Advances in Pediatric Surgery最新文献_第2页

Use of the Alvarado Score in the Diagnosis of Acute Appendicitis in Children Alvarado评分在儿童急性阑尾炎诊断中的应用

Advances in Pediatric Surgery Pub Date : 2020-01-23 DOI: 10.13029/aps.2020.26.2.39

HyeRan Jeong, N. Lee

{"title":"Use of the Alvarado Score in the Diagnosis of Acute Appendicitis in Children","authors":"HyeRan Jeong, N. Lee","doi":"10.13029/aps.2020.26.2.39","DOIUrl":"https://doi.org/10.13029/aps.2020.26.2.39","url":null,"abstract":"Purpose: Acute appendicitis is the most common surgical condition of abdomen in children and the diagnosis is still challenging. The aim of this study was to evaluate the diagnostic value of the Alvarado score and computed tomography (CT) scan and to provide guidance for CT scan to reduce the number of CT examinations for clinically suspected acute appendicitis in children. Methods: We retrospectively analyzed pediatric patients aged below 18 years and screened via abdominal CT for suspected appendicitis at Yeungnam University Hospital between January 1, 2013 and October 31, 2018. The Alvarado scores of all patients were calculated and correlated with pathology and CT findings. Results: A total of 198 patients aged between 5 and 18 years were reviewed, and 87 patients underwent surgery whereas 81 patients (40.9%, 81/198) were diagnosed with acute appendicitis pathologically. Six patients underwent negative appendectomy (6.9%, 6/87). The mean Alvarado score was 7.3±1.6 in the appendicitis group and 3.9±1.7 in the non-appendicitis group (p<0.01). A total of 79 positive CT cases were detected in the group with clinically suspected appendicitis. The CT scan yielded 8 false-negative and 6 false-positive results. The sensitivity and specificity of CT scan were 90.1% and 94.8%, respectively, and the sensitivity and specificity of Alvarado score were 75.6% and 89.1%, respectively (p<0.01). The proportion of cases with appendicitis carrying an Alvarado score less than 3 was 4.2% (3/71), and that of patients with Alvarado score greater than 8 was 95.8% (46/48). Conclusion: The Alvarado score facilitates risk stratification of patients and is expected to guide the reasonable use of CT scan especially in patients with low (less than 3) and high (more than 8) scores.","PeriodicalId":246042,"journal":{"name":"Advances in Pediatric Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128414527","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: 0

Multidisciplinary Intestinal Rehabilitation in Children: Results from a Korean Intestinal Rehabilitation Team 儿童多学科肠道康复:来自韩国肠道康复小组的结果

Advances in Pediatric Surgery Pub Date : 2020-01-23 DOI: 10.13029/aps.2020.26.2.61

Cheolgu Lee, S. H. Lee, H. Park, Hyun Jung Kim, J. Min, Jeong-Meen Seo

引用次数: 0

Recurrent Congenital Milium of the Nipple 复发性先天性乳头乳头瘤

Advances in Pediatric Surgery Pub Date : 2019-12-01 DOI: 10.13029/aps.2019.25.2.60

H. Shin, Y. Jeong

引用次数: 0

Comparison of the Surgical Outcomes between Open Fundoplication and Laparoscopic Fundoplication in Children with Gastroesophageal Reflux Disease 儿童胃食管反流病开放式底扩术与腹腔镜底扩术手术效果比较

Advances in Pediatric Surgery Pub Date : 2019-12-01 DOI: 10.13029/aps.2019.25.2.51

S. Hong, Hee-Beom Yang, Sao Thi Han, Hyun-Young Kim, Sung-Eun Jung

{"title":"Comparison of the Surgical Outcomes between Open Fundoplication and Laparoscopic Fundoplication in Children with Gastroesophageal Reflux Disease","authors":"S. Hong, Hee-Beom Yang, Sao Thi Han, Hyun-Young Kim, Sung-Eun Jung","doi":"10.13029/aps.2019.25.2.51","DOIUrl":"https://doi.org/10.13029/aps.2019.25.2.51","url":null,"abstract":"Purpose: This study aimed to compare the outcomes of open fundoplication (OF) and laparoscopic fundoplication (LF) in children with gastroesophageal reflux disease (GERD). Methods: We retrospectively reviewed the electronic medical charts of pediatric patients who underwent fundoplication for GERD between January 2005 and May 2018 at the Korean tertiary hospital. Patient characteristics, operation type, associated diagnosis, operation history, neurologic impairment, postoperative complication, recurrence, and operation outcomes were investigated. The Mann-Whitney U test or Student's t-test was used to evaluate continuous data as appropriate. The χ2 test was used to analyze categorical data. Results: A total of 92 patients were included in this study; 50 were male and 42 were female. Forty-eight patients underwent OF and 44 patients underwent LF. Patient characteristics, such as sex ratio, gestational age, symptoms, neurological impairment, and history of the previous operation were not different between the two groups. A longer operative time (113.0±56.0 vs. 135.1±49.1 minutes, p=0.048) was noted for LF. There was no significant difference in operation time when the diagnosis was limited to only GERD, excluding patients with other combined diseases. Other surgical outcomes, such as intraoperative blood loss, transfusion rate, hospital stay, and recurrence rate were not significantly different between the 2 groups. The complication rate was slightly higher in the OF group than in the LF group; however, the difference was not significant (20.8% vs. 11.4%, p=0.344). Conclusion: LF is as safe, feasible, and effective as OF for the surgical treatment of GERD in children.","PeriodicalId":246042,"journal":{"name":"Advances in Pediatric Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130062739","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: 0

