Follow-up of children who undergo an uncomplicated surgical procedure: A caregiver survey to determine satisfaction, family impact, and preferences for alternate follow-up.

Hip’s open reduction combined with Salter innominate osteotomy and femoral osteotomy is the treatment of choice when treating Developmental Dislocation of the Hip (DDH) at walking age. We report a case of a five-year-old girl who underwent a failed surgical procedure of hip’s open reduction, Salter innominate osteotomy, and the femoral osteotomy. One year later, one-stage surgical procedure of hip’s open reduction, Dega pelvic osteotomy, and femoral de-rotation varus shortening osteotomy was performed. During the five-year follow-up, the clinical outcome was evaluated as excellent. The Dega pelvic osteotomy is an effective pelvic osteotomy for DDH, in a case of a failed Salter osteotomy.

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Serum Alpha Fetal Protein in a Three Year Old Child with Hepatoma

Tumori Journal ◽

10.1177/030089167606200407 ◽

1976 ◽

Vol 62 (4) ◽

pp. 407-414 ◽

Cited By ~ 1

Author(s):

Yehuda Shoenfeld ◽

Albert I. Pick ◽

Sarah Schreibman ◽

Helena Kessler ◽

Moshe Dintzman

Keyword(s):

Hepatocellular Carcinoma ◽

Differential Diagnosis ◽

Surgical Procedure ◽

Tumor Recurrence ◽

Clinical Laboratory ◽

Sharp Decrease ◽

Normal Serum ◽

Primary Hepatocellular Carcinoma ◽

X Ray

A 3 year old child with primary hepatocellular carcinoma and high AFP concentrations is described. Following hemihepatectomy, a sharp decrease and return to normal of serum AFP concentrations indicated the completeness of the surgical procedure. Repeat-normal serum AFP concentrations (less than 19 ng/ml), found during a three year follow-up, correlated well with the absence of clinical, laboratory and x-ray evidence of tumor recurrence. The differential diagnosis of abnormal AFP concentrations in childhood is discussed, and the importance of the AFP assay in the follow-up of post-hemihepatectomy patients for the assessment of the completeness of the surgical procedure, the prognosis, and the early detection of tumor recurrence is stressed.

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Midthoracic Punctate Midline Myelotomy for Treatment of Chronic, Intractable, Nonmalignant, Abdominal Visceral Pain: 2-Dimensional Operative Video

Operative Neurosurgery ◽

10.1093/ons/opaa034 ◽

2020 ◽

Vol 19 (2) ◽

pp. E183-E183 ◽

Cited By ~ 1

Author(s):

Tyler Ball ◽

Zaid Aljuboori ◽

Haring Nauta

Keyword(s):

Abdominal Pain ◽

Physical Examination ◽

Surgical Procedure ◽

Visceral Pain ◽

Lower Abdominal Pain ◽

Clinical History ◽

Dorsal Column ◽

Complete Relief ◽

Patient Reported

Abstract Punctate midline myelotomy (PMM) is a surgical procedure that damages the ascending fibers of the postsynaptic dorsal column (PSDC) pathway to interrupt visceral pain transmission.1-3 It can offer relief to patients with chronic visceral pain conditions that are refractory to other treatments. Here, we present a surgical video of midthoracic PMM in a patient with chronic, intractable, nonmalignant visceral abdominal pain that failed over a decade of medical treatment. We choose T7-8 as the level for laminectomy in patients with pelvic or lower abdominal pain, because the postsynaptic pain fibers transmitting visceral pain sensation from the lower abdominal organs will invariably be caudal to this level. The patient developed immediate and complete relief of her visceral pain after the procedure, which was sustained through the 11-wk follow-up period to date and was able to be weaned off narcotics. Postoperatively, she remained full strength and had no impairment of light touch or proprioception of her lower extremities. Detailed physical examination showed a reduced vibratory sensation on the glabrous skin of her great toes. Regarding patient-reported sensory changes (not detected on physical examination), she reported some numbness on the insides of her feet that had resolved by 11-wk follow-up. She also reported some numbness of the vulva, but not of the vagina. However, by 11-wk follow-up, she reported this had resolved and she had normal sexual function. The only persistent sensation at 11-wk follow-up was slight tingling in her toes that was not bothersome to her.4 The patient presented in the following video consented to both the surgical procedure and the publication of her clinical history and operative video.

