Journal of pediatric and adolescent surgery最新文献

{"title":"Safety of Laparoscopic Appendectomy in Complicated Appendicitis in children","authors":"Khawar Abbas, Inayat ur Rehman, Anwar ul Haq","doi":"10.46831/jpas.v2i2.132","DOIUrl":"https://doi.org/10.46831/jpas.v2i2.132","url":null,"abstract":"ABSTRACT
 INTRODUCTION: Acute appendicitis is one of the most common surgical emergency in pediatric age group. Laparoscopic Appendectomy (LA) is no more a new procedure in pediatric surgery. The idea behind laparoscopy is short hospital stay, minimal complications and better cosmesis especially in overweight and obese patients. Laparoscopy offers detailed and magnified visualization and better access into the whole abdominal cavity. In many pediatric surgery centers, laparoscopic management of acute appendicitis is practiced but we have observed that most of them performed laparoscopic appendectomy for simple straight forward appendicitis. It is generally considered that complicated appendicitis is better managed by open procedure. We have performed laparoscopy in 42 patients of Complicated Appendicitis (CA) and observed that the rate of complication is comparable to the known reported studies.
 OBJECTIVE: The objective of this study was to establish safety of laparoscopic appendectomy in complicated appendicitis in children
 STUDY DESIGN: It was a retrospective study.
 SETTING: Research was conducted at Department of Pediatric Surgery, Shifa International Hospital Islamabad.
 DURATION: Duration of study was 3 years after due approval from ethical and research review board.
 MATERIAL AND METHODS: The present study is a retrospective analytical review of 42 patients who were operated for complicated appendicitis laparoscopically at Shifa International Hospital, Islamabad from January 2018 to December 2020.
 All patients were enrolled from emergency department. Clinical assessment of the patients were done in the routine way by history and physical examination. Investigations included complete blood count, C reactive protein and ultrasound abdomen and pelvis. Those patients were excluded from the study who had simple non-complicated appendicitis, open appendectomy, those who had laparotomy for other reasons and interval appendectomy. Similarly those patients who were COVID positive were excluded from the study.
 All those patients who had complicated appendix like perforation, abscess, mass or gangrene were included in the study.
 Variables observed in this study were age, sex, operative findings, operative time, hospital stay and post op complications.
 RESULTS: From January 2018 to December 2020, total 42 patients were included in this study who underwent laparoscopic appendectomy for complicated appendicitis. Complicated appendicitis includes perforated appendicitis, abscess, mass or gangrene. Mean age of the patients was 9.95 with standard deviation of 3.22. Of 42 patients in total, 32 (76%) patients were male and 10 (24%) were female. Mean operative time was 42.5min with standard deviation of 20.03. Mean hospital stay time was 2.23 days with standard deviation of 1.55 (table 1).
 Out of total 42 patients, 20 (48%) had perforated appendicitis, 9 (21%) patients had appendicular mass, 12 (29","PeriodicalId":477924,"journal":{"name":"Journal of pediatric and adolescent surgery","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136010936","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}

{"title":"Side-to-side refluxing ureteroneocystotomy for an infant with refluxing and obstructed ectopic ureter associated with duplex system","authors":"Eiji Hisamatsu, Motofumi Tajima, Atsunori Muraki, Kaoru Yoshino","doi":"10.46831/jpas.v2i2.155","DOIUrl":"https://doi.org/10.46831/jpas.v2i2.155","url":null,"abstract":"Background: Surgical management of the obstructed ectopic ureter is one of the most difficult problems, particular in neonates and infants. The bladder-level definitive repair has technical limitations during infancy because of the size discrepancy between the ureter and the bladder.
 Case Presentation: We report our experience of side-to-side refluxing ureteroneocystotomy (SSRUC) as a temporary procedure for an infant with refluxing and obstructed ectopic ureter associated with a duplex system.
 Conclusion: SSRUC relieved obstruction and controlled febrile UTI successfully while waiting for maturation of the bladder required for the bladder-level definitive repair.","PeriodicalId":477924,"journal":{"name":"Journal of pediatric and adolescent surgery","volume":"218 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134970627","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}

