6 research outputs found
How I Do It - Primary closure of thoraco-abdominal ectopia cordis
Thoraco-abdominal ectopia cordis is an unusual congenital anomaly. The
case of a 45-days-old female child, who presented with a defect in the
chest and upper abdomen and visible cardiac pulsations and bulge during
crying, is being reported. There was an inferior sternal cleft with
divarication of the recti up to the umbilicus. The cleft was covered
with a thin translucent membrane. Primary repair was accomplished
successfully without causing mediastinal compression
Pediatric cholelithiasis and laparoscopic management: A review of twenty two cases
Aim: To evaluate the role of laparoscopic cholecystectomy (LC) in the
management of cholelithiasis in children. Materials and Methods: A
retrospective review of our experience with LC for cholelithiasis at
our institution, between April 2006 and March 2009 was done. Data
points reviewed included patient demographics, clinical history,
haematological investigations, imaging studies, operative techniques,
postoperative complications, postoperative recovery and final
histopathological diagnosis. Results: During the study period of 36
months, 22 children (10 males and 12 females) with cholelithiasis were
treated by LC. The mean age was 9.4 years (range 3 to 18 years).
Twenty-one children had symptoms of biliary tract disease and one child
was incidentally detected with cholelithiasis during an ultrasonogram
of the abdomen for an unrelated cause. Only five (22.7%) children had
definitive etiological risk factors for cholelithiasis and the
remaining 13(77.3%) cases were idiopathic. Twenty cases had pigmented
gallstones and two had cholesterol gallstones. All the 22 patients
underwent LC, 21 elective and one emergency LC. The mean operative
duration was 74.2 minutes (range 50-180 minutes). Postoperative
complications occurred in two (9.1%) patients. The average duration of
hospital stay was 4.1 days (range 3-6 days). Conclusion: Laparoscopic
chloecystectomy is confirmed to be a safe and efficacious treatment for
pediatric cholelithiasis. The cause for an increased incidence of
pediatric gallstones and their natural history need to be further
evaluated
Pediatric cholelithiasis and laparoscopic management: A review of twenty two cases
<b>Aim:</b> To evaluate the role of laparoscopic cholecystectomy (LC) in the management of cholelithiasis in children. <b> Materials and Methods:</b> A retrospective review of our experience with LC for cholelithiasis at our institution, between April 2006 and March 2009 was done. Data points reviewed included patient demographics, clinical history, haematological investigations, imaging studies, operative techniques, postoperative complications, postoperative recovery and final histopathological diagnosis. <b> Results:</b> During the study period of 36 months, 22 children (10 males and 12 females) with cholelithiasis were treated by LC. The mean age was 9.4 years (range 3 to 18 years). Twenty-one children had symptoms of biliary tract disease and one child was incidentally detected with cholelithiasis during an ultrasonogram of the abdomen for an unrelated cause. Only five (22.7%) children had definitive etiological risk factors for cholelithiasis and the remaining 13(77.3%) cases were idiopathic. Twenty cases had pigmented gallstones and two had cholesterol gallstones. All the 22 patients underwent LC, 21 elective and one emergency LC. The mean operative duration was 74.2 minutes (range 50-180 minutes). Postoperative complications occurred in two (9.1%) patients. The average duration of hospital stay was 4.1 days (range 3-6 days).<b> Conclusion:</b> Laparoscopic chloecystectomy is confirmed to be a safe and efficacious treatment for pediatric cholelithiasis. The cause for an increased incidence of pediatric gallstones and their natural history need to be further evaluated
Laparoscopic appendicectomy is a favorable alternative for complicated appendicitis in children
Aim: To evaluate the role of laparoscopy in complicated appendicitis in children. Materials and Methods: A total of 119 children were operated for appendicitis between October 2005 and May 2008 at SRMC, Chennai. Forty-one patients underwent open appendicectomy (OA), and 71 patients underwent laparoscopic appendicectomy (LA). Twenty-six cases among the LA group and 16 among the OA group had complicated appendicitis. Twenty-six cases were completed laparoscopically, and 2 needed conversion to OA. Results: Out of 26 patients in the LA group, 23 made an uneventful recovery without any complications. One had minor port site infection, and 2 had prolonged loose stools. Out of 16 in the OA group, 7 had complications. Three had wound infection, 2 had loose stools, 1 had fecal fistula and another required subsequent surgeries. Operative duration in LA was 86.7 min (range: 75 to 120 min) and 90.3 min (range: 70 to 150 min) in OA. Oral feed resumption in LA was done at average of 2.7 days and in OA at 4.3 days. IV antibiotics were administered for an average of 3.6 days in LA and 4.8 days in OA, parenteral analgesic for 2.7 days in LA and 4.2 days in OA. The length of hospital stay was 5.4 days in LA and 7.3 days in OA. Conclusion: LA is a favorable alternative in children with complicated appendicitis in view of less postoperative pain, fewer postoperative complications and quicker return to normal activity
Laparoscopic appendicectomy is a favorable alternative for complicated appendicitis in children
Aim: To evaluate the role of laparoscopy in complicated appendicitis in
children. Materials and Methods: A total of 119 children were operated
for appendicitis between October 2005 and May 2008 at SRMC, Chennai.
Forty-one patients underwent open appendicectomy (OA), and 71 patients
underwent laparoscopic appendicectomy (LA). Twenty-six cases among the
LA group and 16 among the OA group had complicated appendicitis.
Twenty-six cases were completed laparoscopically, and 2 needed
conversion to OA. Results: Out of 26 patients in the LA group, 23 made
an uneventful recovery without any complications. One had minor port
site infection, and 2 had prolonged loose stools. Out of 16 in the OA
group, 7 had complications. Three had wound infection, 2 had loose
stools, 1 had fecal fistula and another required subsequent surgeries.
Operative duration in LA was 86.7 min (range: 75 to 120 min) and 90.3
min (range: 70 to 150 min) in OA. Oral feed resumption in LA was done
at average of 2.7 days and in OA at 4.3 days. IV antibiotics were
administered for an average of 3.6 days in LA and 4.8 days in OA,
parenteral analgesic for 2.7 days in LA and 4.2 days in OA. The length
of hospital stay was 5.4 days in LA and 7.3 days in OA. Conclusion: LA
is a favorable alternative in children with complicated appendicitis in
view of less postoperative pain, fewer postoperative complications and
quicker return to normal activity