Background: Supra-Transumbilical Laparotomy (STL) has been used in paediatric surgery for a broad spectrum of abdominal procedures.We report our experience with STL approach for small bowel atresia repair in newborns and review previous published series on the topic.Patients and Methods: Fourteen patients with small bowel atresia were treated via STL approach at our Institution over a 5-year period and their charts were retrospectively reviewed.Results: STL procedure was performed at mean age of 3.
1 day.No malrotation redken shades eq 07m driftwood disorders were detected with pre-operative contrast enema.Eight patients (54.1%) presented jejunal atresia, five (35.
7%) ileal atresia, and one (7.1%) multiple ileal and jejunal atresias.Standard repair with primary end-to-back anastomosis was performed in all but one patient.In the newborn with multiple atresia, STL incision was converted in supra-umbilical transverse incision due to difficulty of folk rivet sweat exposition.
After surgery, one patient developed anastomotic stricture, and another developed occlusion due to adhesions: Both infants required second laparotomy.No infections of the umbilical site were recorded, and cosmetic results were excellent in all patients.Conclusions: Increasing evidence suggests that STL approach for small bowel atresia is feasible, safe and provides adequate exposure for small bowel atresia surgery.When malrotation and colonic/multiple atresia are pre-operatively ruled out, STL procedure can be choosen as first approach.