Comparison of clinical results of open and laparoscopic appendectomy in the treatment of acute and chronic apendicitis in pediatric patients

2019 ◽  
pp. 1
Author(s):  
Kenan Karavdic
Keyword(s):  
Laparoscopic Appendectomy ◽  
Pediatric Patients ◽  
Clinical Results

Cell-free human pulmonary heart valves for rvot reconstruction in pediatric patients: first clinical results

2008 ◽  
Vol 56 (S 1) ◽  
Author(s):  
S Cebotari ◽  
I Tudorache ◽  
A Lichtenberg ◽  
E Cheptanaru ◽  
S Barnaciuc ◽  
...  
Keyword(s):  
Heart Valves ◽  
Pediatric Patients ◽  
Clinical Results

scholarly journals Inappropriate manipulation and drainage exacerbate post-operative pain and prolong the hospital stay after laparoscopic appendectomy for pediatric complicated appendicitis

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yi-Wen Tsai ◽  
Shin-Yi Lee ◽  
Jyun-Hong Jiang ◽  
Jiin-Haur Chuang
Keyword(s):  
Hospital Stay ◽  
Laparoscopic Appendectomy ◽  
Pediatric Patients ◽  
Complicated Appendicitis ◽  
Postoperative Hospital Stay ◽  
Postoperative Outcomes ◽  
Chang Gung Memorial Hospital ◽  
Abdominal Abscess ◽  
Penrose Drain ◽  
Drain Group

Abstract Background This study examined whether drain placement or not is associated with the postoperative outcomes of pediatric patients following trans-umbilical single-port laparoscopic appendectomy (TUSPLA) for complicated appendicitis. Methods The medical records of pediatric patients undergoing TUSPLA for acute complicated appendicitis from January 2012 to September 2018 in Kaohsiung Chang Gung Memorial Hospital were reviewed retrospectively. They were classified according to whether they received passive drainage with a Penrose drain (Penrose group) (19), active drainage with a Jackson-Pratt drain with a vacuum bulb (JP group) (16), or no drain (non-drain group) (86). The postoperative outcomes of the three groups were compared. Results Postoperative visual analog scale pain score was significantly higher in the non-drain group than in either the JP group or Penrose group. Patients in the Penrose group had a significantly longer postoperative hospital stay than those in the non-drain group and a higher rate of intra-abdominal abscess, while patients in the JP group had a significantly shorter postoperative hospital stay; moreover, no patient in JP group developed a postoperative intra-abdominal abscess. Conclusions Compared to passive drainage with a Penrose drain or no drain, active drainage with a JP drain shorter the postoperative hospital stay and decreased the risk of postoperative intra-abdominal abscess.

Age-dependent revascularization patterns in the treatment of moyamoya disease in a European patient population

2009 ◽  
Vol 26 (4) ◽  
pp. E9 ◽  
Author(s):  
Marcus Czabanka ◽  
Peter Vajkoczy ◽  
Peter Schmiedek ◽  
_ _ ◽  
Peter Horn
Keyword(s):  
Moyamoya Disease ◽  
Pediatric Patients ◽  
Clinical Results ◽  
Adult Patients ◽  
Suitable Alternative ◽  
Relative Contribution ◽  
Grade Ii ◽  
Indirect Revascularization ◽  
Revascularization Procedures ◽  
Grade Iii

