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Malrotation Surgery


Pregunta

Our 2 ½ month old daughter has been diagnosed with having "modified malrotation." The doctor said it is not "a normal malrotation as the organs aren't shifted around." There is no blockage and the pediatric surgeon is saying surgery is elective. What factors should we consider at this point to decide whether or not to have surgery? If the doctor does the surgery, he also wants to remove her appendix. Is that typical? The doctor is saying that if he does go ahead with surgery, he would not consider giving her anything stronger than Tylenol, because anything stronger would interfere with her further development. His opinion is that crying is good; it promotes healing and develops the lungs, but we are concerned about having our daughter in post-operative pain. Can other pain medications cause developmental delays?

Respuesta de nuestros expertos

There are different severities of malrotation and a pediatric surgeon should be the one to decide if it should be fixed. I would not have an adult surgeon do such a small tyke and I would have it done in a children's hospital. Taking the appendix out is part of the operation-the idea is to scar down the gut so it can't twist on itself and cut off the blood supply and die

Pain medications don't cause developmental delays and are certainly used on small children. They do need to cry for their lungs, and don't usually need much for pain, but they do need something other than Tylenol

CP/ TK 7-13-10

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us

Recomendación (es)

Malrotación intestinal

R29
Si se identifica cualquier síntoma de patología abdominal en un paciente con SCdL debe descartarse rápidamente, con independencia de su edad, la presencia de una malrotación intestinal.
R30
Los estudios para descartar una malrotación intestinal deben consensuarse con la familia, ponderando los beneficios y los riesgos potenciales para el paciente con SCdL.

Recomendación (es)

el dolor y el comportamiento

R18
Dado que en un niño con SCdL, el dolor puede fácilmente pasar desapercibido, todos los profesionales sanitarios deberían ser conscientes de las diferentes manifestaciones y posibles causas del dolor. Se recomienda utilizar pruebas específicas para evaluar el dolor.

Aviso legal

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