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Murray Meghan T - - 2013
Few recent studies have assessed the epidemiology of and risk factors for surgical site infections (SSIs) and bloodstream infections (BSIs) in infants after cardiac surgery. We hypothesized that infants younger than 30 days old and those with higher Risk Adjustment in Congenital Heart Surgery-1 scores would have an increased risk ...
Arunachalam Pavai P Department of Pediatric Surgery, PSG IMSR, Coimbatore, Tamil Nadu, - - 2013
Cow's milk protein allergy (CMPA) typically presents with persistent diarrhea or dysentery, vomiting and bleeding per rectum in young infants. CMPA is reported to mimic Hirschsprung's disease and malrotation. We report, a neonate who presented with recurrent attacks of segmental enteritis due to CMPA and the last episode presented with ...
Khan Muhammad S - - 2013
Surgical treatment of aortic valve (AoV) disease in childhood involves complex decisions particularly in very small patients. There is no consensus regarding the optimum surgical option. The objective of this review was to analyze a contemporary experience of AoV surgery in a large children's hospital. A retrospective review of children ...
Streit Stephanie M - - 2013
Hypertrophic pyloric stenosis is a very common surgical problem in infants. It occurs most often in otherwise well babies with normal gestation and birth history. Rarely, pyloric stenosis has been described in babies with history of prior abdominal surgery. Below we discuss the management of hypertrophic pyloric stenosis in a ...
Ali Kamal - - 2013
To evaluate the mortality and morbidity of infants with congenital diaphragmatic hernia who had undergone fetal endoscopic tracheal occlusion (FETO) and whether this was influenced by premature birth. The gestational age at delivery, lung-head ratio (LHR) pre and post FETO, neonatal outcomes, and respiratory, gastro-intestinal, neurological, surgical, and musculoskeletal problems ...
Whinney Jennifer - - 2013
Vomiting is very common in infants and is mostly caused by non-serious conditions. However, community practitioners may come across infants with serious causes of vomiting, requiring prompt referral. Bilious vomiting should always raise suspicion of a surgical cause and needs urgent assessment by the paediatric/surgical team. The role of community ...
Ortinau Cynthia C Department of Pediatrics, St. Louis Children's Hospital, Washington University in St. Louis, St. Louis, MO. Electronic address: - - 2013
Infants with congenital heart disease have altered brain development. We characterized cortical folding, a critical part of brain development, in congenital heart disease infants and demonstrated an overall decrease in cortical surface area and cortical folding with regional alterations in the right lateral sulcus and left orbitofrontal region, cingulate region, ...
Bhatia Amina M - - 2013
Objectives The purpose of this study is to characterize the cytokine response of preterm newborns with surgical necrotizing enterocolitis (NEC) or spontaneous intestinal perforation (SIP) before surgical treatment and to relate these finding to intestinal disease (NEC vs. SIP).Study Design The study was a 14-month prospective, cohort study of neonates ...
Kasdorf Ericalyn - - 2013
Recent studies suggest an increased risk of neurodevelopmental impairment following patent ductus arteriosus surgical ligation. The mechanisms are unclear, but intraoperative stress or pain may contribute. The objectives of this study were to determine if pain, evidenced by an increase in heart rate and blood pressure, during patent ductus arteriosus ...
Bosenberg Adrian - - 2013
Optimal pain management can significantly impact the surgical outcome and length of stay in the neonatal intensive care unit (NICU). Regional anesthesia is an effective alternative that can be used in both term and preterm neonates. A variety of neuraxial and peripheral nerve blocks have been used for specific surgical ...
Borroni Cesarina - - 2013
This study aims to investigate the incidence and the relative risk factors of retinopathy of prematurity (ROP) and posterior-ROP (P-ROP): ROP in Zone I and posterior Zone II, as well as to analyze the occurrence of surgical treatment of ROP and to evaluate the short term outcome of the disease ...
Naqvi Shehryer - - 2013
Inguinal hernia occurs in 3 to 5 percent of infants and is a common surgical condition in the paediatric population (1). Unless complicated (incarcerated or strangulated) they are otherwise thought to be asymptomatic (2,3). Anecdotal evidence from our own institution suggests that parents of infants do notice symptoms in conjunction ...
