Journal of Korean Association of Pediatric Surgeons最新文献_第6页

The Prognosis of Gastroschisis and Omphalocele 腹裂和脐膨出的预后

Journal of Korean Association of Pediatric Surgeons Pub Date : 2014-12-01 DOI: 10.13029/JKAPS.2014.20.2.38

E. Jwa, S. Kim, D. Kim, Jihee Hwang, J. Namgoong, I. Kim

{"title":"The Prognosis of Gastroschisis and Omphalocele","authors":"E. Jwa, S. Kim, D. Kim, Jihee Hwang, J. Namgoong, I. Kim","doi":"10.13029/JKAPS.2014.20.2.38","DOIUrl":"https://doi.org/10.13029/JKAPS.2014.20.2.38","url":null,"abstract":"Purpose: Gastroschisis and omphalocele are major anterior abdominal wall defects. The purpose of this study was to analyze the clinical differences and mortalities of gastroschisis and omphalocele in Asan Medical Center. Methods: A retrospective review of the medical records was conducted of 103 cases of gastroschisis and omphalocele from September 1989 to February 2013 in Asan Medical Center in Korea. Results: There were 43 cases (41.7%) of gastroschisis and 60 cases (58.3%) of omphalocele. There was a female predominance in both gastroschisis (60.5%) and omphalocele (58.3%). The average gestational age at delivery was 36.7±0.4 weeks for both groups. The mean birth weights were 2,381.9±80.6 g for gastroschisis and 2,779.4±82.8 g for omphalocele (p=0.001). Mean maternal ages in the gastroschisis and omphalocele groups were 27.5±0.7 years and 30.5±0.7 years, respectively (p=0.002). Associated malformations were documented in 13 infants (30.2%) with gastroschisis and 46 infants (76.7%) with omphalocele (p<0.001). All of gastroschisis patients except one underwent surgery including 31 primary repairs and 11 staged repairs. Fifty-two infants with omphalocele underwent surgery−primary repair in 41 infants and staged repair in 11 infants. Among 103 cases, 19 cases (18.4%) expired. Mortality rates of gastroschisis and omphalocele were 23.3% (10/43 cases) and 15.0% (9/60 cases), respectively (p=0.287). The main causes of death were abdominal compartment syndrome (6/10 cases) in gastroschisis, respiratory failure (4/9 cases) and discharge against medical advice (4/9 cases) in omphalocele. Conclusion: Gastroschisisis was associated with younger maternal age and lower birth weight than omphalocele. Associated malformations were more common in omphalocele. The mortality rates did not make a statistical significance. This might be the improvement of treatment of cardiac anomalies, because no patient died from cardiac dysfunction in our study. Furthermore, abdominal compartment syndrome might be the main cause of death in gastroschisis.","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"122 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133853250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Comparison of Surgical Infection and Readmission Rates after Laparoscopy in Pediatric Complicated Appendicitis 小儿复杂性阑尾炎腹腔镜手术感染及再入院率的比较

Journal of Korean Association of Pediatric Surgeons Pub Date : 2014-12-01 DOI: 10.13029/JKAPS.2014.20.2.28

HeyenMary Jo, Y. Boo, Eun Hee Lee, Ji Sung Lee

{"title":"Comparison of Surgical Infection and Readmission Rates after Laparoscopy in Pediatric Complicated Appendicitis","authors":"HeyenMary Jo, Y. Boo, Eun Hee Lee, Ji Sung Lee","doi":"10.13029/JKAPS.2014.20.2.28","DOIUrl":"https://doi.org/10.13029/JKAPS.2014.20.2.28","url":null,"abstract":"Purpose: Laparoscopic appendectomy (LA) has become a gold standard for children even in complicated appendicitis. The purpose of this study was to compare the postoperative surgical site infection rates between laparoscopic and open appendectomy (OA) group in pediatric complicated appendicitis. Methods: A total of 1,158 pediatric patients (age ≤15 years) underwent operation for appendicitis over a period of 8 years. Among these patients, 274 patients (23.7%) were diagnosed with complicated appendicitis by radiologic, operative and pathologic findings, and their clinical outcomes were retrospectively analyzed. Results: Of the 274 patients with complicated appendicitis, 108 patients underwent LA and 166 patients underwent OA. Patients in the LA group returned to oral intake earlier (1.9 days vs. 2.7 days; p＜0.01) and had a shorter hospital stay (5.0 days vs. 6.3 days; p＜0.01). However, rate of postoperative intra-abdominal infection (organ/space surgical site infection) was higher in the LA group (LA 15/108 [13.9%] vs. OA 12/166 [7.2%]; p＜0.01). Readmission rate was also higher in the LA group (LA 9/108 [8.3%] vs. OA 3/166 [1.8%]; p＜0.01). Conclusion: The minimally invasive laparoscopic technique has more advantages compared to the open procedure in terms of hospital stay and early recovery. However, intra-abdominal infection and readmission rates were higher in the laparoscopy group. Further studies should be performed to evaluate high rate of organ/space surgical infection rate of laparoscopic procedure in pediatric complicated appendicitis.","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132978920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Duodenal Obstruction due to Duodenal Web in Three-year-old Girl: A Case Report 三岁女童十二指肠网致十二指肠梗阻1例

