Fetal surgery for spina bifida: past, present, future.

abstract：:Hypertrophic pyloric stenosis (HPS) is a common condition affecting infants that presents with progressive projectile nonbilious vomiting. The pyloric portion of the stomach becomes abnormally thickened and manifests as gastric outlet obstruction. The cause is unknown. Pyloromyotomy remains the standard of treatment a...

journal_title：Seminars in pediatric surgery

authors： Aspelund G,Langer JC

更新日期：2007-02-01 00:00:00

abstract：:Biliary atresia (BA) remains an enigmatic disease with a degree of etiologic heterogeneity. A number of variants can be defined clinically, and these include the syndromic group (typically BA splenic malformation), cystic BA, and cytomegalovirus (CMV) IgM +ve associated BA. The remainder, and still the largest group, ...

journal_title：Seminars in pediatric surgery

authors： Davenport M

更新日期：2012-08-01 00:00:00

abstract：:Congenital tracheobronchial stenosis is a rare disease characterized by complete tracheal rings that can affect variable lengths of the tracheobronchial tree. It causes high levels of morbidity and mortality both due to the stenosis itself and to the high incidence of other associated congenital malformations. Success...

journal_title：Seminars in pediatric surgery

authors： Hewitt RJ,Butler CR,Maughan EF,Elliott MJ

更新日期：2016-06-01 00:00:00

abstract：:Injuries to the solid abdominal viscera (spleen, liver, kidney, pancreas) are common in children sustaining trauma by blunt mechanisms. Success with nonoperative management of these injuries has led to recent extensions of this approach to the management of higher-grade more complicated injuries typically treated oper...

journal_title：Seminars in pediatric surgery

authors： Keller MS

更新日期：2004-05-01 00:00:00

abstract：:Neuroblastoma treatment remains challenging but has been advanced by the establishment of clinical and biological variables that determine prognostic risk. Risk-based therapy currently is the hallmark of neuroblastoma treatment. Initially, stage and age were the prime determinants of survival used in clinical practice...

journal_title：Seminars in pediatric surgery

authors： La Quaglia MP

更新日期：2001-08-01 00:00:00

abstract：:The increase in multiple gestation pregnancies has resulted in significant health care implications for both mother and child. Our ability to diagnose and intervene on an at-risk multi-gestation pregnancy has dramatically improved. It is important for the pediatric surgeon to be equipped with a basic fund of knowledge...

journal_title：Seminars in pediatric surgery

authors： Marwan AI,Zaretsky M,Feltis B

更新日期：2019-08-01 00:00:00

abstract：:Hirschsprung (HSCR) disease is a relatively common neonatal developmental disorder of the enteric nervous system and is characterized by the absence of ganglion cells in the myenteric and submucosal plexuses of the distal intestine. This results in absent peristalsis in the affected bowel, and the development of a fun...

journal_title：Seminars in pediatric surgery

authors： Dasgupta R,Langer JC

更新日期：2005-02-01 00:00:00

abstract：:Adult and pediatric urologists, gynecologists, and surgeons are often faced with primary reconstruction of complex congenital defects of the vagina as seen in cloacal anomalies, disorders of sexual development (DSD), and vaginal agenesis as well as with the secondary repair of post-surgical or radiation-induced vagina...

journal_title：Seminars in pediatric surgery

authors： van Leeuwen K,Baker L,Grimsby G

更新日期：2019-10-01 00:00:00

abstract：:Crohn's disease is a chronic transmural inflammatory disease that may involve any portion of the gastrointestinal tract. It is being reported with increasing frequency in children of all ages. The diagnosis of Crohn's disease in children is dependent on the clinical, radiological, endoscopic, and pathological material...

journal_title：Seminars in pediatric surgery

authors： Telander RL,Schmeling DJ

更新日期：1994-02-01 00:00:00

abstract：:Understanding the complex multisystem dysfunction in the infant with a congenital hernia of the posterolateral diaphragm is still evolving and has changed radically during the last decade. The reduction in lung mass, in conjunction with surfactant deficiency and diminished compliance, leads to initial deficiencies in ...

