Download PDF
European J Pediatr Surg Rep. 2014; 02(01): 067-070
DOI: 10.1055/s-0033-1363777
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Abdominal Cellulitis following a Laparoscopic Procedure: A Rare and Severe Complication

Arnaud Bonnard
1   Department of General Pediatric Surgery, Robert Debré Hospital, Paris, France
,
Jean Baptiste Terrasa
1   Department of General Pediatric Surgery, Robert Debré Hospital, Paris, France
,
Jerome Viala
2   Department of Pediatric Gastroenterology, Robert Debré Hospital, Paris, France
,
Sophie Aizenfisz
3   Department of Pediatric Intensive Care Unit, Robert Debré Hospital, Paris, France
,
Dominique Berrebi
4   Department of Pediatric Pathology, Robert Debré Hospital, Paris, France
,
Alaa El Ghoneimi
1   Department of General Pediatric Surgery, Robert Debré Hospital, Paris, France
› Author Affiliations
Further Information

Publication History

19 September 2013

13 November 2013

Publication Date:
28 March 2014 (online)

   Permissions and Reprints

Abstract

Advantages of laparoscopic approach in Hirschsprung disease have been already published decreasing the hospital stay and postoperative adhesions. To our knowledge, we report the first case of postoperative abdominal cellulitis after laparoscopic procedure. A laparoscopic Duhamel pull through was done on a 3-month-old child. Full-thickness biopsy under laparoscopy was performed with intraperitoneal inoculation. Large peritoneal irrigation was used. Abdominal necrotizing cellulitis starting from a port site occurred few days after the procedure requiring repeat surgical excision, broad spectrum antibiotics, and hyperbaric oxygen.

Keywords

laparoscopic - abdominal cellulitis - Hirschsprung
 

  • References

  • 1 de Lagausie P, Berrebi D, Geib G, Sebag G, Aigrain Y. Laparoscopic Duhamel procedure. Management of 30 cases. Surg Endosc 1999; 13 (10) 972-974
    CrossrefPubMedGoogle Scholar
  • 2 Bonnard A, de Lagausie P, Leclair MD , et al. Definitive treatment of extended Hirschsprung's disease or total colonic form. Surg Endosc 2001; 15 (11) 1301-1304
    CrossrefPubMedGoogle Scholar
  • 3 Travassos DV, Bax NM, Van der Zee DC. Duhamel procedure: a comparative retrospective study between an open and a laparoscopic technique. Surg Endosc 2007; 21 (12) 2163-2165
    CrossrefPubMedGoogle Scholar
  • 4 Zmora O, Mahajna A, Bar-Zakai B , et al. Colon and rectal surgery without mechanical bowel preparation: a randomized prospective trial. Ann Surg 2003; 237 (3) 363-367
    CrossrefPubMedGoogle Scholar
  • 5 Sauer CJ, Langer JC, Wales PW. The versatility of the umbilical incision in the management of Hirschsprung's disease. J Pediatr Surg 2005; 40 (2) 385-389
    CrossrefPubMedGoogle Scholar
  • 6 Mazziotti MV, Langer JC. Laparoscopic full-thickness intestinal biopsies in children. J Pediatr Gastroenterol Nutr 2001; 33 (1) 54-57
    CrossrefPubMedGoogle Scholar
  • 7 Gupta R, Sample C, Bamehriz F, Birch DW. Infectious complications following laparoscopic appendectomy. Can J Surg 2006; 49 (6) 397-400
    PubMedGoogle Scholar