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Surgery and anesthesia in sickle cell disease. Cooperative Study of Sickle Cell Diseases

Blood ◽

10.1182/blood.v86.10.3676.bloodjournal86103676 ◽

1995 ◽

Vol 86 (10) ◽

pp. 3676-3684 ◽

Cited By ~ 141

Author(s):

M Koshy ◽

SJ Weiner ◽

ST Miller ◽

LA Sleeper ◽

E Vichinsky ◽

...

Keyword(s):

Postoperative Complications ◽

Sickle Cell Disease ◽

General Anesthesia ◽

Sickle Cell ◽

Surgical Procedures ◽

Surgical Procedure ◽

Complication Rates ◽

Cooperative Study ◽

Cell Disease

From 1978 to 1988, The Cooperative Study of Sickle Cell Disease observed 3,765 patients with a mean follow-up of 5.3 +/- 2.0 years. One thousand seventy-nine surgical procedures were conducted on 717 patients (77% sickle cell anemia [SS], 14% sickle hemoglobin C disease [SC], 5.7% S beta zero thalassemia, 3% S beta zero + thalassemia). Sixty-nine percent had a single procedure, 21% had two procedures, and the remaining 11% had more than two procedures during the study follow- up. The most frequent procedure was abdominal surgery for cholecystectomy or splenectomy (24% of all surgical procedures, N = 258). Of these, 93% received blood transfusion, and there was no association between preoperative hemoglobin A level and complication rates (except reduction in pain crisis). Overall mortality within 30 days of a surgical procedure was 1.1% (12 deaths after 1,079 surgical procedures). Three deaths were considered to be related to the surgical procedure and/or anesthesia (0.3%). No deaths were reported in patients younger than 14 years of age. Sickle cell diseases (SCD)-related complications after surgery were more frequent in SS patients who received regional compared with general anesthesia (adjusted for risk level of the surgical procedure, patient age, and preoperative transfusion status, P = .058). Non-SCD-related postoperative complications were higher in both SS and SC patients who received regional compared with those who received general anesthesia (P =.095). Perioperative transfusion was associated with a lower rate of SCD- related postoperative complications for SS patients undergoing low-risk procedures (P = .006, adjusted for age and type of anesthesia), with crude rated of 12.9% without transfusion compared with 4.8% with transfusion. In SC patients, preoperative transfusion was beneficial for all surgical risk levels (P = .009). Thus, surgical procedures can be performed safely in patients with SCD.

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Cochlear implantation in chronic otitis media

The Journal of Laryngology & Otology ◽

10.1258/002221504322731538 ◽

2004 ◽

Vol 118 (1) ◽

pp. 3-7 ◽

Cited By ~ 26

Author(s):

A. Incesulu ◽

S. Kocaturk ◽

M. Vural

Keyword(s):

Hearing Loss ◽

Otitis Media ◽

Cochlear Implantation ◽

Surgical Procedure ◽

Disease Process ◽

Chronic Otitis Media ◽

Profound Hearing Loss ◽

Potential Risks ◽

Radical Cavity

Patients with chronic otitis media (COM) may have profound sensorineural hearing loss either due to the disease process or secondary to a surgical procedure. Some patients who are candidates for cochlear implantation may have COM coincidentally. The patients in this group need special attention when cochlear implantation is applied. The aim of this study is to evaluate the potential risks and complications in patients with COM.Cochlear implantation was performed in six patients with COM or an infected radical cavity and profound hearing loss. Five of them underwent a two-stage operation, and one had a single-stage operation. Cochlear implantation was performed in all patients without complications. The follow-up period was uneventful.Although such patients have some potential risks, when certain surgical rules are followed very strictly cochlear implantation can be successfully performed in patients with COM.

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A Surgical Alternative to Internal Maxillary Artery Ligation for Posterior Epistaxis

Otolaryngology ◽

10.1177/019459988409200411 ◽

1984 ◽

Vol 92 (4) ◽

pp. 427-433 ◽

Cited By ~ 8

Author(s):

Robert G. Anderson ◽

Donelson N. Shannon ◽

Steven D. Schaefer ◽

Lewis A. Raney

Keyword(s):

Nasal Cavity ◽

Surgical Management ◽

Surgical Procedure ◽

Lateral Displacement ◽

Maxillary Artery ◽

Internal Maxillary Artery ◽

Artery Ligation ◽

Ethmoidal Arteries ◽

Considerable Morbidity

Posterior epistaxis is a disease of varying magnitude and is associated with considerable morbidity. Surgical management often consists of transantral ligation of the internal maxillary artery and its branches, with or without ligation of the ethmoidal arteries. Ten patients underwent an alternative surgical procedure in which the nasopharynx and posterior nasal cavity were indirectly examined for bleeding sites with a large laryngeal mirror. Nasal septal reconstruction with mobilization of the anterior cartilaginous septum from the maxillary crest allowed lateral displacement of the septum with excellent visualization of the lateral nasal walls. Hemorrhage was controlled by electrocoagulation of bleeding sites with a disposable, malleable suction electrocautery. No complications occurred in this group of 10 patients and no further epistaxis has been reported during a follow-up of 17 to 35 months.