Landolfo Francesca - - 2013
Functional residual capacity (FRC) and lung clearance index (LCI) are sensitive parameters for early detection of airway disease in infancy. The closed helium dilution method has been applied to assess lung volume and ventilation inhomogeneity (VI) in spontaneously breathing infants. The aims of this study were as follows: (1) to ...
Kamble Vaibhav D - - 2013
PATIENT: A 2-day-old female infant with complete unilateral cleft lip, alveolus, and palate (left side) was presented to the Department of Prosthodontics, Government Dental College and Hospital, Nagpur for evaluation and treatment with presurgical nasoalveolar molding (PNAM) prior to surgical intervention. DISCUSSION: The alignment of the alveolar segments creates the ...
Algra Selma O - - 2013
Since the introduction of open-heart surgery for congenital heart disease (CHD) in the 1950s, there have been major advances in surgical techniques, which have resulted in a survival rate of more than 90% in neonates undergoing these procedures. While this is good news for those born with complex CHD such ...
Lupo E - - 2013
Aim: Congenital diaphragmatic hernia remains a significant challenge for neonatologists and pediatric surgeons. Over the last years, new therapeutic approaches, as high-frequency oscillatory ventilation, inhaled nitric oxide, permissive hypercapnia, extracorporeal membrane oxygenation, have been used for the management of these newborns. We conducted a retrospective study of all infants who ...
Aksu Aysel Unlüsoy - - 2013
Cytomegalovirus infection can cause gastrointestinal disease, especially in immunocompromised patients and premature infants. In the neonatal period, however, gastrointestinal involvement is infrequent. A case of cytomegalovirus enteritis and jejunal stricture in a preterm neonate is presented. The diagnosis was established after the histopathology of the surgical specimen demonstrated the presence ...
Unuma Kana - - 2013
Two infants in different nurseries were found with cardiopulmonary arrest. Cardiopulmonary resuscitation was undertaken immediately in both cases, but was unsuccessful. The cause of death in both infants was diagnosed as sudden unexpected death, probably sudden infant death syndrome, at postmortem investigations. Microscopic examination at autopsy showed the presence of ...
Aronson Lori A - - 2013
The sternal cleft is a rare congenital abnormality that is a result of failure of sternal fusion, varying from complete to incomplete (bifid), and may be associated with ectopia cordis. The surgical correction of the bifid sternum and its respective anesthetic concerns are presented.
Wilson Marnie Goodwin - - 2013
Little is known about liveborn CDH patients who die without surgery. We audited a national CDH cohort to determine whether these patients were different from patients who received CDH repair. A national CDH database was analyzed (2005-2009). After excluding infants with severe physiologic instability and genetic/congenital malformations, a potential surgical ...
Smith James - - 2013
Abstract Purpose: Laparotomy is the preferred option for the surgical treatment of necrotizing enterocolitis (NEC); however, laparoscopy may offer benefit, particularly when it is uncertain if the operation is necessary. Our aim was to review the current evidence for the use of diagnostic and therapeutic laparoscopy in NEC. Materials and ...
Ng Eddy W Y - - 2013
OBJECTIVES:: To evaluate the use of gut barrier proteins, liver-fatty acid binding protein (L-FABP), intestinal-fatty acid binding protein (I-FABP), and trefoil factor 3 (TFF3), as biomarkers for differentiating necrotizing enterocolitis (NEC) from septicemic/control infants and to identify the most severely affected surgical NEC from nonsurgical NEC infants. BACKGROUND:: Clinical features ...
Kelleher John - - 2013
To examine whether as initial surgical intervention for necrotizing enterocolitis, primary peritoneal drainage as compared to primary laparotomy is associated with increased mortality or intestinal failure. Retrospective observational study of 240 infants with surgical necrotizing enterocolitis. There was no difference concerning the composite outcome of mortality before discharge or survival ...
Santecchia Luigino - - 2013
Background:Infantile hemangioma is the most common vascular tumor in newborns, with an incidence from 12 to 23% among preterm infants with low weight at birth and a female to male ratio of 3:1. The head and neck is the most frequently affected area (60%), and the scalp is a typical ...
Schierz Ingrid Anne Mandy - - 2013
In the pediatric population, abdominal compartment syndrome (ACS) is a known complication of abdominal wall defect repair. However, there are only few reports on ACS in newborns and only a proposal of critical intra-abdominal pressure value (IAP) in term newborns, absent in preterm newborns. Although the prevalent clinical sign is ...
