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Bonnard A, Terrasa JB, Viala J, et al. Abdominal Cellulitis following a Laparoscopic Procedure: A Rare and Severe Complication. European J Pediatr Surg Rep. 2014;2(1):67-70doi: 10.1055/s-0033-1363777.
Bonnard, A., Terrasa, J. B., Viala, J., Aizenfisz, S., Berrebi, D., & Ghoneimi, A. E. (2014). Abdominal Cellulitis following a Laparoscopic Procedure: A Rare and Severe Complication. European journal of pediatric surgery reports, 2(1), 67-70. https://doi.org/10.1055/s-0033-1363777
Bonnard, Arnaud, et al. "Abdominal Cellulitis following a Laparoscopic Procedure: A Rare and Severe Complication." European journal of pediatric surgery reports vol. 2,1 (2014): 67-70. doi: https://doi.org/10.1055/s-0033-1363777
Bonnard A, Terrasa JB, Viala J, Aizenfisz S, Berrebi D, Ghoneimi AE. Abdominal Cellulitis following a Laparoscopic Procedure: A Rare and Severe Complication. European J Pediatr Surg Rep. 2014 Jun;2(1):67-70. doi: 10.1055/s-0033-1363777. Epub 2014 Mar 28. PMID: 25755975; PMCID: PMC4336053.
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European J Pediatr Surg Rep. 2014 Jun;2(1):67-70. doi: 10.1055/s-0033-1363777. Epub 2014 Mar 28.

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

European journal of pediatric surgery reports

Arnaud Bonnard, Jean Baptiste Terrasa, Jerome Viala, Sophie Aizenfisz, Dominique Berrebi, Alaa El Ghoneimi

Affiliations

  1. Department of General Pediatric Surgery, Robert Debré Hospital, Paris, France.
  2. Department of Pediatric Gastroenterology, Robert Debré Hospital, Paris, France.
  3. Department of Pediatric Intensive Care Unit, Robert Debré Hospital, Paris, France.
  4. Department of Pediatric Pathology, Robert Debré Hospital, Paris, France.

PMID: 25755975 PMCID: PMC4336053 DOI: 10.1055/s-0033-1363777

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: Hirschsprung; abdominal cellulitis; laparoscopic

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