African journal of paediatric surgery : AJPS
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Afr J Paediatr Surg · Sep 2011
Appendicitis in paediatric age group: correlation between preoperative inflammatory markers and postoperative histological diagnosis.
Clinical diagnosis of appendicitis can be challenging, particularly in the paediatric age group. There is an increased risk of perforation in paediatrics; therefore, a need for sensitive and specific diagnostic tool is mandatory. ⋯ CRP and WBCC are simple tests that can provide a significant role supporting the clinical diagnosis of acute appendicitis in the paediatric age group.
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Afr J Paediatr Surg · Sep 2011
Randomized Controlled Trial Comparative StudyComparing caudal and penile nerve blockade using bupivacaine in hypospadias repair surgeries in children.
Caudal anaesthesia is recommended for most surgical procedures of the lower part of the body, mainly below the umbilicus. It has been well established that a dorsal penile nerve block immediately after surgery decreases postoperative pain in children undergoing hypospadias repair. This study aimed to compare caudal or penile nerve block using bupivacaine in postoperative pain control in hypospadias repair in children. ⋯ Without ultrasonography and with blind block, with anatomic landmarks only, the caudal block success rate is high and if there is no contraindication for caudal block, it is the best choice in children under 6 years old (or 25 kg) for hypospadias repair.