Harefuah
-
We present our initial experience with laparoscopic colonic resection in 15 patients: adenocarcinoma of the colon, 10 cases, giant villous adenoma (2), arteriovenous malformation (2), and a case of benign stricture. Mean operating time was 190 minutes and there were no intraoperative complications. The margins of resection and number of resected lymph nodes in patients with malignancy were comparable to those in the conventionally operated. ⋯ During a maximum follow-up of 15 months there were no wound or trocar-site recurrences. We conclude that laparoscopic colonic resection is technically feasible and safe. However, its use for treating malignant diseases of the colon needs further study.
-
Foreign body aspiration (FBA) should be suspected in every child with acute onset of cough or wheezing. Although a choking episode occurs in 80-90% of cases of FBA, it is not necessarily diagnostic. ⋯ Bronchoscopy is therefore mandatory when there is a convincing history of FBA, regardless of physical or radiologic findings. This can be done with either the flexible or rigid bronchoscope, or with both.
-
Primary psoas abscess is a relatively rare and imposes diagnostic and therapeutic challenges. We describe a 16-year-old boy who presented with fever, limp and the clinical picture of septic arthritis of the hip joint. ⋯ The diagnosis of psoas abscess is frequently missed. Correct diagnosis is very important because usually, cure only follows surgical drainage.
-
Historical Article
[Thermal management of the newborn--a historical perspective].