Advances in Pediatric Surgery最新文献_第3页

A Case of Hemolytic Uremic Syndrome after Appendectomy 阑尾切除术后溶血性尿毒症综合征1例

Advances in Pediatric Surgery Pub Date : 2019-06-01 DOI: 10.13029/APS.2019.25.1.29

Layun Kim, H. Jung, J. Shim, D. Kim, J. Shim, Young Joo Han, J. Kwak

{"title":"A Case of Hemolytic Uremic Syndrome after Appendectomy","authors":"Layun Kim, H. Jung, J. Shim, D. Kim, J. Shim, Young Joo Han, J. Kwak","doi":"10.13029/APS.2019.25.1.29","DOIUrl":"https://doi.org/10.13029/APS.2019.25.1.29","url":null,"abstract":"Hemolytic uremic syndrome (HUS) is associated with consumption of under cooked gound beef, characterized by triad of renal failure, microangiopathic hemolytic anemia and thrombocytopenia. Early recognition of this disease, maintenance of fluid balance and proper dialysis seems to prevent acute mortality. A 23-month-old boy was admitted with abdominal pain, bloody diarrhea and fever. On hospital day (HD) #2, he developed aggravated abdominal pain compared to the initial assessment. Contrast abdominal computed tomography demonstrated findings suggestive acute appendicitis so the patient was underwent laparoscopic appendectomy. On HD #3 and #4, his laboratory findings showed marked thrombocytopenia and serum creatinine elevation. He was transferred to another hospital for dialysis with the impression of acute renal failure. Later, verotoxinproducing Escherichia coli, which is one of the most common causes of HUS, was detected on his initial stool examination. HUS can present with prodromal gastrointestinal symptoms mimicking acute abdomen. So even if the patient is primarily diagnosed acute abdomen in the initial setting, clinicians should always keep in mind of other fatal conditions disease, such as HUS. To our knowledge, this is the first case report of acute appendicitis followed by HUS in South Korea.","PeriodicalId":246042,"journal":{"name":"Advances in Pediatric Surgery","volume":"212 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":"115784782","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

Nonoperative Treatment of Appendicitis in the Pediatric Population: Stringent Patient Selection for Successful Application 小儿阑尾炎的非手术治疗:对成功应用的严格患者选择

Advances in Pediatric Surgery Pub Date : 2019-06-01 DOI: 10.13029/APS.2019.25.1.7

Joonhyuk Son, Sang Hoon Lee, J. Hong, Jeong-Meen Seo, S. Lee

{"title":"Nonoperative Treatment of Appendicitis in the Pediatric Population: Stringent Patient Selection for Successful Application","authors":"Joonhyuk Son, Sang Hoon Lee, J. Hong, Jeong-Meen Seo, S. Lee","doi":"10.13029/APS.2019.25.1.7","DOIUrl":"https://doi.org/10.13029/APS.2019.25.1.7","url":null,"abstract":"Purpose: Although nonoperative treatment of appendicitis (NOTA) in the pediatric population has been well reported recently, patient selection and treatment scheme varies among studies, making it difficult to establish treatment standards for NOTA. Methods: In a single medical center, patients younger than 18 years who were diagnosed with appendicitis: 1) with abdominal pain not exceeding 24 hours, 2) without radiologic evidence of appendicolith or appendiceal perforation or pelvic abscess, and 3) without signs of frank generalized peritonitis were offered NOTA, and their data were prospectively collected. Results: Twenty-two patients with uncomplicated appendicitis agreed to NOTA and were enrolled in the study. The initial success rate (resolution of abdominal pain and hospital discharge without appendectomy) was 100% (22 out of 22 patients). At a median follow-up period of 23.8 months, two patients had recurrence at two and three months after completion of NOTA. These patients underwent laparoscopic appendectomy. Conclusion: Stringent patient selection may be necessary to apply NOTA safely for all children with uncomplicated appendicitis. Further studies concerning patient selection and conformed treatment protocols for NOTA are required.","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":"124571948","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

I Gee Score: Scoring System for Perforated Appendicitis: Effective Usage of Health Care Resources in COVID-19 Pandemic 1 . Gee评分:穿孔阑尾炎评分系统:COVID-19大流行期间医疗资源的有效利用

Advances in Pediatric Surgery Pub Date : 1900-01-01 DOI: 10.13029/aps.2023.29.1.32

Seshadri Ln, Vinay Jadhav, Gowrishankar Bc

引用次数: 0

A Comparative Study of Two National Surveys of Anorectal Malformations in the Korean Association of Pediatric Surgeons 韩国儿科外科协会两项肛肠畸形国家调查的比较研究

Advances in Pediatric Surgery Pub Date : 1900-01-01 DOI: 10.13029/aps.2022.28.2.37

Jinyoung Park, W. Kim, I. Kim, Jae Eok Kim, Jae Chun Kim, H. Kim, S. Kim, D. Kim, S. Kim, Chong‐Suk Kim, Hyun-Young Kim, S. Nam, K. Park, W. Park, Y. Boo, Y. Song, S. Oh, S. Yoo, D. Lee, Jeong-Meen Seo, J. Oh, N. Lee, Myung-Duk Lee, S. Lee, S. Lee, Jong In Lee, Soo Il Chang, S. Chung, H. Chang, Sung-Eun Jung, Y. Jeong, J. Chung, E. S. Chung, Poong Man Jung, M. Cho, K. Choi, Soon-Ok Choi, S. Choi, Yun-Mee Choe, S. Han, Y. Huh, Jeong-Hun Hong, E. Hwang

