Multicenter retrospective comparison of spontaneous intestinal perforation outcomes between primary peritoneal drain and primary laparotomy
jpedsurg.org shows its articles on its own site.
Read the article on jpedsurg.org ↗Article · Aug 2019 · 1 min read
In brief
In brief
Multicenter retrospective study comparing primary peritoneal drain versus primary laparotomy for spontaneous intestinal perforation (SIP) in 171 infants. Drain-treated patients were more premature but showed no significant differences in vital signs or laboratory measures within 48 hours post-intervention.
Written by the GCMD Library team from the article.
Purpose
The purpose of our study was to compare outcomes of infants with spontaneous intestinal perforation (SIP) treated with primary peritoneal drain versus primary laparotomy.
Methods
We performed a multi-institution retrospective review of infants with diagnosis of SIP from 2012 to 2016. Clinical characteristics and outcomes were compared between infants treated with primary peritoneal drain vs infants treated with laparotomy.
Results
We identified 171 patients treated for SIP (drain n = 110 vs. laparotomy n = 61). There were no differences in maternal or prenatal characteristics. There were no clinically significant differences in vital signs, white blood cell or platelet measures, up to 48 h after intervention. Patients who were treated primarily with a drain were more premature (24.9 vs. 27.2 weeks, p