Journal of pediatric surgery
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Comparative Study
Airway anomalies in patients with congenital diaphragmatic hernia.
Congenital diaphragmatic hernias (CDH) sometimes are associated with airway anomalies such as congenital stenosis, abnormal branching of the bronchi, and pulmonary hypoplasia. The incidence of these associated airway anomalies has not been reported previously. ⋯ Anatomic anomalies of the tracheobronchial tree and bronchial hypoplasia on the affected side were identified in 17.9% and 38.4% of patients with CDH, respectively. CDH patients who exhibited these abnormalities showed a poor outcome.
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Case Reports Comparative Study
Cardiac and great vessel injuries in children after blunt trauma: an institutional review.
The purpose of this study was to review the incidence of cardiac and great vessel injury after blunt trauma in children. ⋯ Cardiac and great vessel injury after blunt trauma are uncommon in children. Cardiac contusion was the most common injury encountered but had minimal clinical significance. Noncontusion cardiac injury is rare. No patient with aortic transection was identified.
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Comparative Study
Cervical spine trauma in the injured child: a tragic injury with potential for salvageable functional outcome,.
Cervical spine injuries are uncommon in children, and, therefore, presumptive immobilization and diagnosis remain controversial. The purpose of this study was to review the author's experience with cervical spine injuries in children to determine the incidence, injury mechanism, pattern of injury, and subsequent functional outcome. ⋯ Cervical spine injuries occur in children across a spectrum of ages. Although atlanto-occipital dislocation is a highly lethal event, children with C1 to C7 injuries have a high likelihood of reasonable independent functioning.
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Comparative Study
Training and delivery of pediatric surgery services in Asia.
The purpose of this report is to obtain an overview of pediatric surgery training in Asia and to have a glimpse of its delivery. ⋯ Pediatric surgery training programs in Asia are diverse. Clinical cases per trainee surgeon vary greatly. Although some countries have an adequate number of pediatric surgeons to deliver a high quality service, others are severely short staffed, and have huge caseloads, delivering pediatric surgical services under extremely difficult conditions. Governments subsidize the cost of surgical care in most countries (93%): self-payment is common (86%) and insurance is least practiced (64%).