Journal of Korean Association of Pediatric Surgeons Pub Date : 2014-12-01 DOI: 10.13029/JKAPS.2014.20.2.65

S. Nam, Yun-Jung Lim

引用次数: 0

Clinical Feature of Neonatal Neuroblastoma: Comparison of Outcome between Diagnosed Prenatally and at Postpartum Group 新生儿神经母细胞瘤的临床特征:产前和产后诊断组预后的比较

Journal of Korean Association of Pediatric Surgeons Pub Date : 2014-12-01 DOI: 10.13029/JKAPS.2014.20.2.53

H. Park, Soo-Hong Kim, Sung-Eun Jung, S. Lee, K. Park, Ji Won Lee, H. Kang, H. Shin, Hae Woon Baek, Hyun Young Kim

引用次数: 0

Biliary Pseudolithiasis in Children: To Avoid Unnecessary Surgical Procedure 儿童胆道假性结石:避免不必要的手术

Journal of Korean Association of Pediatric Surgeons Pub Date : 2014-12-01 DOI: 10.13029/JKAPS.2014.20.2.62

S. Kim, Soo-Ah Lim, M. Lee

引用次数: 0

Risk Factors Associated with the Need for Operative Treatment of Intussusception in Children 儿童肠套叠手术治疗的相关危险因素

Journal of Korean Association of Pediatric Surgeons Pub Date : 2014-06-01 DOI: 10.13029/JKAPS.2014.20.1.17

H. Ha, Jayun Cho, Jinyoung Park

{"title":"Risk Factors Associated with the Need for Operative Treatment of Intussusception in Children","authors":"H. Ha, Jayun Cho, Jinyoung Park","doi":"10.13029/JKAPS.2014.20.1.17","DOIUrl":"https://doi.org/10.13029/JKAPS.2014.20.1.17","url":null,"abstract":"The aim of this study was to identify the risk factor related to the need for operative treatment and avoid unnecessary non-operative management for intussusception in children. We retrospectively reviewed medical records of patient treated for intussusception at our institution between January 2006 and January 2013. Clinical features such as gender, age, seasonal variation, symptoms and signs, treatment results were analyzed. Univariate and multivariate analyses including a chi-square test for categorical variables and logistic regression analysis were performed. During the study period, 356 patients were treated for intussusception. 328 (92.1%) was treated successfully by the non-operative pneumoreduction, and 28 (7.9%) required operative management. On univariate analysis, risk factors which were related to the need for operative treatment were age, vomiting, bloody stool, lethargy, and symptoms duration. A logistic regression analysis in order to assess for independent predictors of operative treatment was performed. Age (＜6 vs ≥12 months) (OR 4.713, 95% CI 1.198∼18.539, p=0.027) and symptoms duration longer than 48 hours (OR 4.534, 95% CI 1.846∼11.137, p=0.001) were significantly associated with a requirement for operative treatment. We conclude that younger age and a longer duration of symptoms (≥ 48 hours) are the independent risk factor related to the need for operative treatment for intussusception. Early surgical intervention or transfer to a hospital with pediatric surgical capabilities should be considered for patients with these findings.","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124487886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Minimal Invasive Surgery: A National Survey of Its Members by the Korean Association of Pediatric Surgeons 微创外科:韩国儿科外科医师协会对其成员的全国调查

Journal of Korean Association of Pediatric Surgeons Pub Date : 2014-06-01 DOI: 10.13029/JKAPS.2014.20.1.1

Dy Kim, IS Kim, H.Y. Kim, S. Nam, Kw Park, W. Park, Yj Park, JH Park, JY Park, JS Park, YJ Boo, Jm Seo, J. Seol, Jt Oh, N. Lee, MD Lee, JH Jang, K. Jung, SY Jung, S. Jung, SM Jung, Ey Jung, Jh Jung, Mj Cho, Kj J. Choi, Sjn Choi, So Choi, Sh Choi, YM Choi, J. Hong

引用次数: 4

Clinical Analysis of Foreign Bodies in Gastrointestinal Tract in Children 儿童胃肠道异物临床分析

Journal of Korean Association of Pediatric Surgeons Pub Date : 2014-06-01 DOI: 10.13029/JKAPS.2014.20.1.12

