Showing papers in "Journal of Pediatric Surgery in 1997"

TL;DR: The LHR is a useful index to help predict neonatal outcome in patients who have left-sided CDH and is reported on in a prospective study to test whether this new index predicts Neonatal outcome.

TL;DR: The combination of intensive maternal-fetal monitoring, cesarean section with maximal uterine relaxation, and maintenance of intact feto-placental circulation provides a controlled environment for securing the airway in babies with prenatally diagnosed airway obstruction.

TL;DR: Neither HFOV nor ECMO has significantly improved outcome in CDH patients, but the institution of permissive hypercapnia has resulted in a significant increase in survival, and the leading causes of death inCDH patients appear to be associated anomalies and pulmonary hypoplasia, which are currently untreatable.

TL;DR: NO is produced in large quantity byEnterocytes in the intestinal wall of infants with NEC and leads to apoptosis of enterocytes in apical villi through peroxynitrite formation, and the levels of inflammatory cytokines and NO in the intestine of infants undergoing surgical resection for NEC are examined.

TL;DR: Preliminary results suggest that the total urogenital mobilization maneuver provides a definite technical advance in the repair of cloaca malformations.

TL;DR: Open fetal surgery is physiologically sound and technically feasible, but does not improve survival over standard postnatal treatment in the subgroup of CDH fetuses without liver herniation, primarily because overall survival in this subgroup is favorable with or without prenatal intervention.

TL;DR: Six patients who had prenatally diagnosed lung masses that displayed clinicopathologic features of both lesion types suggest a similar embryological origin for congenital cystic adenomatoid malformation and bronchopulmonary sequestration.

TL;DR: Five new cases of congenital extrahepatic portocaval shunts are described in this report, one end-to-side shunt with congenital absence of the portal vein (type 1 shunt) is the 13th case in the literature, and four are side- to-side (type 2) shunts of which there have been only two previous reports.

TL;DR: Conventional ventilation with HFOV produced equal survival to conventional ventilation with ECMO in two comparable series, suggesting that new therapies are required to improve outcomes.

TL;DR: The results support the concept that performing in utero surgery could protect the exposed but initially well-developed and uninjured cord, prevent secondary neural injury, and preserve neural function in the human fetus with myelomeningocele.

TL;DR: The age at surgery has limited usefulness as a predictor of survival after portoenterostomy and certainly should not be used to dictate primary treatment.

TL;DR: By understanding the cellular and molecular processes that mediate scar formation with increasing wound size and advancing gestational age, the authors hope to gain further insight into the mechanisms of scarless fetal wound repair.

TL;DR: It is suggested that tethered cord occurs more frequently in patients with severe anorectal defects, sacral hypodevelopment, myelodysplasia, presacral mass, sacrals hemivertebrae, or a single kidney, or in those with an anorctal defect with poor functional prognosis.

TL;DR: It is concluded that early diagnosis followed by CEHE is the treatment of choice for choledochal cyst, and intraoperative cyst endoscopy is recommended as a valuable adjunct to CEHE.

TL;DR: The technique is used to change the route of enema administration, and is only used in patients for whom bowel management with rectal enemas has been proven successful, and must be preserved whenever possible in patients at risk for fecal incontinence.

TL;DR: It is suggested that the adopted protocol is beneficial in the treatment of CDH and that the fraction of patients who have pulmonary hypoplasia incompatible with life is smaller than previously believed.

TL;DR: The histological similarity and anatomic proximity of the "bronchogenic cysts" and the intramural "esophageal duplications" supports their common origin.

TL;DR: This is the first animal model for EHBA with complete obstruction of the extrahepatic bile duct induced by infection, and presents a new basis for further studies.

TL;DR: It is suggested that laparoscopic appendectomy should be avoided in children who have complicated appendicitis because of the increased risk for postoperative intraabdominal abscesses.

TL;DR: A case of embryonal pulmonary RMS is described, which was discovered within a congenital CCAM in a 22-month-old child and the hypothesis regarding histogenesis of this neoplasm is briefly discussed.

TL;DR: An instance of malignant recurrence after resection of a fetus-in-fetu is described, in which a vertebrate fetus is enclosed within the abdomen of another fetus.

TL;DR: The authors propose a new diagnostic strategy in the evaluation of infantile cholestasis with emphasis on ultrasonographic TC sign as first priority of investigations, which they believe can be a simple, time-saving, highly reliable, and non-invasive tool in the diagnosis of BA from other causes of cholESTasis.

TL;DR: The Currarino triad, or another type of low anorectal malformation, an anterior sacral defect, and presacral mass, which is a safe and satisfactory method facilitating the excision of the presacrals in meningoceles is suspected in anoreCTal stenosis.

TL;DR: It was showed that prenatal diagnosis is useful but generally does not change the outcome; computerized tomography (CT) is the optimum postnatal diagnostic imaging modality if chest radiography is not definitive; ECMO can be an adjunct in treating associated pulmonary hypertension; and pulmonary resection (lobectomy) was the surgical procedure of choice for most lesions.

TL;DR: Pulmonary function is significantly decreased in patients with NHL, children who present with respiratory symptoms, and those with very large mediastinal masses (mediastinal mass ratio > 45%).

TL;DR: The predominance of lymphoma as the most common small and large bowel tumor and the emergence of nonendemic Burkitt's as a major entity in pediatric intestinal malignancy are highlighted.

TL;DR: The failure of 95% pancreatectomy to prevent hypoglycemia in one third of children with PHHN and the ultimate development of diabetes in a minimum of two-thirds indicates that an alternative treatment strategy is needed for this disease.

TL;DR: Clinical conditions resembling Hirschsprung's disease despite the presence of ganglia cells on suction rectal biopsy can be diagnosed by providing an adequate biopsy and employing a variety of histological techniques.

TL;DR: A retrospective review of the first 160 consecutive pediatric patients who underwent laparoscopic fundoplication concludes that "Learning Curves" as a function of surgical experience is an effective method for treating gastroesophageal reflux in infants and children.

TL;DR: The results suggest that early diagnosis is essential in the newborn period, and cineesophagography must be used in every patient suspected of having fistula, especially when the radiological methods fail.