Object Different revascularization procedures are used in the treatment of patients with moyamoya disease (MMD). The aim of this study was to investigate the relative contribution of direct and indirect revascularization procedures to the restoration of collateral blood supply in adult and pediatric patients with MMD. Methods The authors performed 39 combined cerebral revascularization procedures (standard extraintracranial bypass [STA-MCA bypass] plus encephalomyosynangiosis [EMS]) in 10 pediatric and 10 adult patients. All patients underwent physical examination and digital subtraction angiography before and 6 months after surgery. The STA-MCA bypass and EMS function were graded as Grade I (poor), II (moderate), or III (good) on the basis of the angiograms. Results In pediatric patients, bypass function was Grade I in 12, Grade II in 8, and Grade III in 0 hemispheres; EMS function was Grade I in 0, Grade II in 12, and Grade III in 8 hemispheres. In the adult patients, bypass function was Grade I in 8, Grade II in 8, and Grade III in 3 hemispheres; EMS function was Grade I in 10 hemispheres, Grade II in 5, and Grade III in 1 hemisphere. In the pediatric patients disease was classified as improved in 14 hemispheres on the basis of clinical results and stable in 6. In the adults it was classified as improved in 12 hemispheres stable in 7 hemispheres. Conclusions Combined revascularization led to good angiographic and clinical results in both patient populations. Especially in pediatric patients, EMS represents a suitable alternative to bypass surgery.

Comparison of Different Approaches for Pediatric Congenital Heart Diseases

2003 ◽  
Vol 11 (3) ◽  
pp. 226-228 ◽  
Author(s):  
Qingyu Wu ◽  
Guohua Luo ◽  
Shoujun Li ◽  
Xiangdong Shen ◽  
Feng Lu
Keyword(s):  
Ventricular Septal Defect ◽  
Tetralogy Of Fallot ◽  
Congenital Heart ◽  
Pediatric Patients ◽  
Septal Defect ◽  
Heart Diseases ◽  
Hemoglobin Concentration ◽  
Clinical Results ◽  
Pulmonary Complications ◽  
Surgical Approaches

To compare the clinical results of different surgical approaches for congenital heart disease in pediatric patients, 1,669 cases of atrial septal defect, ventricular septal defect, or tetralogy of Fallot, which were corrected from January 1999 to December 2001, were classified according to approach (sternotomy, ministernotomy, or minithoracotomy). In cases of ventricular septal defect, the incidence of pulmonary complications was significantly higher in the minithoracotomy group than in the full sternotomy or ministernotomy groups. In patients with tetralogy of Fallot, hemoglobin concentration was higher, oxygen saturation was lower, and more patients required a transanular patch in the sternotomy group than in the other groups, but the clinical results were similar. Patients with complex defects or severe pulmonary hypertension should undergo a full sternotomy.

Low-cost laparoscopic appendectomy in pediatric patients

2016 ◽  
Vol 12 (3) ◽  
pp. 100-103 ◽  
Author(s):  
Abdel Mottaleb E. Ebeid ◽  
Hussam S. Hassan ◽  
Hisham A. Almetaher ◽  
Essam A. Elhalaby
Keyword(s):  
Laparoscopic Appendectomy ◽  
Pediatric Patients ◽  
Low Cost

scholarly journals Complications of Open Appendectomy Versus Laparoscopic Appendectomy in Children. Comparative Assessment

2019 ◽  
Vol 24 (4) ◽  
pp. 56-57
Author(s):  
Alina Dragoman ◽  
Cristian-Ştefan Berghea-Neamţu
Keyword(s):  
Laparoscopic Surgery ◽  
Laparoscopic Appendectomy ◽  
Surgical Complications ◽  
Open Appendectomy ◽  
Good Alternative ◽  
Clinical Results ◽  
Low Risk ◽  
Clinical Benefits ◽  
Pediatric Laparoscopic Surgery ◽  
Meta Analyses

Abstract Laparoscopic pediatric surgery (LA) is becoming a good alternative in many centres of the entire world, being associated with low risk of surgical complications and it offers a better alternative for the management of the appendectomy than open surgery. The goal of the study was to evaluate a comparative LA versus open appendectomy (OA) through the prism of the clinical results as they were reflected in specialty literature in the last two decades. In general, pediatric laparoscopic surgery has become acceptable in centres of the whole world. Many studies and meta-analyses have proven that laparoscopic surgery is a feasible and secure procedure, with many clinical benefits. Because laparoscopic appendectomy (LA) was associated with low risk of surgical complications, it may be a better alternative for appendectomy than OA.

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