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Total 65939 results found since Jan 2013.

Anaesthesia for specialist surgery in infancy
Publication date: Available online 26 December 2016 Source:Anaesthesia & Intensive Care Medicine Author(s): Amanda Dalton, Graham Knottenbelt Specialist surgery in infancy provides unique and significant challenges for paediatric anaesthetists. Both common (inguinal hernias and hypertrophic pyloric stenosis) and less common conditions (tracheo-oesophageal fistula, congenital diaphragmatic hernia, exomphalos (omphalocele), gastroschisis and congenital lobar emphysema) require a sound understanding of the relevant pathology and the particular issues that may be encountered in order to safely anaesthetise these infan...
Source: Anaesthesia and intensive care medicine - December 26, 2016 Category: Anesthesiology Source Type: research

Outcomes of bedside sutureless umbilical closure without endotracheal intubation for gastroschisis repair in surgical infants
Conclusion Bedside sutureless umbilical closure without intubation is feasible and effective in newborns with gastroschisis. The procedure decreases time to gastroschisis closure. Smaller and more premature neonates were more likely to be successfully closed without intubation.
Source: The American Journal of Surgery - March 25, 2017 Category: Surgery Source Type: research

Cosmetic Outcomes of Sutureless Closure in Gastroschisis
Conclusion Sutureless closure of uncomplicated gastroschisis is a safe technique that reduces need of intubation and provides excellent cosmetic results.[...]Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text
Source: European Journal of Pediatric Surgery - January 8, 2016 Category: Surgery Authors: Zajac, AndrzejBogusz, BartoszSoltysiak, PiotrTomasik, PrzemyslawWolnicki, MichalWedrychowicz, AndrzejWojciechowski, PiotrGorecki, Wojciech Tags: Original Article Source Type: research

Gastroschisis repair under caudal anesthesia: a series of three cases.
We present a series of three neonates with gastroschisis, repaired solely under caudal anesthesia. PMID: 28364969 [PubMed - as supplied by publisher]
Source: Revista Brasileira de Anestesiologia - April 5, 2017 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

Advances in the Surgical Treatment of Gastroschisis.
Authors: Safavi A, Skarsgard ED Abstract Gastroschisis (GS) is a structural defect of the anterior abdominal wall, usually diagnosed antenatally, that occurs with a frequency of approximately 4 per 10,000 pregnancies. Babies born with GS require neonatal intensive care and surgical management of the abdominal wall defect soon after birth. Although contemporary survival rates for GS are over 90%, these babies are at risk for significant morbidity, and require 4 to 6 weeks of costly, resource-intensive care in specialized neonatal units. Much consideration has been given to how best to treat the abdominal wall defect...
Source: Surgical Technology International - November 28, 2015 Category: Surgery Tags: Surg Technol Int Source Type: research

Gastroschisis repair under caudal anesthesia: a series of three cases
We present a series of three neonates with gastroschisis, repaired solely under caudal anesthesia.
Source: Brazilian Journal of Anesthesiology - August 31, 2016 Category: Anesthesiology Source Type: research

Outcomes of bedside sutureless umbilical closure without endotracheal intubation for gastroschisis repair in surgical infants
Newborns with gastroschisis have historically undergone surgical repair under general anesthesia. Our institution recently transitioned to the sutureless umbilical closure for gastroschisis. We sought to evaluate the feasibility of bedside gastroschisis repair without endotracheal intubation.
Source: American Journal of Surgery - March 24, 2017 Category: Surgery Authors: Gillian E. Pet, Rebecca A. Stark, John J. Meehan, Patrick J. Javid Source Type: research

Avoidance of routine endotracheal intubation and general anesthesia for primary closure of gastroschisis: a systematic review and meta-analysis
ConclusionThere are few comparative studies examining the impact of performing primary bedside closure of gastroschisis without GA. A meta-analysis of the available data found no statistically significant difference when forgoing intubation and GA. Foregoing GA also did not negatively impact time to enteral feeds, length of hospital stay, or mortality.
Source: Pediatric Surgery International - April 8, 2022 Category: Surgery Source Type: research