journal_title：Seminars in pediatric surgery

authors： Greenholz SK

更新日期：1996-11-01 00:00:00

abstract：:Pediatric trauma is usually a nonoperative experience for the pediatric general surgeon. The pediatric trauma surgeon resuscitates the child and then evaluates and triages the identified injuries. A common diagnostic tool is the computed tomography (CT) scan. Most children who require evaluation for significant trauma...

journal_title：Seminars in pediatric surgery

authors： Scaife ER,Rollins MD

更新日期：2010-11-01 00:00:00

abstract：:Soft tissue sarcomas of childhood are a heterogenous group of tumors with a wide spectrum of presentations and outcomes. Most patients require multimodal therapy with chemotherapy, surgery and/or radiation. Improved outcomes in recent decades have been achieved through improvements in the comprehensive care of these c...

journal_title：Seminars in pediatric surgery

authors： Lautz TB,Hayes-Jordan A

更新日期：2019-12-01 00:00:00

abstract：:Identification of CDH infant populations at high risk for mortality postnatally may help to develop targeted care strategies, guide discussions surrounding palliation and contribute to standardizing reporting and benchmarking, so that care strategies at different centers can be compared. Clinical prediction rules are ...

journal_title：Seminars in pediatric surgery

authors： Daodu O,Brindle ME

更新日期：2017-06-01 00:00:00

abstract：:In dealing with conjoined twins, we have adopted a pragmatic approach in balancing what is possible, parental wishes and the likely outcome for the children. We believe that separation where feasible should be undertaken but appreciate that a few parents may wish their children to remain joined. The advice that we giv...

journal_title：Seminars in pediatric surgery

authors： Spitz L

更新日期：2015-10-01 00:00:00

abstract：:The fallopian tubes are the essential genital ducts that convey the female sex cells for fertilization. They are differentiated and detectable early in fetal life. There are numerous paratubal and tubal abnormalities that can occur at any point in the female life. Some of these are rare but may initiate significant mo...

journal_title：Seminars in pediatric surgery

authors： Perlman S,Hertweck P,Fallat ME

更新日期：2005-05-01 00:00:00

abstract：:Omphalomesenteric duct malformations comprise a wide spectrum of anatomic structures and associated symptoms (or no symptoms). They may range from a completely patent omphalomesenteric duct at the umbilicus to a variety of lesser remnants including cysts, fibrous cords connecting the umbilicus to the distal ileum, gra...

journal_title：Seminars in pediatric surgery

authors： Moore TC

更新日期：1996-05-01 00:00:00

abstract：:Gastrointestinal motility disorders can develop in neurologically impaired children and those with congenital malformations of the gut. It is characterized by moderate to severe abdominal pain, vomiting, and failure to thrive. Antral dysmotility after fundoplication and increased sympathetic over activity are 2 factor...

journal_title：Seminars in pediatric surgery

authors： Carachi R,Currie JM,Steven M

更新日期：2009-11-01 00:00:00

abstract：:Necrotizing enterocolitis (NEC) is the leading cause of death from gastrointestinal causes in premature infants, and its overall survival has not improved in the past three decades. While the precise cause of NEC remains incompletely understood, we and others have shown that a major predisposing factor in the developm...

journal_title：Seminars in pediatric surgery

authors： Hackam DJ,Good M,Sodhi CP

更新日期：2013-05-01 00:00:00

abstract：:The use of laparoscopic and thoracoscopic procedures in children continues to increase. Thus, anesthesiologists are faced with an increasing number of children for whom anesthetic care is required during these procedures. Significant physiological alterations may occur that are related to patient positioning and the i...

journal_title：Seminars in pediatric surgery

authors： Tobias JD

更新日期：1993-08-01 00:00:00

abstract：:When a female is born and has only a single perineal orifice on the newborn clinical examination, a diagnosis of cloaca type of anorectal malformation is made. Along with associated malformations which may initiate the ordering of radiologic imaging, there are a finite number of radiologic tests that are performed to ...

