Causes analysis of unplanned secondary surgery of congenital megacolon

Abstract

Objective To investigate the causes of congenital megacolon unplanned secondary surgery,improve the level of diagnosis and treatment and reduce the rate of unplanned secondary surgery.Methods From Jan.2010 to Jan.2013,526 cases of congenital megacolon in department of pediatric surgery,the third affiliated hospital of Zhengzhou university were chose.Among them,13 patients had unplanned secondary surgery due to various reasons.Through respective analysis of the 13 cases,the causes of congenital megacolon unplanned secondary surgery were investigated.Results The rate of unplanned secondary surgery was 2.5％.The causes of congenital megacolon unplanned secondary surgery were as follows:adhesive intestinal obstruction (2 cases),intestinal mucosa prolapse (2 cases),enterocolitis (2 cases),recurrent constipation (2 cases),insufflate retraction (1 case),intestinal fistula (1 case),postoperative bleeding (1 case),internal hernia formation (1 case),incision dehiscence (1 case).Conclusions The causes of congenital megacolon unplanned secondary surgery were its own complications and iatrogenic factors ; Sufficient preoperative preparation,comprehensive preoperative discussion,intraoperative careful examination,carefully operation in strict accordance with the regulation,improve the level of technology,is the key to reduce unplanned secondary surgery. Key words: Congenital megacolon; Unplanned secondary surgery; Causes analysis