Can a child have laparoscopic surgery for intestinal obstruction?

In many hospitals, if there is obvious fluid flatness or intestinal dilatation on the X-ray film of the child’s abdomen, the report card will often tell the patient “intestinal obstruction”. From the literal understanding, many families will think that this is the name of a disease, and is on the serious side, the consultation is often more urgent, and many of our internal medicine doctors will not recognize this point, which aggravates the family’s worries. “Intestinal obstruction” is simply understood to mean that the intestines are blocked, but it is inaccurate to determine that the intestines are completely blocked by a single X-ray. Intestinal obstruction is a series of disease symptoms of the same part of the generalization, just like many diseases will cause fever, different diseases caused by intestinal obstruction of different ways to deal with the clinical manifestations are also different, in a nutshell, the main manifestation of high intestinal obstruction is “vomiting”, the main manifestation of low intestinal obstruction is “abdominal distension”, that is, the old man is the main manifestation of intestinal obstruction. Abdominal distension”, which is what the common people call “can’t eat from above, can’t pull out from below”. There are not many complete intestinal obstruction in the clinical sense, some need immediate surgery, some can wait for a few days, some can be operated after a period of time after the symptoms are relieved, and some do not need surgery. Since laparoscopic surgery requires a certain amount of space in the abdominal cavity, the lower the position of the obstruction, the more pronounced the abdominal distension, the less space in the abdominal cavity, so the middle and high level of intestinal obstruction can be more often applied to laparoscopy. Briefly introduce several kinds of intestinal obstruction in newborns. 1, intestinal atresia, as the name suggests, intestinal developmental disorders, somewhere “not long through”, it can occur in any section of the intestinal tube, there are many types, most of them are complete intestinal obstruction, the child does not have fetal feces discharge, high-level obstruction will be vomiting, all need early surgical treatment, which “duodenal atresia, jejunal membranous atresia Among them, “duodenal atresia, jejunum membrane atresia” and so on, we have all been treated laparoscopically, and the clinical effect is very good. 2, inguinal incarcerated hiatal hernia, inguinal area can not be retrieved mass, the condition will gradually aggravate, abdominal distension, vomiting the more obvious performance. The younger the age, the less tolerant the incarcerated intestinal tube is, the more need for early surgery, open surgery is still the first choice. 3, congenital megacolon, mostly manifested as low obstruction, abdominal distension is the main, generally through laxative treatment can be relieved, after a clear diagnosis and then radical surgery, or need to perform emergency fistula surgery.