African journal of paediatric surgery : AJPS
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Afr J Paediatr Surg · Sep 2012
Comparative StudyRecombinant-activated factor VII in the paediatric cardiac surgery: single unit experience.
The control of excessive bleeding after paediatric cardiac surgery can be challenging. This may make the use of recombinant-activated factor VII (rFVIIa) in preventing this excessive bleeding, after adopted conventional methods have failed, desirable. Our aim is to highlight our experience with the use of rFVIIa in preventing excessive bleeding after paediatric cardiac surgery. ⋯ rFVIIa use is not only effective in stopping excessive perioperative bleeding but also safe and indirectly reduces transfusion of blood and its products.
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Afr J Paediatr Surg · Jan 2012
Ventriculoperitoneal shunt complications needing shunt revision in children: a review of 5 years of experience with 48 revisions.
The aim of this study was to review the management of ventriculoperitoneal (VP) shunt complications in children. ⋯ VP shunt done for hydrocephalus in children is not only prone for complications and need for revision surgery but also associated with considerable mortality.
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Afr J Paediatr Surg · Jan 2012
Case ReportsSelf-bougienage of oesophageal stricture by an 8-year-old child.
Oesophageal corrosive injuries have a high potential to result in stricture formation with the requirement for repeat oesophageal dilation. Especially in children, oesophageal bougienage is performed under general anaesthesia or strong sedation. In developing countries without comprehensive medical care, this service might not be available. We report the case of daily oesophageal self-bougienage performed by an 8-year-old Afghan child as highly effective treatment of recurrent oesophageal stricture formation after caustic substance ingestion.
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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.