Acute chest syndrome after abdominal surgery in children with sickle cell disease: Is a laparoscopic approach better?
Abdominal surgery carries a significantly high risk (20%) of ACS. Laparoscopy does not decrease the incidence of ACS compared with open approach. Predisposing factors were not significant in predicting postoperative ACS. There is considerable morbidity and potential cost implications in patients with ACS.
Non-operative management is still a safe and preferred approach in selected patients with ASBO. However, 53% eventually required surgery.