Common Pediatric Surgical Emergencies

Abstract

During surgery preserving as much viable intestine as possible is of key importance. Only perforated or clearly diseased/necrotic bowel should be resected. After resection, either a proximal stoma and anastomoses of the distal defunctionalized segments or multiple stomas are created. The stoma or mucous fistula can be brought out through your abdominal incision. Stoma closure will be performed after complete rehabilitation of the intestine. Common long-term complications include strictures and short bowel syndrome. In summary, despite the fact that most cases of early NEC can be managed successfully nonoperative, prompt surgical intervention is usually required for advanced or perforated NEC and virtually all FIPs.