The Swiss cheese model of adverse event occurrence--Closing the holes.

abstract：:The treatment of children who have major abdominal injuries has changed significantly during the past 2 decades. Surgical restraint has been the theme, and increased awareness of anatomic patterns and physiological responses has prompted successful nonoperative care of many solid organ injuries in children. The contri...

journal_title：Seminars in pediatric surgery

authors： Stylianos S

更新日期：1995-05-01 00:00:00

abstract：:Gastrointestinal bleeding in infants and children can be quite alarming and anxiety-provoking for parents and caregivers alike. In most cases the cause is benign, and the course self-limited. However, in the patient with significant bleeding, an aggressive diagnostic approach is warranted. The differential diagnosis c...

journal_title：Seminars in pediatric surgery

authors： Brown RL,Azizkhan RG

更新日期：1999-11-01 00:00:00

abstract：:Neuroblastoma is a heterogenous disease, with solid tumors arising in the adrenal gland or paraspinal regions in young children. Neuroblastoma is unique, with varied presentation and prognosis based on primary location and tumor stage. Tumor behavior and response to treatment ranges from spontaneous regression to diss...

journal_title：Seminars in pediatric surgery

authors： Olecki E,Grant CN

更新日期：2019-12-01 00:00:00

abstract：:A malignant tumor of striated muscle origin, rhabdomyosarcoma (RMS) is a childhood tumor that has benefited from nearly 30 years of multimodality therapy, culminating in a >70% overall 5-year survival. Prognosis for RMS is dependent on primary tumor site, age, completeness of resection, presence and number of metastat...

journal_title：Seminars in pediatric surgery

authors： Dasgupta R,Fuchs J,Rodeberg D

更新日期：2016-10-01 00:00:00

abstract：:The multi-disciplinary team is essential for the success of an adolescent bariatric surgical program. This article will describe the components of the team and their roles. Essential members include a pediatrician or pediatric subspecialist with an interest and expertise in adolescent obesity, a pediatric surgeon with...

journal_title：Seminars in pediatric surgery

authors： Wulkan ML,Walsh SM

更新日期：2014-02-01 00:00:00

abstract：:Blunt cerebrovascular injury in children is an uncommon occurrence that if missed and left untreated can result in devastating long-term neurologic consequences. Diagnosis can be readily obtained by a computed tomographic angiogram of the head and neck. If confirmed, treatment with antithrombotic therapy dramatically ...

journal_title：Seminars in pediatric surgery

authors： Fenton SJ,Bollo RJ

更新日期：2017-02-01 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：:Pediatric interventional radiology offers new treatment options not possible a few years ago. Interventional radiologists treat not only certain causes of hemorrhage but also symptomatic arteriovenous malformations, renovascular hypertension, and portal hypertension. Interventionalists help maintain liver and renal tr...

journal_title：Seminars in pediatric surgery

authors： Iglesia KA,Fellows KE

更新日期：1994-05-01 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：:The unfavorable prognosis of congenital hyperinsulinism (CHI) can be avoided if the patients are treated with high-dose glucose infusions and timely surgical intervention. Circumscribed foci used to be identified by selective percutaneous pancreatic vein catheterization and determination of the insulin level. Fluorine...

journal_title：Seminars in pediatric surgery

authors： Mohnike W,Barthlen W,Mohnike K,Blankenstein O

更新日期：2011-02-01 00:00:00

abstract：:Although most patients with esophageal atresia (EA) and tracheo-esophageal fistula (TEF) may benefit from "standard" management, which is deferred emergency surgery, some may present unexpected elements that change this paradigm. Birth weight, associated anomalies, and long gap can influence the therapeutic schedule o...

journal_title：Seminars in pediatric surgery

authors： Conforti A,Morini F,Bagolan P

更新日期：2014-10-01 00:00:00

abstract：:Gene transfer to the tracheobronchial tree has been an active area of investigation since the discovery of the genetic defect in the cystic fibrosis transmembrane conductance regulator over two decades ago. Cystic fibrosis (CF) is the most common lethal monogeneic disorder for which there is no cure short of lung tran...

