Showing papers in "Journal of Pediatric Surgery in 1991"

TL;DR: Postoperative morbidity and mortality for symptomatic patients was 8.5% and 0%, respectively, and fibrous bands to umbilicus or mesentery and ectopic mucosa were the most common ectopic tissue.

TL;DR: Although entry criteria and conventional therapy continue to evolve, ECMO currently improves survival from an estimated 20% to 83% overall and individual prognosis depends on entry diagnosis, clinical condition, and complications.

TL;DR: Pediatric patients presenting with anterior mediastinal masses between January 1980 and November 1988 were reviewed to assess the correlation between tracheal cross-sectional area and anesthetic risks.

TL;DR: Percutaneous endoscopic gastrostomy has a wide range of indications, is advantageous in high-risk patients, and, if properly performed, compares favorably with traditional gastrostomies.

TL;DR: Serial ultrasonography allows accurate diagnosis and long-term assessment of ovarian cysts in the neonate and may prevent unnecessary oophorectomy.

TL;DR: Intralesional OK-432 therapy is effective for most unresectable lymphangiomas and does not cause any damage to the overlying skin and did not lead to scar formation.

TL;DR: Thirteen children, aged 2 weeks to 11 years, with abdominal lymphangiomas were identified over the past 16 years at this institution, and 12 were symptomatic; abdominal pain and an abdominal mass were common.

TL;DR: This report analyzes factors associated with 71 recurrent inguinal hernias in 62 children treated between 1976 and 1988 for sex, age, type of initial repair, interval to recurrence, the presence of comorbid conditions, and type of reoperation.

TL;DR: Endoscopically directed hydrostatic balloon tracheoplasty is a safe and effective method for the treatment of tracheal stenosis of varying causes and several adjunctive techniques have been performed, including electrocautery of granulation tissue and parenteral use of steroids.

TL;DR: It is recommended for those children without complications from their cholelithiasis such as common duct obstruction and gallstone pancreatitis, and a much shorter interval between the surgical procedure and return to normal activities such as school and play, to undergo laparoscopic cholecystectomy.

TL;DR: Of the 14 postnatal cases, 8 were associated with additional ovarian pathology whereas in 6 cases the torsion was of normal uterine adnexa, and in all cases Hemorrhagic necrosis of theAdnexa was found in all Cases except one, and necessitated adnexal resection.

TL;DR: It is concluded that intestinal perforation can occur in the absence of NEC, bluish discoloration of the abdomen is the most reliable clinical finding, and perforations may be associated with coagulase-negative staphylococcal infection.

TL;DR: Overall complications were significantly higher when the body weight was lower than 2,500 g due to a significantly higher incidence of septic complications (P less than .05), and when a proximal site of placement of the catheter was used, both septic and mechanical complications were more frequent than in the distal approach.

TL;DR: The majority of patients (81%) had resolution of their symptoms with change in position, thickened feedings, and, when indicated, additional therapy with metoclopramide, cisapride, or domperidone, which decreased reflux.

TL;DR: The surgical technique and precautionary measures taken for the pneumoperitoneum are described in these initial 10 cases and the advantages of this original technique are discussed.

TL;DR: A step-by-step approach is suggested for treating children with postoperative chylothorax secondary to venous hypertension and thrombosis because of a longer interval between operation and diagnosis compared with direct trauma as well as a longer duration and larger volume of chylous drainage.

TL;DR: A 10-year-old girl with plasma cell granuloma of the lung and an associated hypergammaglobulinemia was treated with an immunosuppressive course of prednisone, which resulted in a reversal of the infiltrative process and the hyperglammation.

TL;DR: The management of a child with an irreducible ovary remains inconsistent in pediatric surgical centers, and an informal survey of senior pediatric surgeons and an extensive review of the literature showed a prevailing view that the trapped ovary is not at significant risk of vascular compromise.

TL;DR: Initial therapy for all patients consisted of chest tube placement for pleural space drainage and nutritional support with either enteral formulas enriched with medium-chain triglycerides or total parenteral nutrition.

TL;DR: It is concluded that although PSARP provides a good aesthetic result, patients with a high anorectal malformation will never acquire normal continence.

TL;DR: The simplified formula--Capacity (mL) = 7 x weight (kg)--was shown to give a reliable estimate of the expected bladder capacity in infants independent of age; this is useful in those infants whose weight lies outside the normal range for their age.

TL;DR: The Vancouver Sedative Recovery Scale (VSRS) was developed through an iterative process during which numerous indicators of levels of alertness among sedated children were identified, and the applicability and face validity of these indicators were determined.

TL;DR: The majority of children with cervical spine fractures presented with no complaints of neck pain and/or tenderness need a complete radiographic evaluation of their cervical spine.

TL;DR: A vital role is suggested for segmental liver transplantation not only as a remedial salvage procedure for the critically ill child, but also as a primary transplant option.

TL;DR: No correlation between ventilatory parameters and outcome was found and an oxygenation/ventilation index was devised: [OVI = PO2/(mean airway pressure x respiratory rate) x 100].

TL;DR: With new intensive chemotherapy capable of eliciting an effective response from primary and metastatic neuroblastoma, aggressive surgical approaches for complete tumor resection are warranted and can be expected to improve patient outcome.

TL;DR: Patients with congenital diaphragmatic hernia (CDH) symptomatic at birth treated at this institution over the past 6 years were reviewed and survival in group 2 was significantly greater than in group 1.

TL;DR: It is demonstrated that Nissen fundoplication in neurologically impaired children with GER can be performed safely, reduces the frequency of hospitalization, and improves short-term weight gain.

TL;DR: It is found that laparoscopic cholecystectomy was safe and effective in children with symptomatic cholelithiasis and permitted early discharge with expedient return to full activity.

TL;DR: Of the 43 children with a negative preoperative evaluation for GER, 37 are doing well following gastrostomy alone without clinical reflux at an average follow-up of 21 months, and five of these children have been successfully treated with an antireflux operation and the sixth patient has been successfully managed nonoperatively.