journal_title：Seminars in pediatric surgery

authors： Kraus SJ

更新日期：2016-04-01 00:00:00

abstract：:The pediatric surgeon deals with a large number and variety of congenital defects in neonates that frequently involve early surgical intervention and care. Because the neonatal cardiac physiology is unique, starting with the transition from fetal circulation and including differences in calcium metabolism and myocardi...

journal_title：Seminars in pediatric surgery

authors： Hines MH

更新日期：2013-11-01 00:00:00

abstract：:Necrotizing enterocolitis (NEC) continues to afflict approximately 7% of preterm infants born weighing less than 1500g, though recent investigations have provided novel insights into the pathogenesis of this complex disease. The disease has been a major cause of morbidity and mortality in neonatal intensive care units...

journal_title：Seminars in pediatric surgery

authors： Hackam D,Caplan M

更新日期：2018-02-01 00:00:00

abstract：:Disorders of sexual development (DSDs) are relatively rare congenital conditions in which the development of the chromosomal, gonadal, or anatomic sex is atypical. Some conditions may not manifest until puberty or adulthood. The examination and workup of either an infant or an older patient with suspected DSD should b...

journal_title：Seminars in pediatric surgery

authors： McCracken KA,Fallat ME

更新日期：2015-04-01 00:00:00

abstract：:Telemedicine, the remote diagnosis and treatment of patients by means of technology, provides an alternative means for patients to gain access to health care services. Telemedicine is a general term that includes the use of various communication technologies, including telephone, email, or videoconferencing. Telemedic...

journal_title：Seminars in pediatric surgery

authors： Lesher AP,Shah SR

更新日期：2018-04-01 00:00:00

abstract：:Conventional treatment of respiratory failure involves positive pressure ventilation with high concentrations of inspired oxygen. If adequate gas exchange still cannot be achieved extracorporeal membrane oxygenation (ECMO) may be an option. The general indication for ECMO for respiratory insufficiency is a reversible ...

journal_title：Seminars in pediatric surgery

authors： Frenckner B,Radell P

更新日期：2008-02-01 00:00:00

abstract：:Nephron-sparing surgery (NSS) is the treatment of choice for children with bilateral Wilms' tumor (WT), or with WT on a single kidney, or with WT and a disease of the contralateral kidney, or with benign kidney tumor. NSS is a reasonable alternative to nephrectomy in children at risk of metachronous WT, including chil...

journal_title：Seminars in pediatric surgery

authors： Cozzi DA,Zani A

更新日期：2006-02-01 00:00:00

abstract：:Most children with short bowel syndrome experience spontaneous small bowel adaptation over time. This allows the majority to be weaned from parenteral nutrition. There are, however, some children who cannot be weaned and are potential candidates for techniques to promote intestinal adaptation and intestinal lengthenin...

journal_title：Seminars in pediatric surgery

authors： Vernon AH,Georgeson KE

更新日期：2001-05-01 00:00:00

abstract：:The optimal surgical care of patients with imperforate anus begins with appropriate decision making in the critical newborn period. In most cases the decision to create a colostomy should be delayed until the infant is 18 to 24 hours old. Except in cases of a rectoperineal fistula, most neonates are best treated with ...

journal_title：Seminars in pediatric surgery

authors： Shaul DB,Harrison EA

更新日期：1997-11-01 00:00:00

abstract：:After a diagnosis of omphalocele during pregnancy, questions regarding long-term prognosis are of primary importance for parents. It is imperative that their questions are answered with substantiated data to promote confident decisions for their children. They frequently express concerns regarding long-term survival, ...

journal_title：Seminars in pediatric surgery

authors： Baerg JE,Munoz AN

更新日期：2019-04-01 00:00:00

abstract：:Selection of outcome determinants and risk stratification are necessary to identify patients at higher risk for morbidity and mortality. This facilitates human and material resource allocation and allows for improved family counseling. While several different factors, including prenatal ultrasonographic bowel features...

journal_title：Seminars in pediatric surgery

authors： Wissanji H,Puligandla PS

更新日期：2018-10-01 00:00:00