Long-term complications following XXXX and the Ladd's procedure: a 15 year review.

@entity1 @entity3313 @entity1518 @entity490 @entity1744
BACKGROUND: It is accepted that @entity1 with @entity3313 require urgent surgery. However the long term sequelae and late complications of its surgical therapy are less well understood. We hypothesised that the surgical corrected @entity1518 have significant long term impact on the @entity1 quality of life. METHODS: Forty-six @entity1 with @entity1518 were operated on at a tertiary referral centre over a fifteen year period. Their charts were retrospectively reviewed and the @entity1 were contacted. RESULTS: The study revealed two distinct groups, those without complications 25 (54%) and those without 21 (46%). In the acute post operative period four (9%) @entity1 had on going feeding difficulties and one (2%) developed chronic @entity490 . However 12 (26%) required readmission within the first six months after the initial operation. Eleven (24%) @entity1 were readmitted with acute @entity1744 . Six (13%) @entity1 required multiple admissions due to @entity1744 and six (13%) @entity1 underwent further surgery for adhesion related obstruction. There were four (9%) deaths in the study group, three due to other medical conditions and one following @entity1744 . There was zero mortality immediately after the primary operation. There was no significant difference in the initial presentation, age and operative findings in those requiring further surgery and those who did not. CONCLUSIONS: We demonstrated that there is a significant long-term morbidity associated with @entity1518 even after corrective surgery. Detailed education about the potential for @entity1744 must be given to the parents of these @entity1 .
