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The use of Seprafilm in pediatric surgical patients.
- Source :
-
The American surgeon [Am Surg] 2007 Aug; Vol. 73 (8), pp. 792-5. - Publication Year :
- 2007
-
Abstract
- Hyaluronate carboxymethylcellulose (Seprafilm; Genzyme Corp., Cambridge, MA) has been demonstrated to be safe and efficacious for the prevention of abdominal and pelvic adhesions; however, information is scarce regarding its use in children and adolescents. We wanted to characterize our experience with Seprafilm in a pediatric surgical population. After Institutional Review Board approval, we searched our hospital and pediatric surgery database for cases in which Seprafilm was used and retrospectively reviewed medical records for demographic and clinical information. Between July 2000 and October 2005, 18 patients had Seprafilm placed. Patients ranged in age from 0.25 to 18 years. Seven patients had not undergone any previous operations. Of patients having undergone prior surgery, the most common preceding intervention was a Ladd's procedure. Seprafilm was applied in a variety of scenarios, the most frequently being adhesiolysis for bowel obstruction. No patient required reoperation for obstruction. Two patients underwent subsequent operations for unrelated reasons; one was noted to have no significant adhesions, but the other had extensive adhesions. No patient demonstrated signs or symptoms of small bowel obstruction, intraperitoneal abscess, or localized inflammatory reaction to Seprafilm. Seprafilm was successfully used in our pediatric surgical population without complications.
- Subjects :
- Adolescent
Child
Child, Preschool
Female
Follow-Up Studies
Humans
Infant
Male
Retrospective Studies
Tissue Adhesions etiology
Tissue Adhesions prevention & control
Treatment Outcome
Abdomen surgery
Hyaluronic Acid therapeutic use
Intestinal Diseases surgery
Laparotomy adverse effects
Membranes, Artificial
Postoperative Complications etiology
Postoperative Complications pathology
Postoperative Complications prevention & control
Subjects
Details
- Language :
- English
- ISSN :
- 0003-1348
- Volume :
- 73
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- The American surgeon
- Publication Type :
- Academic Journal
- Accession number :
- 17879686