Journal of pediatric surgery
-
The aim of the study was to compare the self-reported practice patterns of Canadian general surgeons (GSs) and pediatric general surgeons (PGSs) in treating blunt splenic injuries (BSIs) in children. ⋯ Differences exist between PGSs and GSs in the management of pediatric BSIs, resulting in higher operative rates, use of resources, and radiation exposure. Further education of GSs in NOM and establishment of management guidelines are indicated.
-
Hydatid disease (HD) is a parasitic disease that is most commonly caused by the larval stage of Echinococcus granulosus. It is still a severe public health problem in the world and most commonly involves the liver and the lungs. However, HD can occur in almost any part of the body. ⋯ Information about the appearance of cysts within the omentum is limited because of their extremely rare occurrence. In the evaluation of HD, clinical findings, serologic tests, and imaging methods such as plain radiography and ultrasonography are useful. This report describes the clinical, radiologic, and pathologic findings of omental hydatid cyst in addition to a literature review.
-
Clinical Trial
Operative innovation to the "Nuss" procedure for pectus excavatum: operative and functional effects.
The "Nuss" procedure for repair of pectus excavatum is performed with increasing frequency worldwide. We describe a technique of performing relaxing or "kerf" incisions along the cartilaginous ribs at the point of maximal chest wall concavity to facilitate retrosternal dissection and to reduce chest wall tension. The effects on operative parameters and long-term changes in cardiopulmonary function and appearance were evaluated prospectively. ⋯ The addition of sternocostal relaxing incisions to the standard Nuss procedure appears to facilitate retrosternal dissection and bar placement, but no changes in long-term function or cosmesis were noted. The use of relaxing incisions appears to be safe and may facilitate operative visualization of retrosternal structures.
-
Comparative Study
Canadian C-spine Rule and the National Emergency X-Radiography Utilization Low-Risk Criteria for C-spine radiography in young trauma patients.
The Canadian C-spine (cervical spine) Rule (CCR) and the National Emergency X-Radiography Utilization Low-Risk Criteria (NLC) are criteria designed to guide C-spine radiography in trauma patients. It is unclear how these 2 rules compare with young children. ⋯ Although CCR and NLC criteria may reduce the need for C-spine imaging in children 10 years and younger; they are not sensitive or specific enough to be used as currently designed.