Sanchez Sabrina E - - 2013
Surgical infants requiring long-term parenteral nutrition (PN) are at risk for parenteral nutrition-associated liver disease (PNALD). The purpose of this study was to determine the effect of a lipid restricted PN regimen in preventing the development of PNALD in surgical infants. In 2009, we implemented a lipid restricted strategy in ...
Soylu Hanifi H Division of Neonatology, WS-012 Women’s Hospital, Winnipeg, MB, Canada. - - 2013
Feeding tubes are commonly used in neonatal intensive care units, and their abnormal position seen on radiographs may indicate underlying serious problems. We recently cared for two infants who presented with clinical deterioration. An abnormally placed feeding tube seen on the chest radiograph revealed underlying serious conditions. The first case ...
Handley Sara C - - 2013
ObjectiveTo determine which factors present in the neonatal period may predict subsequent need for surgical intervention in infants with micrognathia.Study DesignCase series with chart review.SettingTwo, urban, tertiary pediatric hospitals.Subjects and MethodsThe otolaryngology databases from 2 institutions were queried for the diagnosis of micrognathia over a 10-year period, and 123 infants ...
Dias Cristiane S - - 2013
PURPOSE: The aim of this study was to evaluate the diagnostic accuracy of renal pelvic dilatation (RPD) for detecting infants with antenatal hydronephrosis (AHN) who will need surgical intervention for ureteropelvic junction obstruction (UPJO) during follow-up. PATIENTS AND METHODS: Between 1999 and 2010, 371 neonates were diagnosed with isolated AHN ...
Murphy Robert F - - 2013
At 7 months, an infant born with a third limb attached to a lumbosacral mass with an associated lipomyelomeningocele underwent removal of the limb and spinal cord detethering. Depending on the complexity of the pathology and proximity of the limb to viscera, consultation with neurosurgical and surgical colleagues is recommended.
Moore Sam W - - 2013
Necrotizing enterocolitis (NEC) is the most common and severe acquired acute neonatal surgical condition, associated with premature neonates. Antenatal factors (e.g. vascular insufficiency and antenatal infections) may be important factors in "priming" the inflammatory cascade, thus predisposing to the disease. This study explores the role of placental pathology in predisposing ...
Kastenberg Zachary J - - 2013
Necrotizing enterocolitis (NEC), a common cause of neonatal morbidity and mortality, is strongly associated with prematurity and typically occurs following initiation of enteral feeds. Mild NEC is adequately treated by cessation of enteral feeding, empiric antibiotics, and supportive care. Approximately 50% of affected infants will develop progressive intestinal necrosis requiring ...
Krishnamurthy Ganga - - 2013
Every year in the United States approximately 40,000 infants are born with congenital heart disease. Several of these infants require corrective or palliative surgery in the neonatal period. Mortality rates after cardiac surgery are highest amongst neonates, particularly those born prematurely. There are several reasons for the increased surgical mortality ...
Onan Ismihan Selen - - 2013
This study summarizes the clinical outcome data of a start-up congenital heart surgery program in Turkey. Between December 2009 and February 2012, 616 operations have been performed in 132 newborns (22%), 260 infants (42%), and 224 children/adolescents (36%). Risk adjustment analysis was performed using the risk adjustment in congenital heart ...
Hill Sarah J - - 2013
Abstract Introduction: Current surgical techniques for gastroesophageal reflux in infants involve gastric fundoplication and crural repair. These operations are complicated by a high recurrence rate in the infant population. The primary cause of failure is generally related to recurrent hiatal hernia. Minimal dissection of the gastroesophageal junction has been linked ...
Cascini Valentina - - 2013
Indirect inguinal hernia is the most common congenital anomaly in the pediatric age group. About 15-20% of hernias in infant girls contain ovary, sometimes with a Fallopian tube. The presence of the uterus incarcerated with the adnexa is a very unusual occurrence in female infants with normal kariotype and phenotype, ...
Bhattarai Anil - - 2013
We report a case of a 750 grams premature female who was scheduled for surgical ligation of a patent arterial duct. Intra-operative findings showed a patent arterial duct in association to a retro-esophageal aortic arch creating a complete vascular ring around the trachea, which was successfully divided. A vascular ring ...
Dubey Alok - - 2013
The immediate problem to be addressed in a new born with cleft lip and palate is the interference of feeding. Here we present a case of cleft lip and palate for which a feeding obturator was made to facilitate feeding till the defect could be surgically repaired. The design was ...
