Comparison Outcomes of Divided End Loop Versus Separate Double Barrel Colostomy in Neonates with Imperforate Anus: Divided End Loop Versus Separate Double Barrel Colostomy in Imperforate Anus

Introduction: the aim of current is to compare clinical outcomes between the divided end loop and separate double barrel colostomy in neonates with imperforate anus. Materials and Methods: This is a retrospective study to review 184 patients who presented with imperforate anus and were managed with a divided end loop or separate double barrel colostomy between 2017 and 2020. Complications were compared in the two groups. Results: There was more skin excoriation in separate double barrel colostomy compared to divided end loop colostomy (p=0.001).  The mean of scar size in patients of divided end loop colostomy group was lower than that of separate double barrel colostomy significantly (p<0.0001). Conclusion: Our results suggest that divided end loop colostomy may be more acceptable than separate double barrel colostomy for neonates with imperforate anus

A Survey on Factors Promoting Early and Delayed Complications in Neonate and Infants Using Cvc Line: A survey on factors complications in neonate and infants using CVC line

Abstract Introduction: Central venous catheter placement (CVC) is an accepted venous access method in the treatment of critically ill neonates & infants, evaluation of factors that induce complications are nescessary. Therefore, the aim of this study was to investigate the effective factors in causing early and late complications of central venous catheter placement in infants less than one year hospitalized in Imam Khomeini and Golestan hospitals. Methods: This study was performed on 400 infants less than one year old. Patients informations,early and delayed complications were recorded. Data were compared based on Chi-square and Fisher tests. Results: The most common complication of central venous catheter placement in the neonates and infants were as followed, infection (5.5%), venous thrombosis (5%), thrombophlebitis (4.3%), bleeding (3.8 %), hematoma (2.5%), arterial injury (0.3%) and pneumothorax (0.3%). Hemothorax and malposition were not observed. Frequency of bleeding in patients in whom catheterization was attempted 3 times was significantly higher (75%) than  patients that had been tried twice (26.3%). Also, the frequency of hematoma and arterial injury were higher in cases who had tried twice. Finally, one case of pneumothorax was observed in cases who had been tried three times (25%). Also, the incidence of infection and thrombophlebitis in patients who had a catheter for more than 14 days was significantly higher than patients who had a catheter less than 14 days. However, it was found that the frequency of complications was not related to age, sex, height and weight, underlying disease of the infant, catheter location and catheter needle. Conclusion: The incidence of central venous catheter complications in infants is low and has a significant relationship with the attempting times of placement and duration of catheter placement. This is a suitable venous access method for the treatment of infants and had no association with the underlying disease and neonatal demographic indicators. Keywords: Central venous catheter, Early and late complications, Infant Abstractter, Early and late complications, Infan

Pediatric Patients Undergoing Surgery with Peroperative SARS-Cov-2 Infection: An Iranian Case Brief Report: Peroperative SARS-Cov-2 Infection in Pediatric Patients Undergoing Surgery

Introduction: The present study aimed to assess COVID-19 disease complications and its related 30-day mortality in pediatric patients with perioperative SARS-CoV-2 infection who had surgery. Materials and Methods: A multi-center, prospective, brief report of pediatric patients who had surgery at 6 hospitals in 4 cities of Khuzestan Province, South-western Iran, one of the provinces with the highest prevalence and death rates due to COVID-19 disease. COVID-19 status and its effect on the course and outcome of the patients was investigated. Results: 246 pediatric patients who had surgery between Jan 20 and Jun 01, 2020 with a 30-day follow-up period enrolled in the study. Four (1.62%) of the 246 patients who underwent surgery had perioperative COVID-19 infection. The most common symptoms included dyspnea, fever, and cough. Surgical procedures included total gastrectomy and esophagojejunostomy, bilateral pleural effusions tap, catheter placement for dialysis, and CV-line placement. Three patients had comorbidities including congestive heart failure (CHF), end-stage renal disease (ESRD), and diabetes. Conclusion: Based on our results, it can be said that the prevalence of this disease in children is lower than the average of the society; and the outcome in younger patients seems to be better. Though it seems that COVID-19 disease is a low risk and somehow benign condition in children undergoing surgery, but due to the unpredictable nature of the disease, public health recommendations at both general and special levels have been made by the World Health Organization (WHO) to prevent the disease. Further studies with larger samples are necessary to confirm our findings and to clarify which age groups are at increased risk for developing severe COVID-19 infection and its related morbidities and death