{"title":"Pediatrics vascular injury management with total replacement of blood volume- Anesthesia challenges: A case report","authors":"Muhammad Furqan Khan, Syed Shabbir Ahmed","doi":"10.46831/jpas.v2i2.134","DOIUrl":"https://doi.org/10.46831/jpas.v2i2.134","url":null,"abstract":"Background: Vascular injuries with significant blood loss causing ischemia and revascularization for limb salvage are rarely done in developing countries. Hence, most hospitals and surgeons lack the experience to deal with vascular injuries. Case Presentation: A 9-year-old child presented with left subclavian artery transection and massive hemorrhage. The patient required massive transfusions during the repair of the injured vessel. Herein, we describe the challenges faced during the management of this patient. Conclusion: In an emergency setting, full optimization is not always possible. Every effort should be made to manage the patient by utilizing the available resources without undue delays.","PeriodicalId":477924,"journal":{"name":"Journal of pediatric and adolescent surgery","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135886822","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}

{"title":"Functional Retrocaval paraganglioma: Case Report and Review of Literature","authors":"Dilip kumar Pal, Debansu Sarkar, Mrinal Tandon","doi":"10.46831/jpas.v2i2.147","DOIUrl":"https://doi.org/10.46831/jpas.v2i2.147","url":null,"abstract":"Background: Functional paragangliomas are the rare curable cause of secondary hypertension.It usually occurs in the head and neck region but are rare in the retroperitoneum.
 
 Case Report: We present a case of an 18 years old young boy who presented with the functional retrocaval paraganglioma.
 
 Conclusion: Retroperitoneal paragangliomas are rare tumours with a limited number of cases reported. The localization in the retroperitoneal region is usually uncommon and is a challenge for surgical resection. Complete surgical resection remains the only curative treatment for paragangliomas.","PeriodicalId":477924,"journal":{"name":"Journal of pediatric and adolescent surgery","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136025582","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}

{"title":"Rare presentation of nephrogenic adenoma at the meatus of penoscrotal hypospadias: A case report","authors":"Sana Razzaq, Muhammad Zain Anwar, Sadia Asmat Burki, Muhammad Amjad Chaudary","doi":"10.46831/jpas.v2i2.148","DOIUrl":"https://doi.org/10.46831/jpas.v2i2.148","url":null,"abstract":"Introduction: Nephrogenic adenoma is a rare benign condition that arises in the urothelium however can occur anywhere along the urinary tract. Mostly it occurs in Caucasian males with a ratio of 2:1 (male/female) . The condition mostly occurs in adults however 10% children are also affected. The lesion may occur as a metaplastic response to urothelium, or it may occur congenitally due to proliferation of meta nephrogenic rest. In this report , we emphasize on its congenital origin without any pre-existing cause in a patient of penoscrotal hypospadias.","PeriodicalId":477924,"journal":{"name":"Journal of pediatric and adolescent surgery","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136285292","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}

{"title":"Spontaneous gallbladder perforation in a full-term neonate: A case report","authors":"Muhammad Sharif, Humna Jasarat, Mamoonullah Asmati, Azwa Janjua, Hafiz Muhammad Arif, Ahmad Hassan","doi":"10.46831/jpas.v2i2.120","DOIUrl":"https://doi.org/10.46831/jpas.v2i2.120","url":null,"abstract":"Background: Spontaneous gall bladder perforation is an uncommon event among neonates. The etiology of perforated gall bladder in this pediatric age group is idiopathic. Only 9 cases are available in literature up till 2019. Case Presentation: We are reporting a case of spontaneous gall bladder perforation in a 15-day-old neonate who presented with vomiting, abdominal distension, and jaundice. The gall bladder was perforated near the fundus. Per-operative cholangiogram showed the normal passage of contrast. Open cholecystectomy was performed. No postoperative biliary complications were observed. Conclusion: Though Gall bladder perforation of spontaneous nature is rare but should be kept in the differential diagnosis in neonates who present with jaundice, abdominal distension, and acute abdomen.","PeriodicalId":477924,"journal":{"name":"Journal of pediatric and adolescent surgery","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136285291","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}

