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By Rodrigo Gallindo Pediatric Surgeon
Michael E Kelly, Des C Winter
No abstract text is available yet for this article.
July 2014: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
Martin L Blakely, Regan Williams, Melvin S Dassinger, James W Eubanks, Peter Fischer, Eunice Y Huang, Elizabeth Paton, Barbara Culbreath, Allison Hester, Christian Streck, S Douglas Hixson, Max R Langham
OBJECTIVE: To compare the effectiveness and adverse event rates of early vs interval appendectomy in children with perforated appendicitis. DESIGN: Nonblinded randomized trial. SETTING: A tertiary-referral urban children's hospital. PATIENTS: A total of 131 patients younger than 18 years with a preoperative diagnosis of perforated appendicitis. INTERVENTIONS: Early appendectomy (within 24 hours of admission) vs interval appendectomy (6-8 weeks after diagnosis)...
June 2011: Archives of Surgery
Shawn D St Peter, George W Holcomb, Casey M Calkins, J Patrick Murphy, Walter S Andrews, Ronald J Sharp, Charles L Snyder, Daniel J Ostlie
BACKGROUND: Pyloric stenosis, the most common surgical condition of infants, is treated by longitudinal myotomy of the pylorus. Comparative studies to date between open and laparoscopic pyloromyotomy have been retrospective and report conflicting results. To scientifically compare the 2 techniques, we conducted the first large prospective, randomized trial between the 2 approaches. METHODS: After obtaining IRB approval, subjects with ultrasound-proven pyloric stenosis were randomized to either open or laparoscopic pyloromyotomy...
September 2006: Annals of Surgery
Matias Bruzoni, Bethany J Slater, James Wall, Shawn D St Peter, Sanjeev Dutta
BACKGROUND: The purpose of this prospective randomized study was to compare landmark- to ultrasound-guided central venous access when performed by pediatric surgeons. The American College of Surgeons advocates for use of ultrasound in central venous catheter placement; however, this is not universally embraced by pediatric surgeons. Complication risk correlates positively with number of venous cannulation attempts. STUDY DESIGN: With IRB approval, a randomized prospective study of children under 18 years of age undergoing tunneled central venous catheter placement was performed...
May 2013: Journal of the American College of Surgeons
Kevin A Graham, Carrie A Laituri, Troy A Markel, Alan P Ladd
Infantile hypertrophic pyloric stenosis is a condition well known to pediatric surgeons. Postoperative length of hospital stay is a financial concern and remains a potential target for reduction in hospital costs. Ultimately, these costs are directly affected by the ability to effectively advance postoperative enteral nutrition. This review will serve to: 1) identify clinically relevant postoperative feeding patterns following pyloromyotomy, 2) review the relevant literature to determine an optimal feeding pattern, and 3) identify possible preoperative predictors that may determine the success of postoperative feeding regiments...
October 2013: Journal of Pediatric Surgery
Jan F Svensson, Rasmus Johansson, Sylvie Kaiser, Tomas Wester
BACKGROUND/PURPOSE: The aim of this study was to evaluate the incidence of recurrence of acute appendicitis after initial successful non-operative treatment of appendiceal abscess in children. METHODS: This study was an observational cohort study of children treated non-operatively for appendiceal abscess at a large tertiary referral centre from 2006 to 2010. The primary outcome was recurrence of acute appendicitis. Secondary outcome variables were re-admission and interval appendectomy...
April 2014: Pediatric Surgery International
G B Gale, D M O'Connor, J Y Chu
No abstract text is available yet for this article.
July 1988: Pediatrics
Aurélie Garbi-Goutel, Véronique Brévaut-Malaty, Michel Panuel, Fabrice Michel, Thierry Merrot, Catherine Gire
OBJECTIVE: The purpose of this study was to assess the prognostic value of abdominal sonography in necrotizing enterocolitis (NEC) in preterm infants with a gestational age less than 33 weeks of gestation, using surgery and/or death as the primary outcome and stenosis as the secondary outcome. METHODS: A retrospective study of 95 premature infants (mean gestational age: 28.6 weeks), presenting with NEC between January 2009 and November 2011 and who underwent plain abdominal radiography and sonography, was performed...
April 2014: Journal of Pediatric Surgery
Eva M Pérez-Merino, Jesús M Usón-Casaús, Concepción Zaragoza-Bayle, Ramón Rivera-Barreno, Carlos A Rodríguez-Alarcón, Rupert Palme, Francisco M Sánchez-Margallo
Our objectives were to standarize the procedure needed to reproduce a similar surgical scene which a pediatric surgeon would face on repairing a Bochdalek hernia in newborns and to define the optimal time period for hernia development that achieve a realistic surgical scenario with minimimal animal suffering. Twenty New Zealand white rabbits weighing 3-3.5 kg were divided into four groups depending on the time frame since hernia creation to thoracoscopic repair: 48 h, 72 h, 96 h and 30 days. Bochdalek trigono was identified and procedures for hernia creation and thoracoscopic repair were standarized...
2014: Experimental Animals
Jesús Usón-Casaús, Eva María Pérez-Merino, Ramón Rivera-Barreno, Carlos A Rodríguez-Alarcón, Francisco M Sánchez-Margallo
BACKGROUND/AIM: This study evaluated the usefulness of a Bochdalek hernia rabbit model as a tool for advanced thoracoscopic training, teaching the specific skills required for thoracoscopic repair of congenital diaphragmatic hernia. MATERIALS AND METHODS: An incision was made in the Bochdalek triangle of 25 New Zealand rabbits (weighing 3-3.5 kg) to induce an experimental diaphragmatic hernia. At 72 hours later, a thoracoscopic repair of the hernia as described for newborns was performed by 25 pediatric surgeons divided into two groups: expert and novice...
April 2014: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Jose Diaz-Miron, Jacob Miller, Adam M Vogel
Neonatal hematology is a complex and dynamic process in the pediatric population. Surgeons frequently encounter hematologic issues regarding hemostasis, inflammation, and wound healing. This publication provides a surgeon-directed review of hematopoiesis in the newborn, as well as an overview of the current understanding of their hemostatic profile under normal and pathologic conditions.
November 2013: Seminars in Pediatric Surgery
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