-3. doi: 10.1097/00000658-198211000-00012.
In the Pediatric Surgical Department of The St Radboud Hospital, Nijmegen, The Netherlands, between January 1970 and December 1980, 1476 laparotomies were performed on neonates, infants, and children. In 33 of these patient the abdominal surgery was complicated by a postoperative small bowel obstruction (SBO), for which a second laparotomy had to be performed. In 80% of patients this SBO developed within three months of the prior operation. The risk of developing an adhesive SBO was greater when there was more than one prior peritoneal procedure, and when, during this prior procedure, there was already a peritonitis. There was no obvious relation with the nature of the original operation. In more than 70% of patients a single adhesion caused the obstruction, while in many of these cases there were already circulatory disturbances, even by early reintervention. The mortality was 6%.
1970年1月至1980年12月期间，在荷兰奈梅亨市圣拉德布德医院小儿外科，对新生儿、婴儿和儿童进行了1476例剖腹手术。其中33例患者的腹部手术并发术后小肠梗阻（SBO），为此不得不进行二次剖腹手术。80%的患者在先前手术后三个月内发生了这种SBO。先前进行过一次以上腹膜手术以及在先前手术期间已经发生腹膜炎的患者，发生粘连性SBO的风险更大。这与原手术的性质没有明显关系。超过70%的患者由单一粘连导致梗阻，而在许多此类病例中，即使早期再次干预，也已经出现了循环障碍。死亡率为6%。
