A Clinical Observation on the Surgical Abdmen in Children

ABSTRACT

The clinical observation was made in 220 children who was admitted to department of general surgery of St. Paul's Hospital from 1972 to 1977 and the following results were obtained. 1. The age incidence was the most common in 10~15 years age group (40.0%). 2. Distribution of the operated cases in order of frequency was acute appendicitis(44.6%), inguinal hernia(23.2%) and intussusception)11.4%). 3. 60cases(26.3%) had operation due to intestinal obstruction. The common causes of intestinal obstruction was intussusception(41.7%), congenital anomalies(36.7%) and incarcerated hernia(11.7%). 4. The highist incidence of the cases according to the age were as follows newborn infant; intestinal obstruction due to congenital origin(all cases), 4wks-1year; intussusception(41.5%), 1-2years and 2-6years; inguinal hernia(75.0% and 44.7%), 6-10years and 10-15years; acute appendicitis(40.6% and 86.4%). 5. 7 cases were injured abdominal visera by trauma. Among them, spleen and liver was injured in 3cases, respectively, and ileum in 1case. 6. Overall mortality rate was 0.9%.