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The Two-Stage Concept of Rhytidectomy

Otolaryngology ◽

10.1177/019459987908700630 ◽

1979 ◽

Vol 87 (6) ◽

pp. 915-918 ◽

Cited By ~ 1

Author(s):

Frank M. Kamer

Keyword(s):

Surgical Treatment ◽

Surgical Procedure ◽

Two Stage ◽

Secondary Procedure ◽

A Minor

The two-stage concept is a plan for the management of rhytidectomy patients. Preoperatively, all patients are told that they may need a minor secondary temporal tuck-up procedure 6 to 12 months after surgical treatment. Although only 20% of patients require this secondary surgical procedure, the possibility of its need encourages all patients to return for follow-up and removes a source of patient discontent. The indications for the secondary procedure are significant gravitational jowling and malar sagging developing 6 to 12 months after the primary surgical treatment. The technique is described in detail.

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A1 Pulley Release of Locked Trigger Digit by Percutaneous Technique

Journal of Hand Surgery (European Volume) ◽

10.1016/j.jhsb.2004.03.015 ◽

2004 ◽

Vol 29 (5) ◽

pp. 502-505 ◽

Cited By ~ 28

Author(s):

M. J. PARK ◽

I. OH ◽

K. I. HA

Keyword(s):

Physical Therapy ◽

Surgical Procedure ◽

Percutaneous Technique ◽

Office Setting ◽

Neurovascular Injury ◽

Percutaneous Release ◽

Open Surgical Procedure ◽

A1 Pulley

We performed 118 percutaneous releases of the locked trigger digits in an office setting using a specially designed knife. Thirty-five digits were locked in flexion, 79 digits in extension and the remaining four were fixed in a semiflexed position. Successful percutaneous release was achieved for 107 digits (91%), with the remaining 11 digits requiring an open surgical procedure. Although there were no persistent triggering in 98 digits with a follow-up of at least 6 months, painful stiffness at the interphalangeal joints remained in ten digits despite of physical therapy. No neurovascular injury occurred. We suggest that a locked trigger digit can be successfully released with the percutaneous technique.

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Neonatal Care of Infants with Cleft Lip and/or Palate: Feeding Orientation and Evolution of Weight Gain in a Nonspecialized Brazilian Hospital

The Cleft Palate-Craniofacial Journal ◽

10.1597/05-177 ◽

2007 ◽

Vol 44 (3) ◽

pp. 329-334 ◽

Cited By ~ 26

Author(s):

Lívia Gobby Amstalden-Mendes ◽

Luis Alberto Magna ◽

Vera Lúcia Gil-da-Silva-Lopes

Keyword(s):

Weight Gain ◽

Surgical Procedure ◽

Cleft Lip ◽

Tertiary Hospital ◽

Postnatal Period ◽

Rehabilitation Centers ◽

Spontaneous Reports ◽

Cleft Lip Palate ◽

Feeding Resources

Objectives: To survey the feeding orientation received during the postnatal period by the parents of cleft babies, as well as the location where they receive the orientation; to identify resources used in feeding; and to assess the correlation of the child's weight with the surgical procedure schedule. Design: During consultation for diagnosis and genetic counseling in a general tertiary hospital, 26 parents of cleft babies born in different hospitals were interviewed based on a semistructured protocol and spontaneous reports. Results: Cleft palate was present in 42.31% (11/26), cleft lip/palate in 50% (13/26), and cleft lip in 7.69% (2/26) of the cases. Feeding orientation was given in maternities to 72% (18/25) and in specific rehabilitation centers to 24% (6/ 25) of the parents. Breast-feeding was encouraged in every case. Nevertheless, other feeding resources were necessary, especially bottles. Surgical procedure delays caused by poor weight gain occurred in 66.7% (12/18). Conclusions: Neonatal feeding orientation was not systematically given in every case. Because it is an important way to achieve an effective weight gain, educational programs for nonspecialized health professionals, as well as regular pediatric follow-up and specialized multi-professional teams, could improve nutritional intake and could move the schedule for surgical procedures forward. The results also suggest that specific neonatal health care for cleft babies should be part of health policy.

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