引用次数: 0

A 9-Month-Old Boy with a Recurrent Ileocolic Intussusception Caused by Diffuse Large B Cell Lymphoma: A Case Report 弥漫性大B细胞淋巴瘤致9月龄男孩回肠肠套叠1例

Advances in Pediatric Surgery Pub Date : 1900-01-01 DOI: 10.13029/aps.2021.27.2.73

Taesung Jeong, Eun Sil Kim, Sanghoon Lee, Soomin Ahn, Yiyoung Kwon, Y. Choe, M. J. Kim

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Complications in and Treatment of Pediatric Patients Receiving Long-Term Parenteral Nutrition 儿童长期肠外营养的并发症及治疗

Advances in Pediatric Surgery Pub Date : 1900-01-01 DOI: 10.13029/aps.2022.28.2.55

S. Ha, Hyunhee Kwon, J. Namgoong

引用次数: 0

A Descriptive Study of Incarcerated Inguinal Hernia in Preterm Infants in Neonatal Intensive Care Units: A 10-Year Single-Center Experience 新生儿重症监护病房早产儿嵌顿腹股沟疝的描述性研究:10年单中心经验

Advances in Pediatric Surgery Pub Date : 1900-01-01 DOI: 10.13029/aps.2021.27.2.54

Kyobum Choo, Soyun Nam, Wontae Kim, Min-Jung Bang, Sanghoon Lee, Jeong-Meen Seo

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Nissen Fundoplication for the Treatment of Gastroesophageal Reflux After Repair of Esophageal Atresia 尼森底术治疗食管闭锁修复后胃食管反流

Advances in Pediatric Surgery Pub Date : 1900-01-01 DOI: 10.13029/aps.2022.28.1.9

I. Ho, K. Ihn, H. Jeon, Dongeun Lee, J. Oh, S. Han

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Renal Hydatid With Tuberculosis in a Child: A Rare Coexistence 儿童肾包虫病与肺结核:罕见的共存

Advances in Pediatric Surgery Pub Date : 1900-01-01 DOI: 10.13029/aps.2022.28.2.76

Sravanthi Vutukuru, S. Solanki, P. Menon, N. Peters, R. Samujh, R. Srinivasan

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Open Inguinal Hernia Repair with Transinguinal Laparoscopic Examination in Children: A 13 Years of Experience 经腹股沟腹腔镜检查儿童开放式腹股沟疝修补术:13年的经验

Advances in Pediatric Surgery Pub Date : 1900-01-01 DOI: 10.13029/aps.2021.27.2.37

Myeonghyeon Ko, Junbeom Park, J. Sul

{"title":"Open Inguinal Hernia Repair with Transinguinal Laparoscopic Examination in Children: A 13 Years of Experience","authors":"Myeonghyeon Ko, Junbeom Park, J. Sul","doi":"10.13029/aps.2021.27.2.37","DOIUrl":"https://doi.org/10.13029/aps.2021.27.2.37","url":null,"abstract":"Purpose: The purpose of the article was to review the thirteen years of experience and evaluate the usefulness of open inguinal hernia repair (OIHR) with transinguinal laparoscopic exploration of contralateral groin (TILE), the prevalence of contralateral patent processus vaginalis (CPPV), and the incidence of metachronous inguinal hernia after negative laparoscopic examination in pediatric patients with unilateral inguinal hernia. Methods: We analyzed data from children aged 15 years and younger who underwent inguinal hernia repair between 2007 and 2019. We performed an OIHR with TILE to assess the contralateral groin, and TILE was accomplished via ipsilateral hernia sac. We collected the medical records and analyzed demographics, operation-related information, including the prevalence of CPPV and the incidence of metachronous contralateral inguinal hernia (MCIH). Results: Of the 1,702 patients with unilateral inguinal hernia, 440 patients (25.9%) had CPPV. The risk factors of CPPV were younger age, female, and left inguinal hernia. The operation results of OIHR with TILE, such as postoperative pain, cosmetic results, recurrence rate, and recovery time was similar to other reports, including open and laparoscopic repair, if not better than LIHR. There were no complications associated with transinguinal laparoscopic exploration. Also, 28 patients (2.2%) with obliterated PV still developed an MCIH later. Conclusion: OIHR with TILE is valuable and safe to detect CPPV in the laparoscopic era. There has been some development (2.2%) of MCIH after negative laparoscopic exploration, which suggested that even though PPV is a significant risk factor for developing a pediatric inguinal hernia, other factors also might be involved in the pathophysiology of pediatric inguinal hernia. OIHR with TILE may be a good surgical option because it compensate for the weakness of OIHR alone and has some advantages of LIHR alone. Two methods can also complement each other and might be tailored to the particular needs of individual patients.","PeriodicalId":246042,"journal":{"name":"Advances in Pediatric Surgery","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126358343","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