Pediatric surgery international
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Pediatr. Surg. Int. · Nov 2011
Comparative StudySevere renal injuries in children following blunt abdominal trauma: selective management and outcome.
Blunt trauma accounts for the majority of pediatric renal injuries. Most injuries are often minor and can be managed without surgical intervention. We have retrospectively reviewed our series of children with severe (grade IV/V) renal injuries, their management and outcome. ⋯ Most children with grade IV/V renal injury following blunt trauma can be managed non-operatively. Management can be properly planned and executed based on clinical features, CT imaging and staging of renal injuries. Surgical intervention is needed for associated abdominal organ injuries and renal vascular injuries.
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Pediatr. Surg. Int. · Oct 2011
Perianal abscess and fistula-in-ano in children: clinical characteristic, management and outcome.
The aims of this study are to evaluate the clinical characteristics of perianal abscess and fistula-in-ano in children, and to assess our experience in treatment, and to identify factors that affected the clinical outcomes. ⋯ Although management of perianal abscess is still controversial, simple drainage of the perianal abscess with additional antibiotic therapy reduces the development of fistula-in-ano. Fistula-in-ano within children has a chance of spontaneous resolution thus the immediate surgical intervention should be avoided.
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Pediatr. Surg. Int. · Sep 2011
Contralateral C7 transfer for the treatment of upper obstetrical brachial plexus palsy.
The use of contralateral C7 is seldom indicated in infants with obstetrical brachial plexus palsy (OBPP). The purpose of this study was to evaluate the value of contralateral C7 transfer in infants with upper OBPP in order to define the application and outcome of this transfer in these infants more optimally. ⋯ Contralateral C7 transfer is an effective procedure for the restoration of upper limb function in infants with OBPP and root avulsions.
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Pediatr. Surg. Int. · Aug 2011
Comparative StudyIschemic preconditioning and remote ischemic preconditioning have protective effect against cold ischemia-reperfusion injury of rat small intestine.
To investigate the protective effect of ischemic preconditioning (IPC) and remote ischemic preconditioning (RIPC) against cold ischemia-reperfusion injury (IRI) associated with small bowel transplantation (SBT). ⋯ Both IPC and RIPC were found to ameliorate ischemia-reperfusion injury after rat SBT in the early phase. HO-1 may therefore play a protective role against cold IRI.