POSTOPERATIVE ABDOMINAL ADHESIVE DISEASE IN CHILDREN: CLINICAL EXPERIENCE
Main Article Content
Abstract
To evaluate the clinical effectiveness of diagnostic approaches and treatment strategies for postoperative abdominal adhesive disease in children. The study included 231 pediatric patients aged from 3 months to 18 years with postoperative intra-abdominal adhesive complications treated between 2018 and 2023. All patients underwent comprehensive clinical assessment and abdominal ultrasound examination. Additional instrumental diagnostic methods were applied when ultrasound findings were inconclusive. Conservative treatment was performed in 133 (57.6%) patients. Laparoscopic adhesiolysis was carried out in 29 (12.5%) cases; conversion to open surgery was required in 8 patients (27.6% of laparoscopic procedures) due to extensive adhesive processes and high risk of organ injury. During long-term follow-up, 98 (42.4%) patients developed acute adhesive intestinal obstruction requiring emergency surgical intervention. Treatment strategy for postoperative adhesive disease in children should be based on clinical presentation, medical history, and ultrasound findings. Conservative management may be effective in mild cases; however, laparoscopic adhesiolysis represents the optimal treatment option in severe forms. The high recurrence rate observed during long-term follow-up highlights the need for continuous monitoring of pediatric patients with abdominal adhesive disease.
Downloads
Article Details
Section
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain the copyright of their manuscripts, and all Open Access articles are disseminated under the terms of the Creative Commons Attribution License 4.0 (CC-BY), which licenses unrestricted use, distribution, and reproduction in any medium, provided that the original work is appropriately cited. The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations.
How to Cite
References
1.Sh B.M. Intrauterine meconium peritonitis (literature review). Eurasian Journal of Medical and Natural Sciences. 2025;5(10–2):46–51.
2.Ten Broek RPG, Krielen P, Di Saverio S, Coccolini F, et al. Bologna guidelines for diagnosis and management of adhesive small bowel obstruction. World Journal of Emergency Surgery. 2021;16(1):36.
3.Boboev MSh, Khaidarov NS. Syndrome of abdominal mass formation in children. Eurasian Journal of Medical and Natural Sciences. 2025;5(10–2):174–181.
4.Coccolini F, Fugazzola P, Sartelli M, Ansaloni L. Conservative versus surgical treatment of adhesive small bowel obstruction. World Journal of Surgery. 2023;47(3):631–640.
5.Sattarov JB, Boboev MSh. Histological structure of the colonic wall in elongation and fixation disorders in children. Eurasian Journal of Medical and Natural Sciences. 2025;5(10–2):84–92.
6.De Wilde RL, Trew G. Postoperative abdominal adhesions and their prevention in pediatric surgery. Journal of Pediatric Surgery. 2019;54(7):1359–1366.
7.Sh B.M. Cystic duplication of the stomach in children. Web of Medicine: Journal of Medicine, Practice and Nursing. 2025;3(1):367–371.
8.Kyriazis I, Vasilopoulos G, Kalles V, et al. Imaging modalities in the diagnosis of postoperative adhesive disease. Insights into Imaging. 2021;12(1):98.
9.Boboev MSh, Sattarov JB. Modern diagnostic and differential diagnostic methods of partial congenital intestinal obstruction in newborns and infants. Eurasian Journal of Medical and Natural Sciences. 2025;5(10–2):76–83.
10.Li X, Zhang J, Sang L, et al. Laparoscopic versus open adhesiolysis for adhesive small bowel obstruction in children. Pediatric Surgery International. 2021;37(2):155–163.
11.Sattarov JB, Boboev MSh. Clinical features, diagnosis and treatment of fixation and elongation anomalies of the colon in pediatric patients. Eurasian Journal of Medical and Natural Sciences. 2025;5(10–2):93–101.
12.Moris D, Chakedis J, Rahnemai-Azar AA, et al. Postoperative abdominal adhesions: Clinical significance and advances. Journal of Gastrointestinal Surgery. 2020;24(7):1713–1722.
13.Wang Q, Hu Z, Li J, Chen Y. Ultrasound-based diagnosis of postoperative abdominal adhesions in children. Ultrasound in Medicine & Biology. 2023;49(9):2154–2161.
14.Zani A, Eaton S, Pierro A. Adhesive small bowel obstruction in children. European Journal of Pediatric Surgery. 2022;32(2):101–108.
15.Coccolini F, Ansaloni L, Manfredi R, et al. Peritoneal adhesions: Pathophysiology and prevention strategies. World Journal of Gastroenterology. 2020;26(25):3489–3505.
16.Ten Broek RPG, Stommel MWJ, Strik C, et al. Benefits and harms of adhesion barriers for abdominal surgery. The Lancet. 2019;393(10176):48–59.
17.Khaydarov NS. Mild form of iron deficiency anemia and latent iron deficiency as a borderline state in infants under 2 years of age. BIO Web of Conferences. 2023;65:05024.
18.Kaiypov AA, Ermekov TA, Belekov ZhO, Kurbanbaev OI, Mamytov BZh, Khaydarov NS. Eurasian Journal of Medical and Natural Sciences. 2025;5(11):43–48.
19.Sattarov ZhB, Khaydarov NS, Normatov UE. Adhesive intestinal obstruction in children (literature review). Tibbiyotda yangi kun. 2022;5(43):354–360.
20.Sattarov ZhB, Khaydarov NS, Xolmatova YoN, Shuxratova MI. Experience in managing patients with adhesive intestinal obstruction (adhesion disease) in children. American Journal of Medicine and Medical Sciences. 2024;14(6):1584–1587.
21.Khaydarov NS, Sattarov JB, Kobilov EE. Methods for detection and conservative resolution of adhesion disease in children. Science and Innovation: International Scientific Journal. 2024;3(4):170–174.
22.Sattarov JB, Khaydarov NS, Khurramov FM, Nazarov NN, Urayimjonov ShD. Diagnosis and treatment of adhesion disease in children. Endless Light in Science: International Scientific Journal. 2024;(4):62–66.
23.Khaydarov NS. Rehabilitation and prevention of adhesive intestinal obstruction in children. In: Proceedings of the 78th International Scientific and Practical Conference “Achievements of Fundamental and Applied Medicine and Pharmacy”. Samarkand; 2024. p. 1223–1224.