Pediatric surgery international
-
Pediatr. Surg. Int. · Apr 2015
Multicenter StudyUnmet surgical needs in children: a household survey in Nepal.
While an estimated two billion people lack access to surgical care, little data are available on surgical conditions for pediatric populations in low- and middle-income countries. Our study aims to assess pediatric surgical needs in Nepal. ⋯ Close to 700,000 children in Nepal are estimated to need surgical consultation. Programs to address this should be developed alongside efforts by policy makers and donors to rectify the lack of care, bolster limited funds, and strengthen healthcare systems.
-
Pediatr. Surg. Int. · Mar 2015
Case ReportsAn unusual case of foreign body pulmonary embolus: case report and review of penetrating trauma at a pediatric trauma center.
Penetrating thoracic trauma is relatively rare in the pediatric population. Embolization of foreign bodies from penetrating trauma is very uncommon. We present a case of a 6-year-old boy with a penetrating foreign body from a projectile dislodged from a lawn mower. Imaging demonstrated a foreign body that embolized to the left pulmonary artery, which was successfully treated non-operatively. ⋯ Penetrating thoracic trauma is rare in children. The case presented here represents the only report of cardiac foreign body embolus we could identify in a pediatric patient.
-
Pediatr. Surg. Int. · Feb 2015
Randomized Controlled TrialThe effect of audio therapy to treat postoperative pain in children undergoing major surgery: a randomized controlled trial.
To evaluate the analgesic effect of music and audiobooks in children undergoing major surgical procedures when compared to a control (silence) group. ⋯ Audio therapy is an efficacious adjunct method to decrease post-surgical pain in children undergoing major surgeries. Audio therapy should be considered as an important strategy to minimize pain in children undergoing major surgery.
-
Pediatr. Surg. Int. · Feb 2015
Inguinal hernia in neonates and ex-preterm: complications, timing and need for routine contralateral exploration.
Aim of this study was to present a series of neonates and ex-preterm babies who underwent inguinal hernia repair focusing on complications and possible indication to perform routine contralateral groin exploration. ⋯ The results of our series demonstrated that, though technically demanding, herniotomy in the neonate and ex-preterm is associated with a relatively low incidence of complications. Based on our results and in accordance with literature data, we do not advocate routine contralateral exploration in case of unilateral hernia but surgery to be performed only on the symptomatic side, as soon as possible after initial diagnosis. Very low birth weight patients should be followed with care in the early postoperative period due to the higher likelihood of developing a metachronous hernia.