Pediatric surgery international
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Pediatr. Surg. Int. · Nov 2017
Review Meta AnalysisComparison of clinical outcomes between open and thoracoscopic repair for esophageal atresia with tracheoesophageal fistula: a systematic review and meta-analysis.
A meta-analysis was performed for a comparison of outcomes between open repair (OR) and thoracoscopic repair (TR) for esophageal atresia with tracheoesophageal fistula (EA with TEF). ⋯ Compared with OR, a longer operative time was associated within TR group, although the TR procedure could possibly reduce the length of hospital stay and first oral feeding time. Meanwhile, the occurrence rate for leaks, strictures, pulmonary complications, and the fundoplication rate of GERD, and blood loss were similar between the OR and TR groups. Estimated result of ventilation time between the two groups remained ambiguous.
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Pediatr. Surg. Int. · Sep 2017
Trauma related admissions to the PICU at Chris Hani Baragwanath Academic Hospital, Johannesburg.
Paediatric trauma is a major cause of morbidity and mortality in low and middle income countries. Data from these regions are scant. We aimed to describe the demographic and injury profile, treatment modality and outcome of trauma admissions to the paediatric intensive care unit at Chris Hani Baragwanath Academic Hospital (CHBAH). ⋯ RTI accounted for the majority of trauma admissions to our PICU. RTI, female gender and age less than 4 years were all associated with an increased risk for mortality in our study.
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The Morgagni hernia (MH) accounts for 3-4% of congenital diaphragmatic hernias. There is a paucity of data regarding this rare defect. The purpose of this study is to describe the characteristics of children with MH, surgical approaches for repair, and patient outcomes. ⋯ In this series, congenital MH appears to have a male predominance, frequently presents with pulmonary symptoms, and has excellent outcomes regardless of operative approach.
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Pediatr. Surg. Int. · Jun 2017
Modified biliary-enteric anastomosis for congenital choledochal cyst: clinical and prognostic analysis of 91 cases.
To report our experience with a modified biliary-enteric anastomosis procedure for the surgical treatment of congenital choledochal cysts. ⋯ The modified biliary-enteric anastomosis is a safe, simple, and reliable technique. However, longer follow-up and a larger sample size are necessary to prove its efficacy in the treatment of congenital choledochal cysts.
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Pediatr. Surg. Int. · May 2017
Same-day discharge after incision and drainage of soft-tissue abscess in diaper-age children is safe and effective.
Many pediatric centers admit patients following incision and drainage (I&D) of soft-tissue abscesses. The purpose of this study is to assess the safety and efficacy of the same-day discharge following I&D. ⋯ Same-day discharge after I&D of abscess in diaper-age children is safe and effective.