Successful on-ECLS Repair of CDH and Omphalocele in a Newborn
European J Pediatr Surg Rep. 2023; 11: e15-e19 DOI: 10.1055/s-0043-1767734Both congenital diaphragmatic hernias (CDHs) and omphaloceles show relevant overall mortality rates as individual findings. The combination of the two has been described only sparsely in the literature and almost always with a fatal course. Here, we describe a term neonate with a rare high-risk constellation of left-sided CDH and a large omphalocele who was successfully treated on extracorporeal life support (ECLS). Prenatally, the patient was diagnosed with a large omphalocele and a left CDH with a lung volume of ∼27% and an observed to expected l...
Source: European Journal of Pediatric Surgery Reports - April 10, 2023 Category: Surgery Authors: Fideler, Frank Mustafi, Migdad Kirschner, Hans-Joachim Gerbig, Ines Fuchs, J örg Hofbeck, Michael Kumpf, Matthias Kagan, Oliver Michel, J örg Jost, Walter Neunhoeffer, Felix Tags: Case Report Source Type: research

Secondary Plastic Closure of Gastroschisis Is Associated with a Lower Incidence of Mechanical Ventilation
Conclusion Plastic closure of gastroschisis after primary silo reduction is simple, safe, reproducible, and associated with a significant lower incidence of mechanical ventilation. Nutritional management and length of hospital stay were similar to conventional surgical closure for patients. Plastic closure allows nonoperative management without general anesthesia at patient's bedside, in comparison with surgical closure that must be performed under general anesthesia in the operating room. Plastic closure does not appear to be associated with more umbilical hernias in this retrospective study.[...]Georg Thieme Verlag KG ...
Source: European Journal of Pediatric Surgery - December 19, 2014 Category: Surgery Authors: Dariel, AnnePoocharoen, Wannisade Silva, NicolePleasants, HazelGerstle, Justin Ted Tags: Original Article Source Type: research

Cost Modeling for Management Strategies of Uncomplicated Gastroschisis
Compared to operative fascial closure, non-operative flap/skin-closure repair for gastroschisis has several potential advantages: avoidance of anesthesia, decreased pain, and improved cosmesis. Disadvantages include a higher risk of hernia. We hypothesized that routine non-operative closure results in cost-savings versus conventional management in uncomplicated gastroschisis.
Source: Journal of Surgical Research - June 16, 2016 Category: Surgery Authors: James X. Wu, Steven L. Lee, Daniel A. DeUgarte Source Type: research

Cost modeling for management strategies of uncomplicated gastroschisis
Compared to operative fascial closure, nonoperative flap and/or skin-closure repair for gastroschisis has several potential advantages: avoidance of anesthesia, decreased pain, and improved cosmesis. Disadvantages include a higher risk of hernia. We hypothesized that routine nonoperative closure results in cost savings versus conventional management in uncomplicated gastroschisis.
Source: Journal of Surgical Research - June 16, 2016 Category: Surgery Authors: James X. Wu, Steven L. Lee, Daniel A. DeUgarte Source Type: research

Evaluating the Risk of Peri-Umbilical Hernia after Sutured or Sutureless Gastroschisis Closure
Gastroschisis management protocols have undergone considerable study in the past decade, with increasing emphasis on the potential benefits of a sutureless approach to closure. Large cohorts have demonstrated that neonates who undergo sutureless closure of gastroschisis require fewer general anesthetics during their hospital stay, less ventilator use and time, experience a shorter time from birth to final closure, have less associated antibiotic use after closure, and fewer surgical site/deep space infections than those who undergo a sutured closure, while acknowledging associated risks of an unrepaired umbilical hernia [1 –5].
Source: Journal of Pediatric Surgery - March 26, 2022 Category: Surgery Authors: James A. Fraser, Katherine J. Deans, Mary E. Fallat, Michael Helmrath, Rashmi Kabre, Charles M. Leys, Troy A. Markel, Patrick A. Dillon, Cynthia Downard, Tiffany N. Wright, Samir K. Gadepalli, Julia E. Grabowski, Ronald Hirschl, Kevin N. Johnson, Jonathan Source Type: research

Use of high-frequency oscillatory ventilation with inhaled nitric oxide in congenital diaphragmatic hernia, omphalocele, and patent ductus arteriosus.
Authors: Kim KN, Kim DW, Shim JC, Kim KS, Choi SL PMID: 25598926 [PubMed]
Source: Korean Journal of Anesthesiology - November 18, 2015 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research