Pediatric surgery international
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Pediatr. Surg. Int. · Nov 2011
Randomized Controlled Trial Comparative StudyThe postoperative occurrence of cardio-respiratory adverse events in small infants undergoing gastrointestinal surgery: a prospective comparison of general anesthesia and combined spinal-epidural anesthesia.
This study was designed to compare the occurrences of postoperative cardio-respiratory adverse events during an 8-day follow-up period in the neonatal intensive care unit in small infants who underwent elective gastrointestinal surgery under general and combined spinal epidural anesthesia. ⋯ Compared to general anesthesia, combined spinal-epidural anesthesia reduces the frequency of postoperative respiratory adverse events and improves the postoperative cardiovascular stability in small infants who undergo elective gastrointestinal surgery.
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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.
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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.
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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.
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Pediatr. Surg. Int. · Aug 2011
Comparative StudyManagement of testicular rupture after blunt trauma in children.
Testicular rupture is a very rare entity in children and adolescents. The aim of this study was to evaluate the outcomes of surgical repair after testicular rupture in children. ⋯ Prompt surgical intervention is crucial. Ruptured testis can be salvaged, with a high success rate, if surgical repair is performed within 72 h of testicular injury.