Minimal access thyroid surgery in children: A retrospective study and literature review

Minimal access thyroid surgery (MATS) is a technique whereby a part of or whole of a thyroid lobe is removed through a small (3-4 cm) neck incision. Its use in the surgical management of thyroid disease in children has not been well elucidated. We present a retrospective case study of 12 patients over the period of 2007 to 2010 to assess the feasibility of MATS in the management of thyroid disease. Minimal access thyroid surgery is a safe and feasible approach for hemithyroidectomy/lobectomy in selected patients. There were no associated adverse events, complications or disease recurrence. We also reviewed the literature and discussed the use of MATS as a routine procedure in selected pediatric patients.

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Responding to Intraoperative Neuromonitoring Changes During Pediatric Coronal Spinal Deformity Surgery

Global Spine Journal ◽

10.1177/2192568219836993 ◽

2019 ◽

Vol 9 (1_suppl) ◽

pp. 15S-21S ◽

Cited By ~ 1

Author(s):

Stephen J. Lewis ◽

Ian H. Y. Wong ◽

Samuel Strantzas ◽

Laura M. Holmes ◽

Ian Vreugdenhil ◽

...

Keyword(s):

Spinal Deformity ◽

Pediatric Patients ◽

Neurological Deficits ◽

Time Data ◽

Retrospective Case ◽

Direct Trauma ◽

Cord Injury ◽

Spinal Deformity Surgery ◽

Retrospective Case Study

Study Design: Retrospective case study on prospectively collected data. Objectives: The purpose of this explorative study was: 1) to determine if patterns of spinal cord injury could be detected through intra-operative neuromonitoring (IONM) changes in pediatric patients undergoing spinal deformity corrections, 2) to identify if perfusion based or direct trauma causes of IONM changes could be distinguished, 3) to observe the effects of the interventions performed in response to these events, and 4) to attempt to identify different treatment algorithms for the different causes of IONM alerts. Methods: Prospectively collected neuromonitoring data in pre-established forms on consecutive pediatric patients undergoing coronal spinal deformity surgery at a single center was reviewed. Real-time data was collected on IONM alerts with >50% loss in signal. Patients with alerts were divided into 2 groups: unilateral changes (direct cord trauma), and bilateral MEP changes (cord perfusion deficits). Results: A total of 97 pediatric patients involving 71 females and 26 males with a mean age of 14.9 (11-18) years were included in this study. There were 39 alerts in 27 patients (27.8% overall incidence). All bilateral changes responded to a combination of transfusion, increasing blood pressure, and rod removal. Unilateral changes as a result of direct trauma, mainly during laminotomies for osteotomies, improved with removal of the causative agent. Following corrective actions in response to the alerts, all cases were completed as planned. Signal returned to near baseline in 20/27 patients at closure, with no new neurological deficits in this series. Conclusion: A high incidence of alerts occurred in this series of cases. Dividing IONM changes into perfusion-based vs direct trauma directed treatment to the offending cause, allowing for safe corrections of the deformities. Patients did not need to recover IONM signal to baseline to have a normal neurological examination.

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Imaging findings in 75 pediatric patients with pancreaticobiliary maljunction: a retrospective case study

Pediatric Surgery International ◽

10.1007/s00383-012-3159-6 ◽

2012 ◽

Vol 28 (10) ◽

pp. 983-988 ◽

Cited By ~ 19

Author(s):

Wan-liang Guo ◽

Shun-gen Huang ◽

Jian Wang ◽

Mao Sheng ◽

Lin Fang

Keyword(s):

Pediatric Patients ◽

Pancreaticobiliary Maljunction ◽

Imaging Findings ◽

Retrospective Case ◽

Retrospective Case Study

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Technology and Hospital Information System: A Case of Implementation of Electronic Clinical Records in Hospital Maternity Irene Neto in Lubango, Angola

Journal of Business and Economics ◽

10.15341/jbe(2155-7950)/11.10.2019/012 ◽

2019 ◽

Vol 10 (11) ◽

pp. 1131-1135

Author(s):

Tomas Hambili Paulo Sanjuluca ◽

◽

Ricardo Correia ◽

Anabela Antunes de Almeida ◽

Ana Gloria Diaz Martinez ◽

...

