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Table 3 Post-Surgical Outcomes among Surgical Participants in IMPOWERa

From: IMPOWER: a national patient-generated registry for intestinal malrotation exploring diagnosis, treatment, and surgical outcomes

Characteristic, n(%)

Pediatric registrantsbc

(n = 107)

Adult registrants diagnosed after 20 years of age (n = 45)

Type of surgical procedure

Surgical intervention for volvulus

12 (11.2)

2 (4.4)

Surgical intervention for volvulus and Ladd’s

53 (49.5)

8 (17.8)

Ladd’s surgical procedure only

33 (30.8)

26 (57.8)

Alternative intestinal surgical procedure

4 (3.7)

9 (20.0)

Urgency of surgical procedure

Emergency to preserve life

73 (68.2)

13 (28.9)

Urgent within 48 h

18 (16.8)

5 (11.1)

Recommended within next month

11 (10.3)

18 (40.0)

Elective or presented as a choice

2 (1.9)

9 (20.0)

Bowel resection during initial surgical procedure

34 (31.8)

10 (22.2)

Short bowel diagnosis after surgical procedure

25 (23.4)

3 (6.7)

Length of hospital stay at initial surgical procedure

Under 1 day / outpatient

0 (0.0)

5 (11.1)

1 day or more but less than 3 days

7 (6.2)

10 (22.2)

3 days or more but less than 5 days

11 (9.7)

5 (11.1)

5 days or more but less than 10 days

32 (29.9)

13 (28.9)

10 days or more but less than 20 days

23 (21.5)

10 (22.2)

20 days or more

33 (30.8)

1 (2.2)

Postsurgical complications

17 (15.9)

13 (28.9)

Outcomes after initial surgical procedure

Emergency department visits

52 (48.6)

27 (60.0)

Additional hospitalizations

35 (32.7)

15 (33.3)

Additional abdominal surgical procedure

27 (25.2)

14 (31.1)

Bowel obstruction

17 (15.9)

12 (26.7)

Volvulus or recurrent volvulus

3 (2.8)

3 (6.67)

Number of additional surgical procedures

1 additional procedure

11 (10.3)

5 (11.1)

2 additional procedures

7 (6.5)

5 (11.1)

3 or more additional procedures

9 (8.4)

4 (8.9)

  1. aIntestinal Malrotation Patient Outcomes and WEllness Registry
  2. bPediatric participants under 18 at time of enrollment were registered by parent or caregiver
  3. cExcludes participants deceased at time of registration