Sacrococcygeal Teratoma: A Survey by the Korean Association of Pediatric Surgeons in 2018 骶尾翼畸胎瘤:2018年韩国儿科外科医师协会调查

Advances in Pediatric Surgery Pub Date : 2019-12-01 DOI: 10.13029/aps.2019.25.2.35

J. Oh, H. Chang, M. Cho, Y. Cho, Soojinna Choi, Y. Choi, J. Chung, S. Chung, Jeong-Hun Hong, S. Han, Y. Jeong, Eunyoung Jung, Kyuhwan Jung, D. Kim, Hae-Young Kim, Hyun-Young Kim, Ki Hoon Kim, S. Kim, S. Kim, S. Kim, Soo-Hong Kim, Jong-In Lee, Myung-Duk Lee, N. Lee, S. Lee, S. Nam, Jin Young Park, K. Park, T. Park, Jeong-Meen Seo, Jae Ho Shin, J. Sul

引用次数: 2

Early Experience of Doxycycline Sclerotherapy for Lymphatic Malformations 强力霉素硬化治疗淋巴畸形的早期经验

Advances in Pediatric Surgery Pub Date : 2019-12-01 DOI: 10.13029/aps.2019.25.2.44

Ju Yeon Lee, J. Namgoong, S. Kim, D. Kim

{"title":"Early Experience of Doxycycline Sclerotherapy for Lymphatic Malformations","authors":"Ju Yeon Lee, J. Namgoong, S. Kim, D. Kim","doi":"10.13029/aps.2019.25.2.44","DOIUrl":"https://doi.org/10.13029/aps.2019.25.2.44","url":null,"abstract":"Purpose: Lymphatic malformations (LMs) are congenital malformations of the lymphatic system which can be effectively treated by sclerotherapy. This study aims to evaluate the efficacy of doxycycline in the treatment of LMs. Methods: We retrospectively reviewed the medical records of all patients who were diagnosed as LMs and underwent doxycycline sclerotherapy in Asan Medical Center between March 2013 and February 2014. Thirty-five sclerotherapy procedures were performed on 21 patients. The procedures were performed under general anesthesia. After each treatment, the clinical and radiographic response was characterized as complete (≥80% decrease in lesion size), partial (<80% decrease of size), or no response (no decrease of size). Results: There were 11 male patients and 10 female patients. The median age of sclerotherapy was 21 months (range, 2–180 months). The most common location was cervicofacial (52.3%), followed by extremity (28.6%) and truncal (19.0%). The most common lesion type was macrocystic (71.4%), followed by microcystic (28.5%). There was one (2.8%) skin necrosis which was recovered by wound management. Thirty-eight percent of patients had a complete response, 47.6% of patients had a partial response and 14.3% of patients had no response. Median frequency of treatment was one (range, 1–5). No response group consisted of all microcystic type. Conclusion: Sclerotherapy with Doxycycline is safe and effective for macrocystic LMs.","PeriodicalId":246042,"journal":{"name":"Advances in Pediatric Surgery","volume":"147 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115478347","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: 0

Feasibility and Early Outcomes of Continent Catheterizable Stomas Using Cecal/Colon and Ileum for Children with Fecal Incontinence as an Alternative to Appendicular Malone Antegrade Continence Enema 盲肠/结肠和回肠插管造口治疗儿童大便失禁替代马隆顺行灌肠的可行性和早期效果

Advances in Pediatric Surgery Pub Date : 2019-06-01 DOI: 10.13029/APS.2019.25.1.1

