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Aims of MHSR Journal

• To serve as an important medium for the publication of original research in the field of medical science and health research, thus filling gaps in health knowledge for effective utilization of research findings
• To impart current medical knowledge and updated scientific information obtained from research to health professionals for better and appropriate health care management
• To disseminate recent basic, applied and social research findings among health personnel of different strata for enhancing worldwide health development

Archives   1989

Myanmar   Health   Sciences   Research   Journal

Volume   1,  Number   3

TITLE:   An epidemiologic profile of laprotomy cases in Yangon Children's Hospital.
AUTHOR:   Thein Hlaing; Maung Maung
SOURCE:   Myanmar Health Sciences Research Journal. 1989; 1(3): 162-166
ABSTRACT:   The operation theatre registers of the Yangon Children's Hospital for 1984 through 1986 were studied to determine epidemiologic parameters of interest. Annually, laprotomy cases comprised about 11% of all the major operations in the hospital. Of the laparotomy cases, congenital diseases constituted the highest proportion (42.4%), followed by acute abdominal conditions (37.1%) and cancer (3.0%). 65.1% surgical operations for imperforated anus were on neonates; 44.3% of operations for Hirschsprun disease on infants under 6 months; 70.6% of operation for intussusception on post-neonates; 41.3% of operations for intestional obstruction on 1-4 years old; and 51.5% for intestinal perforation, 50% for biliary obstruction, 46.% for appendicitis and 43.5% for volvulus on 5-9 years old. There was preponderance of male to females for Hirschsprung's disease (3.4 : 1), imperforated anus (2.6 : 1), intestinal obstruction (2.5 : 1) and appendicitis (1.8 : 1) . The mean (± SD) duration of operation in minutes for biliary obstruction cases was the longest at 129 (± 50), followed by volvulus 114 (± 35), and intestinal obstruction 109 (± 37). The durations, however, varied according to the type of surgical procedures performed. Factors influencing "duration of operation" are discussed from the epidemiologic perspective.
SUBJECT HEADINGS:   Laprotomy. Child. Epidemiology.
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