Pediatric surgery international
-
We present the first two cases of acute neonatal appendicitis operated on through the laparoscopic approach. Acute neonatal appendicitis is uncommon and rarely considered by clinicians when assessing the neonatal acute abdomen. Our two cases demonstrate the potential value of diagnostic laparoscopy in the acute neonatal abdomen that poses a diagnostic dilemma. Furthermore, technical modifications of well-established laparoscopic techniques in the older child enable its use in neonates as a therapeutic tool.
-
Pediatr. Surg. Int. · Oct 2011
Perianal abscess and fistula-in-ano in children: clinical characteristic, management and outcome.
The aims of this study are to evaluate the clinical characteristics of perianal abscess and fistula-in-ano in children, and to assess our experience in treatment, and to identify factors that affected the clinical outcomes. ⋯ Although management of perianal abscess is still controversial, simple drainage of the perianal abscess with additional antibiotic therapy reduces the development of fistula-in-ano. Fistula-in-ano within children has a chance of spontaneous resolution thus the immediate surgical intervention should be avoided.
-
Pediatr. Surg. Int. · Oct 2011
Case ReportsGastric duplication cysts as a rare cause of haematemesis: diagnostic challenges in two children.
Gastric duplication cysts are rare congenital alimentary tract anomalies. We describe the importance of imaging in two children with haematemesis due to gastric duplication cysts. We emphasize the necessity for a high clinical index of suspicion for early diagnosis.
-
Pediatr. Surg. Int. · Sep 2011
Contralateral C7 transfer for the treatment of upper obstetrical brachial plexus palsy.
The use of contralateral C7 is seldom indicated in infants with obstetrical brachial plexus palsy (OBPP). The purpose of this study was to evaluate the value of contralateral C7 transfer in infants with upper OBPP in order to define the application and outcome of this transfer in these infants more optimally. ⋯ Contralateral C7 transfer is an effective procedure for the restoration of upper limb function in infants with OBPP and root avulsions.
-
Pediatr. Surg. Int. · Aug 2011
Comparative StudyIschemic preconditioning and remote ischemic preconditioning have protective effect against cold ischemia-reperfusion injury of rat small intestine.
To investigate the protective effect of ischemic preconditioning (IPC) and remote ischemic preconditioning (RIPC) against cold ischemia-reperfusion injury (IRI) associated with small bowel transplantation (SBT). ⋯ Both IPC and RIPC were found to ameliorate ischemia-reperfusion injury after rat SBT in the early phase. HO-1 may therefore play a protective role against cold IRI.