European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift für Kinderchirurgie
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The insertion of a ventriculoperitoneal shunt (VPS) is the treatment of choice in patients with hydrocephalus. However, VPS placement may be difficult in patients with extensive adhesions following prior abdominal interventions. Laparoscopic placement of the abdominal part of the VPS allows controlled adhesiolysis in combination with an optimal shunt placement in patients with a body weight above 5 kg. We investigated the feasibility and safety of laparoscopic VPS placement in young infants who had undergone abdominal operations. ⋯ In our series laparoscopically assisted VPS insertion in low-weight children who had undergone repeated prior abdominal surgery was feasible and had a low complication rate. We recommend laparoscopically assisted VPS insertion in small infants to avoid the complications of alternative techniques, such as open techniques or ventriculoatrial shunt.
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Case Reports
Persistent subcutaneous oedema and aseptic fatty tissue necrosis after using octenisept.
Wound management and the prevention and treatment of tissue infections are part of daily routine. Octenisept (Schülke & Mayr), an antiseptic with a broad antimicrobiological effect, is widely used for various indications. This paper reports prolonged oedema and tissue swelling after treatment of deep wounds with Octenisept in three children. ⋯ Retrospectively, one can consider these occurrences as a consequence of the use of Octenisept, since the changes are consistent with those described by Schülke & Mayr when Octenisept was accidentally administered by subcutaneous injection or under pressure to flush deep hand stab wounds that were not drained. The underlying pathobiological mechanism remains unclear. Hence, we recommend not to apply Octenisept in any wound cavity until further investigation has taken place. If aseptic fatty tissue necrosis and oedema develop after using Octenisept, further surgical intervention or antibiotic treatment will not give any benefit. Changes subside slowly. So far, adequate treatment is not available.
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The factors and demographic features of pediatric patients with burns in eastern and western cultures differ from each other. In this retrospective study, our aim was to identify the demographic features of pediatric burns presenting to our tertiary burn center catering to a large population from Istanbul. ⋯ This study demonstrates that the epidemiological features of pediatric burn patients, based on a review of such patients admitted to our burn center, differ in many aspects between eastern and western populations. Scalds occurring in a domestic setting, with mild to moderate burns, caused the vast majority of hospital admissions. It is necessary to improve the preventive programs and strategies in order to reduce the incidence of pediatric burn trauma.
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Randomized Controlled Trial
Does gum chewing reduce postoperative ileus after intestinal resection in children? A prospective randomized controlled trial.
The aim of this study was to determine whether the addition of gum chewing to standardized postoperative care is associated with a significantly earlier return of bowel function compared to simple postoperative management in children with intestinal anastomosis. ⋯ The addition of gum chewing to the standardized postoperative care of children with intestinal anastomosis was not associated with a significantly earlier return of bowel function compared to simple postoperative management, but it was associated with an earlier discharge from hospital, although this earlier discharge had only minor clinical significance and no difference was found in hospital charges.
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Case Reports
Dorsalis pedis artery pseudoaneurysm: an uncommon cause of soft tissue mass of the dorsal foot in children.
Pseudoaneurysm of the dorsalis pedis artery is an extremely rare entity with only 3 pediatric cases previously presented in the English literature. We describe a new case and discuss the clinical presentation and surgical management. A 6-year-old boy was referred to our clinic because of a pulsatile tumor of the right dorsal foot increasing in size. ⋯ Pseudoaneurysm of the DPA is a very uncommon cause of soft tissue mass of the dorsal foot. It can appear after low grade trauma. Treatment is surgical.