G. Shankar, S. Solanki, Vinay Jadhav, M. N. Babu, S. Ramesh

{"title":"Feasibility and Early Outcomes of Continent Catheterizable Stomas Using Cecal/Colon and Ileum for Children with Fecal Incontinence as an Alternative to Appendicular Malone Antegrade Continence Enema","authors":"G. Shankar, S. Solanki, Vinay Jadhav, M. N. Babu, S. Ramesh","doi":"10.13029/APS.2019.25.1.1","DOIUrl":"https://doi.org/10.13029/APS.2019.25.1.1","url":null,"abstract":"Purpose: The introduction of Malone antegrade continence enema) in the management of children with fecal incontinence has brought remarkable improvement in patient care, Malone originally described appendix as a conduit and it has become widely accepted. However, surgeons are faced with situations where appendix is not available, the selection and creation of other conduit is always a challenge. We present our technique and experience with the use of alternative catheterizable conduits for antegrade continence enema (ACE). Methods: Retrospective review of children who underwent ACE procedure in our institution from March 2009 to January 2014. The details retrieved: indication, reason for non availability of appendix, type of conduit, complications and patient's satisfaction. Results: Five children were identified in whom the appendix was not available or suitable. In four children cecal/colon-based flap was used and in one child, ileal (Monti) segment was used to create a conduit. The mean follow-up was 3.2 years. All patients were satisfied with the procedure and no stenosis or loss of conduit was noted in the follow-up. Conclusion: Continent catheterizable conduit for ACE can be accomplished with transverse tubularized intestinal segments and cecal/colonic flaps, with excellent outcome, irrespective of tissue used. Surgeon's preference and the patient's peculiar anatomy should determine the surgical technique to be used.","PeriodicalId":246042,"journal":{"name":"Advances in Pediatric Surgery","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126922466","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: 0

Congenital Anomaly of Ribs Masquerading as Diaphragmatic Hernia in an Infant: A Case Report 婴儿先天性肋骨异常伪装为膈疝1例报告

Advances in Pediatric Surgery Pub Date : 2019-06-01 DOI: 10.13029/APS.2019.25.1.20

P. Mittal, S. Solanki, P. Menon

引用次数: 1

A Comparative Study of Single Scrotal Incision Orchiopexy of Children with Palpable Low-Lying Undescended Testis with Traditional Inguinal Method 单阴囊切口睾丸切除术治疗可触及低位隐睾患儿与传统腹股沟法的比较研究

Advances in Pediatric Surgery Pub Date : 2019-06-01 DOI: 10.13029/APS.2019.25.1.14

Davud Badbarin, Seyed Ehsan Mousavi Toomatari, S. Aslanabadi, Ebrahim Farhadi, Sara Akhavan Salamat

{"title":"A Comparative Study of Single Scrotal Incision Orchiopexy of Children with Palpable Low-Lying Undescended Testis with Traditional Inguinal Method","authors":"Davud Badbarin, Seyed Ehsan Mousavi Toomatari, S. Aslanabadi, Ebrahim Farhadi, Sara Akhavan Salamat","doi":"10.13029/APS.2019.25.1.14","DOIUrl":"https://doi.org/10.13029/APS.2019.25.1.14","url":null,"abstract":"Purpose: Undescended testis (UDT) is a developmental defect in which one or both testicles do not arrive in the scrotum. Its prevalence at birth and one year after is 2%–4% and less than 1%, respectively. Currently, surgery is recommended to treat congenital cryptorchidism in order to prevent testicular degeneration. Classic method is performed via incision in inguinal and scrotum and the new method is done via incision in scrotum. Method: Sixty male participants with 65 UDT undergoing surgery were randomly assigned to scrotal incision (n=31) and classic inguinal incision methods (n=34). Patients were followed for 6 months and testicular atrophy, infection, recurrence, and duration of surgery were compared between two groups. Results: Scrotal incision compared to classic incision method had significantly lower duration of surgery (19.06±2.96 minutes vs. 30±10.42 minutes; p=0.002) and recurrence during follow-up (0 vs. 5 cases; p=0.026). There was only one surgical site infection in the scrotal incision method. There were hematoma and post-operative swelling in 13.3% of cases after scrotal incision method. Conclusion: Scrotal incision is an alternative method for the UDT with lower duration of surgery, lower recurrence rate, and better cosmetic results.","PeriodicalId":246042,"journal":{"name":"Advances in Pediatric Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125827893","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: 3

Successful Correction of Long Gap Esophageal Atresia with Gastric Tube through Totally Laparoscopic and Thoracoscopic Procedure 全腹腔镜胸腔镜下胃管成功矫正长间隙食管闭锁

Advances in Pediatric Surgery Pub Date : 2019-06-01 DOI: 10.13029/APS.2019.25.1.24

Hee-Beom Yang, Hyun-Young Kim, Sung-Eun Jung

引用次数: 0