Al Tawil K - - 2013
To identify the risk factors, characteristics and outcomes of necrotizing enterocolitis (NEC) at our institution. A retrospective case-control analysis of the charts of all late preterm and term infants, who had NEC of Bell's stage ≥ II from 1995 to 2009, along with infants of the same gestational age. Thirty-two ...
Hahn E E Division of Pediatric Cardiology, Department of Pediatrics, College of Physicians and Surgeons, Columbia University, New York, NY, - - 2013
A premature infant with Tetralogy of Fallot with Pulmonary Atresia and prenatal compression of the left main bronchus by a large and ectatic patent ductus arteriosus is presented. Survival to surgery was accomplished by transcatheter placement of a coronary stent into the left mainstem bronchus.
Mihajlovic Miljan M University Pediatric Hospital, Department of Neurosurgery, Belgrade, - - 2013
The aim of this study was to identify the most appropriate method of surgical treatment of hydrocephalus in preterm infants that is caused by spontaneous intraventricular hemorrhage (IVH) and to identify predictive factors of poor perioperative outcomes. We present a series of 60 patients with IVH and hydrocephalus, to whom ...
Plakkal Nishad - - 2013
Intracranial abscesses are serious conditions but uncommon in preterm neonates. Citrobacter species are an uncommon cause of bacterial meningitis in neonates, but are associated with brain abscesses in a majority of cases. We report a preterm infant who developed Citrobacter freundii meningitis with brain abscess, who was successfully treated with ...
Zurina Z - - 2012
Parotid abscess is uncommon in neonates. It is frequently related to prematurity, prolonged gavage feeding and dehydration. We report a case of a late preterm infant who developed the classical manifestation of unilateral acute Staphylococcus aureus suppurative parotitis progressing to formation of abscess which responded to surgical drainage and antibiotic ...
Kang Sok-Leng - - 2012
BACKGROUND: Surgical ligation of patent ductus arteriosus is considered when medical treatment fails or is contraindicated. This study aims to determine the mortality and morbidity of preterm neonates referred for patent ductus arteriosus ligation. METHODS: A prospective study was conducted in the East of England to follow the outcome of ...
Selçuk Omer Tarık - - 2012
The nasal hamartoma is a rare non-neoplastic malformation or inborn error of tissue development, characterized by a mix of several tissue types. Folliculosebaceous cystic hamartoma is a distinct type of cutaneous hamartoma. We present a 3-month-old male infant who had nasal obstruction and who had a diagnosis of nasal folliculosebaceous ...
Garriboli Massimo - - 2012
PURPOSE: Congenital diaphragmatic hernia (CDH) remains a challenging and life-threatening congenital anomaly. The aim was to evaluate whether treatment and survival has changed during the last decade. METHODS: We retrospectively analysed all consecutive infants with CDH referred to two European tertiary paediatric surgical centres over 11 years (January 1999 to December ...
Moffett Brady S - - 2012
We aimed to identify the risk factors for acute kidney injury in infants who have received ketorolac after a cardiac surgical procedure by identifying patients with a ≥50% increase in serum creatinine from baseline and matching them by age with three controls that had <50% increase in serum creatinine. Significant ...
Honda Shohei - - 2012
Spontaneous rupture of adrenal neuroblastoma is very rare in infants, in contrast to neonates. This report describes a 9-month-old boy presenting with acute hemorrhagic shock due to spontaneous rupture of adrenal neuroblastoma. MYCN oncogene amplification may be a predisposing factor for spontaneous rupture and bleeding of neuroblastoma. An appropriate surgical ...
Wang Kasper S - - 2012
Inguinal hernia repair in infants is a routine surgical procedure. However, numerous issues, including timing of the repair, the need to explore the contralateral groin, use of laparoscopy, and anesthetic approach, remain unsettled. Given the lack of compelling data, consideration should be given to large, prospective, randomized controlled trials to ...
Davenport Mark M Department of Paediatric Surgery, Kings College Hospital, London, UK. - - 2012
Biliary atresia (BA) remains one of the most challenging conditions in paediatric surgery. It has several possible causes, resulting in a range of different clinical scenarios. The current therapeutic approach is almost entirely surgical with an initial attempt to restore bile flow and preserve the native liver using a Kasai-type ...
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