Keyword(s):

Maternity Hospital ◽

Management Support ◽

Retrospective Case ◽

System A ◽

Clinical Records ◽

Retrospective Case Study ◽

The Impact ◽

And Child Health

Introduction: In order to have a good assessment of the quality of maternal and child health care, it is essential that there is up-to-date and reliable information. Objective: To evaluate the impact of the implementation of a computerized database of clinical processes in the admission, archive and medical statistics section, of Maternity hospital Irene Neto/Lubango-Angola. Methodology: A descriptive study with a quantitative and qualitative approach to carry out a retrospective case study deliveries and newborns, records from 2014 to 2017. Final considerations: The implementation of this project may contribute to the improvement of clinical management support management of the hospital as well as facilitating access to information for research and scientific production.

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Paranasal Sinus Mucocele Clinical, imagistic and biochemical aspects

Revista de Chimie ◽

10.37358/rc.18.8.6513 ◽

2018 ◽

Vol 69 (8) ◽

Author(s):

Doina Vesa ◽

Cristian Martu ◽

Razvan Leata ◽

Ludmila Lozneanu ◽

luminita Radulescu ◽

...

Keyword(s):

Facial Asymmetry ◽

Retrospective Case ◽

Mri Scans ◽

The One ◽

Ethmoid Sinuses ◽

Retrospective Case Study ◽

Cellular Components ◽

Ct And Mri

Paranasal mucoceles are a type of cysts that evolve slowly and are asymptomatic; this poses a difficulty in diagnosing the patient because the symptoms can go unnoticed. The mucocele evolves unpredictably. On the one hand, it can become infected turning into pyoceles and on the other hand, it can invade important regions such as the orbital, cranial or genian regions, creating facial asymmetry. This is a retrospective case study of 37 patients diagnosed with sinus mucoceles, followed up by clinical examination and paraclinical tests such as CT and MRI scans. The biochemical components of the liquid from within the mucocele were analyzed and the following criteria were recorded: NaCl-, Cl-, Na+ and cholesterine as well as cellular components such as mastocytes, macrophages, hematocytes and leucocytes. In all cases, the treatment option was surgery with favorable post-operative and follow-up evaluation. The mucoceles that appeared post-operatively (maxillary and ethmoid sinuses) evolved more rapidly than the mucoceles that were induced byan external injury. Longer follow-up of operated patients permitted a more timely diagnosis of recurrences.

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Development of a 'toolkit' to identify medical students at risk of failure to thrive on the course: an exploratory retrospective case study

BMC Medical Education ◽

10.1186/1472-6920-11-95 ◽

2011 ◽

Vol 11 (1) ◽

Cited By ~ 29

Author(s):

Janet Yates

Keyword(s):

At Risk ◽

Medical Students ◽

Failure To Thrive ◽

Retrospective Case ◽

Students At Risk ◽

Risk Of Failure ◽

Retrospective Case Study

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Overview and Management of Chronic Kidney Disease Inpatients at Royal Prima General Hospital Medan in 2020

Archives of The Medicine and Case Reports ◽

10.37275/amcr.v3i1.156 ◽

2021 ◽

Vol 3 (1) ◽

pp. 214-223

Author(s):

Yuke Armika ◽

Nerseri Barus

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

General Hospital ◽

Complete Blood Count ◽

Low Back ◽

Research Subjects ◽

Retrospective Case ◽

Record Data ◽

Retrospective Case Study

Chronic kidney disease (CKD) is a condition in which there is a gradual decline in kidney function. This disease is progressive and usually irreversible. Indications for hospitalized CKD patients with severe complications and do not allow inpatient therapy. This study was aimed to describe the overview and management of chronic kidney disease inpatient in Royal Prima General Hospital Medan. The type of research used is research with a descriptive and retrospective case study design. This study is based on medical record data related to inpatient CKD patients' diagnostic and management features at the Royal Prima General Hospital Medan in 2020. The research subjects were all inpatients diagnosed with CKD, whereas 100 research subjects with complete medical records were included in this study. It was found that the highest age group was 57-65 years, as much as 37.0%, and men as much as 27%. The chief complaint was shortness of breath at 43% and additional complaints, the most of which were fever + low back pain + edema at 38%. On physical examination, most of the inspections were weak, 55%. Most palpation was sociable 57%. There was auscultation of four abdominal regions and normal positive bowel sounds (93%). Complete blood count + blood sugar level + electrolytes + urea + creatinine 70%, the most combination medication is NaCl 0.9% + Furosemide injection 31%. Based on the length of stay, the longest was 13-14 days (20%).

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