{"title":"Neonatal pyloric stenosis in the early neonatal period","authors":"Sana Razzaq, Sadia Asmat Bu, Muhammad Zain Anwar, Muhammad Amjad Chaudary","doi":"10.46831/jpas.v2i2.158","DOIUrl":"https://doi.org/10.46831/jpas.v2i2.158","url":null,"abstract":"Background : Neonatal hypertrophic pyloric stenosis is a rare pathological entity in pediatrics. The incidence of hypertrophic pyloric stenosis is 1-3 per 1000 live births in the neonatal period. Case Presentation: We have presented a 4-day-old male who has non-projectile, non-bilious vomiting and has not passed stool for the last two days. Necessary investigations have been carried out, and the final diagnosis was made by an ultrasound of the abdomen, which revealed hypertrophic pyloric stenosis. Ramstedt's Pyloromyotomy was performed to correct pyloric stenosis alongside intraoperative findings of malrotation of the gut with normal mesentery and small gut. Conclusion: In this report, we have discussed the presentation of, hypertrophic pyloric stenosis in the early neonatal period with no electrolyte imbalance, no metabolic alkalosis ( varies from usual presentation ) and associated malrotation of the gut. In Pakistan, hypertrophic pyloric stenosis in the early neonatal period has not been documented before.","PeriodicalId":477924,"journal":{"name":"Journal of pediatric and adolescent surgery","volume":"122 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135087847","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}

{"title":"Posterior urethral valve and ureterocele in a neonate: A rare association","authors":"Vipul Gupta, Usman Javaid, Mamoun Almarzouqi","doi":"10.46831/jpas.v2i2.152","DOIUrl":"https://doi.org/10.46831/jpas.v2i2.152","url":null,"abstract":"Posterior urethral valve and ureterocele usually presents as two separate entities in neonates. Their coexistence appears to be extremely rare owing to different embryonic developmental defect. We here in present this rare association in 3 weeks old male with antenatal right hydroureteronephrosis. Patient underwent cystoscopy with fulguration of posterior urethral valve along with endoscopic drainage of ureterocele and was doing well on follow up for last 5 years. Authors discuss management of this rare association with the aim to highlight the need for systematic management approach.","PeriodicalId":477924,"journal":{"name":"Journal of pediatric and adolescent surgery","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134930737","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}

{"title":"Testicular sparing surgery for a rare case of multiple bilateral testicular dermoid cysts in a 7 years old boy","authors":"Ayesha Sabrina Aslam, Laraib Amjad, Muhammad Bilal Mirza, Muhammad Afzal Sheikh","doi":"10.46831/jpas.v2i2.167","DOIUrl":"https://doi.org/10.46831/jpas.v2i2.167","url":null,"abstract":"Journal of Pediatric and Adolescent Surgery is an official Journal of The Association of Paediatric Surgeons of Pakistan (APSP). This is a peer reviewed and open access hybrid medium journal and is published both as an electronic and print versions. The journal is launched in June 2020 with a mission statement “Improving patient care by publishing quality research”. The journal has a unique objective to not only focus Pediatric Surgery but also Adolescent Surgery, which is a transition of care from Pediatric Surgeons to General surgeons. Only few journals are being published on Adolescent Surgery and not a single journal aims at Pediatric Surgery with Adolescent context, which justifies need of a new journal on this subject.","PeriodicalId":477924,"journal":{"name":"Journal of pediatric and adolescent surgery","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135717954","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}