Childhood Diseases

Question
Posted by: Peta | 2011-05-19

Q.

Laparotomy?

Hi Dr
Me again....2 1/2 year old boy, tube weaned and now the stoma / gastrostomy site hasnt closed completely.

It has been leaking fluids / jelly since the peg came out and now, 7 months later, it has started leaking a bit of blood as well. The paed says that markers in the blood tests also show ongoing chronic infection, which they say is now there in the tube site. So we will operate...not happy but no choice here as Tayden is also indicating that it is sore.

We have seen a surgeon and he is due to perform a laparotomy l think the word is but l forgot to ask all the questions that l meant to and was hoping that you would be able to confirm for me....how long can l expect my child to be in hospital - generally - after an op like this? 4-5 days my paed said? Will he be in icu afterwards?

I am told that l can use empaped suppositories for the pain when we go home - will that be strong enough?

Thanks alot
Peta

Expert's Reply

A.

Paediatrician

I would like to ask a few questions of my own first. Is your son's surgeon a paediatric surgeon? Is the hospital a paediatric hospital or a child friendly hospital?I would prefer your son to be looked after at the Red Cross Children's Hospital or failing that by a paediatric surgeon like Dr Rob Brown in Cape Town. After all that your son has been through you cannot afford to have any further problems. The time frames mentioned by your paediatrician seem about right and he will need a short period in ICU or High Care after the operation.Tayden may need a stronger pain medicine than Empaped but the surgeon and the anaesthetist will advise you about this.

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user comments

C.

Posted by: Tasja | 2011-05-25

My son had a laparoscopic Nissen anti reflux operation 7 mnths ago,he was 5 years and 3 mnths at the time.He had to be over 25 kg for the op to be done here in George.The instruments are to big otherwise!!I would also think that a peadiatric surgeon should do the operation.We were also referred to Dr Brown at the red cross,but fortunatly theres one aswell in George Dr Leonie Schoeman.She is fantastic.He spend 1 day in High care with his own nurse,and then 2 days in a general ward,and then could go home!!The pain meds was given by drip.He got some morfein during the first 12 hours!

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