scholarly journals Surgical Management of Pediatric Surgical Emergencies in the Era of Covid-19

2021 ◽  
Vol 233 (5) ◽  
pp. e145
Author(s):  
Angela Hargis-Villanueva ◽  
Justin H. Lee

2019 ◽  
Vol 6 (12) ◽  
pp. 4370
Author(s):  
Sandesh R. Deolekar ◽  
Bibekananda Mahapatra ◽  
Subash Subudhi ◽  
Pragati Singhal

Background: Intestinal obstruction (IO) is one of the most common surgical emergencies, for which the therapeutic strategy has evolved progressively. The aim of this study was to assess the etiology, clinical spectrum and the outcome after surgical management of IO in adult patients.Methods: A prospective, observational study was conducted in adult patients admitted for IO and undergoing surgical management. All patients underwent routine haematological investigations, urine examination (routine and microscopic) and ultrasonography abdomen and pelvis. Specific investigations like serum amylase levels, X-ray abdomen and pelvis (supine and erect) and computed tomography scan were done, if indicated. Treatment modality was confirmed once definitive diagnosis of IO was made. All treated patients were observed for postoperative complications. They were followed up after 7 days and one month postoperatively.Results: In this study, the mean age of patients was 45.8 years and 60% were males. The most common cause of IO was found to be postoperative adhesions followed by paralytic ileus. Out of 80 patients of IO, 50 required surgical intervention, majority of which were treated with release of adhesions (38%) and resection anastomosis (44%). Poorer outcomes were observed in cases of malignancy and mesenteric ischaemia. Mortality (14%) was mainly due to complications like septicemia and respiratory tract infection.Conclusions: The commonest cause of IO in our study was postoperative adhesions. Poor outcome of the disease was associated with late presentation to the hospital, which had high incidence of bowel damage with associated faecal contamination of the peritoneum.



2019 ◽  
Vol 4 (5) ◽  
pp. 857-869
Author(s):  
Oksana A. Jackson ◽  
Alison E. Kaye

Purpose The purpose of this tutorial was to describe the surgical management of palate-related abnormalities associated with 22q11.2 deletion syndrome. Craniofacial differences in 22q11.2 deletion syndrome may include overt or occult clefting of the palate and/or lip along with oropharyngeal variances that may lead to velopharyngeal dysfunction. This chapter will describe these circumstances, including incidence, diagnosis, and indications for surgical intervention. Speech assessment and imaging of the velopharyngeal system will be discussed as it relates to preoperative evaluation and surgical decision making. Important for patients with 22q11.2 deletion syndrome is appropriate preoperative screening to assess for internal carotid artery positioning, cervical spine abnormalities, and obstructive sleep apnea. Timing of surgery as well as different techniques, common complications, and outcomes will also be discussed. Conclusion Management of velopharyngeal dysfunction in patients with 22q11.2 deletion syndrome is challenging and requires thoughtful preoperative assessment and planning as well as a careful surgical technique.







2001 ◽  
Vol 120 (5) ◽  
pp. A401-A401 ◽  
Author(s):  
D EFRON ◽  
K LILLEMOE ◽  
J CAMERON ◽  
S TIERNEY ◽  
S ABRAHAM ◽  
...  


1962 ◽  
Vol 42 (3) ◽  
pp. 233-243 ◽  
Author(s):  
Frederic W. Smith ◽  
David H. Law ◽  
William F. Nickel ◽  
Marvin H. Sleisenger


2006 ◽  
Vol 175 (4S) ◽  
pp. 112-112
Author(s):  
Jennifer T. Anger ◽  
Mark S. Litwin ◽  
Qin Wang ◽  
Er Chen ◽  
Chris L. Pashos ◽  
...  


2006 ◽  
Vol 175 (4S) ◽  
pp. 549-549 ◽  
Author(s):  
Charles D. Scales ◽  
David Kang ◽  
Ravi Munver ◽  
Brian K. Auge ◽  
Wesley Ekeruo ◽  
...  


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