Eunsook Choi, H. G. Lee, Soojinna Choi, S. Chung

{"title":"Clinical Analysis of Foreign Bodies in Gastrointestinal Tract in Children","authors":"Eunsook Choi, H. G. Lee, Soojinna Choi, S. Chung","doi":"10.13029/JKAPS.2014.20.1.12","DOIUrl":"https://doi.org/10.13029/JKAPS.2014.20.1.12","url":null,"abstract":"Foreign body ingestion is a common problem among paediatric populations. Most of the ingested foreign bodies spontaneously pass through the gastrointestinal tract, but approximately less then 10% of them remain without being discharged, and trigger complications. Therefore, proper evaluation and treatment according to the situation is required. In this study, clinical progress and complications were analyzed according to the clinical features and treatment in children who ingested foreign bodies. Among pediatric patients under 18 who were admitted to Chonnam National University Hospital after ingesting foreign bodies between January 2008 to June 2012, only the patients who had their foreign body in the gastrointestinal tract were included in this study. Based on medical records, age, type of foreign body, time spent till admission, and whether the endoscopy was done or not, complication were researched retrospectively. According to symptoms and plain abdomen X-ray findings, treatment was chosen and conducted among endoscopy, observation and emergency operation. Among 273 patients, 9 (3.3%) of them had surgical removal. Seven (2.6%) of them had an emergency operation on the day of admission, and the rest 2 (0.7%) had operation during observation. Removal through initial endoscopic approach was tried in 157 (57.5%) patients. Eleven (70.8%) of them had their foreign body removed at the initial trial, and 5 (4.9%) of them at the second trial. Among 109, who were on observation status, 9 (8.3%) of them needed endoscopic removal, and 2 (1.8%) of them suffered from surgical removal. It is thought to be better to approach slowly considering the type, size and symptoms in foreign body ingestion of pediatric patients, rather than immediate and invasive removal.","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129081243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

A Comparison between Ilioinguinal and Iliohypogastric Nerve Block and Infiltration of Local Anesthetics for Postoperative Pain after Inguinal Herniorrhaphy in Children 小儿腹股沟疝修补术后疼痛髂腹股沟与髂腹下神经阻滞及局麻药浸润的比较

Journal of Korean Association of Pediatric Surgeons Pub Date : 2014-06-01 DOI: 10.13029/JKAPS.2014.20.1.7

D. Park, N. Lee

{"title":"A Comparison between Ilioinguinal and Iliohypogastric Nerve Block and Infiltration of Local Anesthetics for Postoperative Pain after Inguinal Herniorrhaphy in Children","authors":"D. Park, N. Lee","doi":"10.13029/JKAPS.2014.20.1.7","DOIUrl":"https://doi.org/10.13029/JKAPS.2014.20.1.7","url":null,"abstract":"The present study compared the postoperative analgesic effects of ilioinguinal and iliohypogastric nerve block with infiltration of local anesthetics (bupivacaine) into the wound in children after inguinal hernia repair. Ninety children below 7 years old who were scheduled elective inguinal hernia repair were randomly allocated into one of three groups. The patients in nerve block (NB) group, ilioinguinal and iliohypogastric nerve block was done with 0.5 mL/kg of 0.25% bupivacaine. The patients in infiltration of local anesthetics (LI) group, 0.5 mL/kg of 0.25% bupivacaine was infiltrated into the wound after surgery. The patients in control group were allocated as a Control group. Postoperative pain was assessed at 1, 3, 5, and 24 hours after operation with FLACC scale and additional analgesic consumption were counted. The three groups were not significantly different in age, sex, body weight, and duration of operation. Pain scores at 1 hour and 3 hours after operation were significantly higher in Control group than in NB group and LI group (p<0.01), whereas there were no difference between NB group and LI group. The rescue analgesics administration was significantly higher in Control group (n=11) than in NB group (n=6) and LI group (n=7) (p<0.05). There were 2 cases of transient femoral nerve palsy in NB group. Both of ilioinguinal and iliohypogastric nerve block and infiltration of local anesthetics into the wound provided effective postoperative analgesia in early postoperative period following inguinal hernia repair in children. But no difference between the two methods. Technically, infiltration of local anesthetics into the wound was easier and safer than ilioinguinal and iliohypogastric nerve block.","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117320535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Primary Laparoscopic-Assisted Endorectal Pull-Through for Hirschsprung's Disease 腹腔镜辅助下的直肠内牵引治疗先天性巨结肠病

Journal of Korean Association of Pediatric Surgeons Pub Date : 2013-12-01 DOI: 10.13029/JKAPS.2013.19.2.130

B. S. Park, J. Sul

引用次数: 4