Pediatric surgery international
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To discuss the presentation, management and outcomes of penetrating anorectal injuries at the Bustamante Hospital for Children. ⋯ Selective fecal diversion in the form of a sigmoid loop colostomy is a safe and acceptable management option for children with penetrating anorectal injuries. The perineal wound itself can be closed primarily except in cases of delayed presentation.
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Pediatr. Surg. Int. · Oct 2012
Comparative StudyLaparoscopic inguinal hernia repair in premature babies weighing 3 kg or less.
This retrospective study aims to evaluate the feasibility, safety and complication rate of laparoscopic inguinal hernia repair for small babies weighing 3 kg or less. ⋯ Laparoscopic inguinal hernia repair for babies weighing 3 kg or less is feasible, safe and perhaps even less technically demanding than open inguinal herniotomy.
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Pediatr. Surg. Int. · Aug 2012
Review Case ReportsSevere hyperphosphatemia after administration of sodium-phosphate containing laxatives in children: case series and systematic review of literature.
Sodium phosphate-containing laxatives are commonly used as first-line treatment option for constipation in children and adolescents. Hyperphosphatemia is an infrequent, but potentially life-threatening complication of laxative application. ⋯ Physicians should be alerted to the possibility of phosphate toxicity in children and adolescents treated with laxatives.
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Pediatr. Surg. Int. · Jul 2012
Case ReportsExtracorporeal membrane oxygenation promotes survival in children with trauma related respiratory failure.
Extracorporeal membrane oxygenation (ECMO), which is used for cardiopulmonary support in many non-trauma settings, may also be of use in pediatric patients with traumatic lung injury by allowing the lung to rest and heal. We have utilized ECMO to support three multitrauma pediatric patients with posttraumatic respiratory failure in the past 2 years. We sought to review our experience at a level 1 tertiary care children's hospital in this patient population. Our outcomes along with the limited number of pediatric trauma patients previously reported in the literature suggest that ECMO may be safely and effectively used to manage respiratory failure in this patient population.
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Pediatr. Surg. Int. · Jul 2012
ReviewThe timing of ostomy closure in infants with necrotizing enterocolitis: a systematic review.
The optimal timing of ostomy closure is a matter of debate. We performed a systematic review of outcomes of early ostomy closure (EC, within 8 weeks) and late ostomy closure (LC, after 8 weeks) in infants with necrotizing enterocolitis. ⋯ Evidence that supports early or late closure is scarce and the published articles are of poor quality. There is no significant difference between EC versus LC in the complication rate. This systematic review supports neither early nor late ostomy closure.