journal_title：Seminars in pediatric surgery

authors： Keswani SG,Crombleholme TM

更新日期：2004-02-01 00:00:00

abstract：:Enhanced recovery after surgery (ERAS) has evolved over the past two decades. Originally aimed to standardize care among adults undergoing colorectal surgery, the tenets that developed have since been broadly accepted by a large number of adult surgical subspecialties, including bariatric surgery. This multidisciplina...

journal_title：Seminars in pediatric surgery

authors： Derderian SC,Rove KO

更新日期：2020-02-01 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：: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：:There are many clinical situations of concern that may be unique to pediatric anesthesiologists. The author discusses four of the more common presentations: asthma, cystic fibrosis, anterior mediastinal masses, and latex allergy. Many such issues can be resolved before surgery by consultation with members of the opera...

journal_title：Seminars in pediatric surgery

authors： Shapiro JH

更新日期：1999-02-01 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：:Medical management of children with Intestinal failure continues to evolve. The development of specialized teams focused on the management of these children has made the most significant impact in improving outcomes. Medical management strategies are centered on the provision of adequate fluid electrolytes and calorie...

journal_title：Seminars in pediatric surgery

authors： Oliveira SB,Cole CR

更新日期：2018-08-01 00:00:00

abstract：:Minimally invasive surgical approaches to various pediatric surgical disease processes are becoming the standard of care. Laparoscopic Nissen fundoplication is transitioning toward the preferred method for the surgical correction of gastroesophageal reflux (GER) disease in infants and children that do not respond to m...

journal_title：Seminars in pediatric surgery

authors： Ostlie DJ,Holcomb GW 3rd

更新日期：2002-11-01 00:00:00

abstract：:The care provided in the postanesthesia recovery unit has become much more sophisticated in recent years. We address what type of care should be provided and what equipment is required to provide such care in the present day pediatric postanesthesia care unit. In this regard a wide variety of potential postanesthetic ...

journal_title：Seminars in pediatric surgery

authors： Bryant LD,Dierdorf SF

更新日期：1992-02-01 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：:Helicobacter pylori (Hp) was discovered in 1982 by the Australians Robin Warren and Barry Marshall. Initially rejected by a skeptical scientific community, it has since gained worldwide recognition as a clinically significant bacterium. The incidence of colonization with Hp increases with age, affecting approximately ...

journal_title：Seminars in pediatric surgery

authors： Cilley RE,Brighton VK

更新日期：1995-11-01 00:00:00

abstract：:Improvements in parenteral nutrition and supportive therapy have led to a growing population of patients who survive for prolonged periods with short bowel syndrome. Definitive treatment for these patients requires innovative therapy based on a sound knowledge of small intestinal physiology and adaptation. Current und...

journal_title：Seminars in pediatric surgery

authors： Collins JB,Georgeson KE,Vicente Y,Kelly DR,Figueroa R

更新日期：1995-02-01 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：:Splenectomy in childhood usually is required for hematologic disorders such as hereditary spherocytosis, immune thrombocytopenic purpura, or sickle cell disease. The laparoscopic approach for splenectomy in children has been developed and advanced over the past 5 years. New techniques and equipment allow the procedure...

journal_title：Seminars in pediatric surgery

authors： Rescorla FJ

更新日期：1998-11-01 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：:Obesity affects 50% of adults and 18% of children in the USA. It has wide-ranging comorbidities with clinical, psychosocial, and economic ramifications. Obesity refers to a condition of excess body fat. The basis for weight gain is a fundamental imbalance between caloric intake and output, but individual variation bas...

journal_title：Seminars in pediatric surgery

authors： Browne AF,Inge T

更新日期：2009-08-01 00:00:00

abstract：:Pediatric germ cell tumors represent a diverse group of tumors that present from in utero through adolescence at many nongonadal locations, from the neck to the sacrococcygeal region. Surgical resection remains the central element of management, and accurate surgical staging is essential to properly ascertain the corr...

journal_title：Seminars in pediatric surgery

authors： Rescorla FJ

更新日期：2012-02-01 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：:Developmental psychopathology is common in children with exstrophy. It may be mild or severe, and it may persist or transform as the child grows. The pediatric urologist is ideally situated to identify signs or symptoms of early developmental psychopathology in these children. Presented in this article are techniques ...

journal_title：Seminars in pediatric surgery

authors： Reiner WG

更新日期：2011-05-01 00:00:00