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Horn Ernst-Peter EP From the *Departments of Anesthesiology and Intensive Care Medicine, Regio Klinikum Pinneberg, Pinneberg, Germany; †Department of Anesthesiology and Intensive Care Medicine, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany; and ‡Department of Gynecology and Obstetrics, Regio Klinikum Pinneberg, Pinneberg, - - 2014
Little is known about thermoregulation of the newborn while bonding on the mother's chest immediately after cesarean delivery. Newborn hypothermia is associated with serious complications and should be avoided. Therefore, we evaluated whether newborns develop hypothermia during intraoperative bonding while positioned on their mothers' chests and investigated the effects of ...
Shen Zhen Z Children's Hospital, Fudan University, 399 Wanyuan Road, Shanghai, 201102, - - 2014
Amyand's hernia with acute appendicitis is rare in infants and is mostly delayed in diagnosis and treatment, resulting in a high morbidity. We presented two cases of infantile Amyand's hernia with acute appendicitis. Early surgical interventions were performed and both patients recovered without complication. A practical strategy for this entity ...
Sweis Auddie M AM Rush Medical College, Rush University, Chicago, IL, - - 2014
Non-toxic adenomatous multinodular goiter in infants is a rare condition. We discuss an extremely rare case of a non-toxic adenomatous multinodular goiter in a three-month-old female presenting with airway obstruction. Surgical resection of the mass was performed to reduce the burden on the airway and for diagnosis. The literature is ...
McGrath Eric J EJ *Carman and Ann Adams Department of Pediatrics †Division of Pediatric Infectious Diseases ‡Children's Hospital of Michigan §Wayne State University School of Medicine ||Division of Gastroenterology, Hepatology and Nutrition, Children's Hospital Boston, Boston, - - 2014
Pentavalent rotavirus vaccine (RV5) has been shown to be well-tolerated and efficacious in preventing rotavirus gastroenteritis in healthy infants. Safety and immunogenicity of RV5 in infants with surgical gastrointestinal disease have not been studied. Evaluate the safety and immunogenicity of RV5 in infants with a history of congenital or acquired ...
Segal Ilan I Children's & Women's Health Centre of British Columbia, Vancouver, BC, Canada V6H 3 N1; Department of Pediatrics, University of British Columbia, Vancouver, BC, Canada V6T 1ZA; The Barzilai Medical Center Ashkelon; Ben Gurion University of the Negev, Ashkelon 78278, - - 2014
Surgical interventions are common in infants admitted to the neonatal intensive care unit (NICU). Despite our awareness of the broad impact of surgical site infection (SSI), there are little data in neonates. Our objective was to determine the rate and clinical impact of SSI in infants admitted to the NICU. ...
Benkoe Thomas T Department of Pediatric Surgery, Medical University of Vienna, Vienna, Austria. Electronic address: - - 2014
The purpose of this study was to evaluate the predictiveness of circulating interleukin (IL)-8 for 60-day mortality in premature infants with necrotizing enterocolitis (NEC). NEC affects up to 5% of premature infants and remains a leading cause of mortality among neonates. A total of 113 infants with surgically (n=50) or ...
Latzman Jonathan M JM Department of Radiology, Division of Pediatric Radiology, Jack D. Weiler Hospital, Children's Hospital at Montefiore-Albert Einstein College of Medicine, Bronx, NY, - - 2014
A newborn infant with a prenatal diagnosis of duodenal atresia and abdominal radiographs demonstrating air in distal bowel is presented. An upper gastrointestinal series revealed complete duodenal obstruction and duodenal atresia was confirmed at surgery. The significance of distal bowel gas and the embryological development of this unusual entity is ...
Sacks Greg D GD Division of Pediatric Surgery, Department of Surgery, David Geffen School of Medicine at UCLA, 10833 Le Conte Avenue, P. O. Box 709818, Los Angeles, CA, 90095-7098, - - 2014
Acquired neonatal lung lesions including pneumatoceles, cystic bronchopulmonary dysplasia, and pulmonary interstitial emphysema can cause extrinsic mediastinal compression, which may impair pulmonary and cardiac function. Acquired lung lesions are typically managed medically. Here we report a case series of three extremely premature infants with acquired lung lesions. All three patients underwent ...
Bowley Douglas M DM Heart of England NHS Foundation Trust, Birmingham, - - 2014
Tongue tie is an increasingly common cause for referral of infants to our general paediatric surgery service. In this article, we will explore the indications for tongue tie division in the newborn child, the practicalities of the procedure and the supporting evidence.
Gungor Anil A AA Department of Otolaryngology/Head & Neck Surgery, LSU-Health Shreveport, Shreveport, LA, - - 2014
Congenital nasal piriform aperture stenosis (CNPAS) is an uncommon but important cause of nasal obstruction in infants. When it is severe, nasal decongestants or temporary nasal airway devices cannot address the problem adequately. The most common surgical technique used to treat the bony piriform aperture stenosis is the sublabial approach ...
Thyoka Mandela M Surgery Unit, UCL Institute of Child Health, London, - - 2014
Gastroschisis is a common congenital abdominal wall defect requiring surgical correction in early neonatal life. The time to full enteral feeds among infants with gastroschisis is variable. Gastroschisis remains a common surgical cause of intestinal failure in neonates. Peripherally inserted central catheters (PICC) are commonly used to provide long-term venous ...
Bi Wenjing W Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang, 110004, - - 2013
Anomalous origin of one pulmonary artery from the aorta (AOPA) is a rare congenital anomaly. Here, we report the case of a premature infant with a delayed diagnosis of AOPA who died before surgical repair could be attempted, and we review the literature regarding the diagnosis and surgical approaches in ...
Gérard M M Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital Sud - University of Rennes 1, 16 Boulevard de Bulgarie, Rennes, 35200, - - 2013
Subcutaneous fat necrosis of the newborn (ScFN) is an uncommon and transient disease characterized by defined areas of fat necrosis and overlying cutaneous nodule lesions. It usually becomes apparent within the first six weeks of life in full term or post-term infants. It's caused by generalized and/or local tissue hypoperfusion. ...
Wolf Michael J MJ Division of Pediatric Cardiology, Department of Pediatrics, Emory University School of Medicine, Atlanta, Ga. Electronic address: - - 2013
Infants undergoing cardiac surgery often have postoperative bleeding contributing to the occurrence of adverse events. A quantitative evaluation of postoperative bleeding has not been well described. We identified 1071 infants who had undergone cardiopulmonary bypass from August 1, 2008 to December 31, 2011. The volume of postoperative bleeding and its ...
Parakh Ankit - - 2013
Thymolipomas are benign neoplasms that usually occur in adults and are rarely described in children. They are usually detected incidentally but can be of massive size and lead to respiratory compromise. A 6-month-old boy presented with respiratory distress and an anterior mediastinal mass which proved to be a thymolipoma. He ...
Jawaid W B - - 2013
The anatomical defect in congenital diaphragmatic hernia (CDH) can usually be closed primarily but prosthetic patch repair may be required in newborns with a deficient diaphragm. High rates of patch failure and hernia recurrence (up to 50 per cent) have been reported. This study evaluated contemporary outcomes following patch repair ...
Sochet Anthony A AA 1 Department of Pediatrics, University of South Florida Morsani College of Medicine, Tampa, United States of - - 2013
Infants with critical congenital heart disease who require cardiothoracic surgical intervention may have significant post-operative mortality and morbidity. Infants who are small for gestational age <10th percentile with foetal growth restriction may have end-organ dysfunction that may predispose them to increased morbidity or mortality. A single-institution retrospective review was performed ...
Dickson Alan P AP Department of Paediatric Urology, Royal Manchester Children's Hospital, Oxford Road, Manchester M13 9WL, United Kingdom. Electronic address: - - 2014
Aim: Bladder exstrophy (BE) is a severe congenital malformation with life-long implications. This article discusses the current surgical management and describes the development of the nationally commissioned bladder exstrophy service in Manchester, UK. Outcome of BE surgery in Manchester was retrospectively reviewed. A Medline search was also undertaken and the ...
Merhar Stephanie L - - 2013
Magnetic resonance imaging of the brain was performed in 26 preterm infants with necrotizing enterocolitis (NEC) or spontaneous intestinal perforation at term equivalent age. Infants with surgical NEC or spontaneous intestinal perforation had significantly more brain injury on magnetic resonance imaging compared with infants with medical NEC, even after adjustment ...
Morgenstern Daniel A - - 2013
A male infant with dysmorphic features, intestinal malrotation, and developmental delay was found to have a germline translocation resulting in partial trisomy 2p and monosomy 16p. At 3 and 9 months of age, he developed localized neuroblastoma in each adrenal, which was managed with surgical resection. Tumors were MYCN non-amplified, ...
Suzuki Shoji - - 2013
Implantable cardioverter defibrillators (ICDs) are now being used in children. ICDs can be used to prevent sudden cardiac death caused by not only congenital heart defects, but also various non-structural diseases, such as long QT syndrome. However, a standard implantation technique for children, especially infants, has not yet been established. ...
Neumann Roland P - - 2013
This review article focuses on neonatal respiratory physiology, mechanical ventilation of the neonate and changes induced by anesthesia and surgery. Optimal ventilation techniques for preterm and term neonates are discussed. In summary, neonates are at high risk for respiratory complications during anesthesia, which can be explained by their characteristic respiratory ...
Morris Shaine A - - 2013
Most studies have not demonstrated improved survival after prenatal diagnosis of critical congenital heart disease, including hypoplastic left heart syndrome (HLHS). However, the effect of delivery near a cardiac surgical center (CSC), the recommended action after prenatal diagnosis, on HLHS mortality has been poorly investigated. Using Texas Birth Defects Registry ...
Wassner Ari J AJ Division of Endocrinology, Boston Children's Hospital, Boston, - - 2013
Evaluation of suspected endocrine pathology in newborn infants requires knowledge of the dynamic changes that characterize normal hormonal function in the neonatal period. This article reviews normal endocrine physiology as it pertains to common clinical scenarios encountered in neonatal surgical patients. Topics covered include thyroid and adrenal function as well ...
Nghiem-Rao T Hang - - 2013
Cyclic parenteral nutrition (PN) is used for both the treatment and prevention of parenteral nutrition-associated liver disease (PNALD). Early initiation of prophylactic cyclic PN may not be well tolerated in young neonates. Our objective was to test the hypothesis that prophylactic cyclic PN initiated prior to the onset of hyperbilirubinemia ...
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 ...
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