Controversies in abdominal trauma.

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 contributions of interventional radiologists and endoscopists in the treatment of injured children continue to increase. Injuries to the biliary tree and pancreatic ductal system are now treated with a multidisciplinary approach combining percutaneous, open, and endoscopic procedures. Trauma surgeons unfamiliar with a nonoperative approach often raise questions about the benefits of such treatment. Their concerns include the potential for increased transfusion requirements, increased length of hospital stay, and missed associated injuries; some even question the involvement of pediatric surgeons in nonoperative treatment protocols. The experience that has settled most such controversies is reviewed in this article.

journal_name

Semin Pediatr Surg

authors

Stylianos S

subject

Has Abstract

pub_date

1995-05-01 00:00:00

pages

116-9

issue

2

eissn

1055-8586

issn

1532-9453

journal_volume

4

pub_type

杂志文章,评审
  • Classification of anorectal malformations--initial approach, diagnostic tests, and colostomy.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Shaul DB,Harrison EA

    更新日期:1997-11-01 00:00:00

  • Managing radiation risk in the evaluation of the pediatric trauma patient.

    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

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2010.06.004

    authors: Scaife ER,Rollins MD

    更新日期:2010-11-01 00:00:00

  • Current management of hypertrophic pyloric stenosis.

    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

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2006.10.004

    authors: Aspelund G,Langer JC

    更新日期:2007-02-01 00:00:00

  • Respiratory failure and extracorporeal membrane oxygenation.

    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

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2007.10.006

    authors: Frenckner B,Radell P

    更新日期:2008-02-01 00:00:00

  • Complex multigestational anomalies.

    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

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2019.07.008

    authors: Marwan AI,Zaretsky M,Feltis B

    更新日期:2019-08-01 00:00:00

  • Long term complications and outcomes in omphalocele.

    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

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2019.04.004

    authors: Baerg JE,Munoz AN

    更新日期:2019-04-01 00:00:00

  • The Internet: past, present and future.

    abstract::Although the Worldwide Web has just blossomed this past decade, the origins of the Internet date to the late 1950s and Cold War concerns. The technological underpinning of the Internet rests with the concept of packet switching of data over dispersed routes of electronic intercommunication. Grounded in applications fo...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s1055-8586(00)70002-3

    authors: Whalen TV

    更新日期:2000-02-01 00:00:00

  • Portal hypertension.

    abstract::Increased portal pressure is the product of both increased resistance to splanchnic flow through the liver and increased blood flow in the portal circuit. Although portal hypertension in children is less common than in adults, the important clinical end results are the same, ie, esophageal variceal hemorrhage, ascites...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Karrer FM

    更新日期:1992-05-01 00:00:00

  • Short bowel syndrome.

    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

    pub_type: 杂志文章,评审

    doi:

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

    更新日期:1995-02-01 00:00:00

  • Slipping Rib Syndrome: A review of evaluation, diagnosis and treatment.

    abstract::Slipping rib syndrome (SRS) is an under-diagnosed cause of intermittent, yet often debilitating lower rib and abdominal pain. SRS is caused by a hypermobility of the anterior false ribs that allows the 8th-10th ribs to slip or click as the cartilaginous rib tip abuts or slips under the rib above. Pain occurs from impi...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2018.05.009

    authors: McMahon LE

    更新日期:2018-06-01 00:00:00

  • Parasitic infestations requiring surgical interventions.

    abstract::Parasitic infestation is common in developing countries especially in Africa. Children are often more vulnerable to these infections. Many health problems result from these infestations, including malnutrition, iron-deficiency anemia, surgical morbidities, and even impaired cognitive function and educational achieveme...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2012.01.009

    authors: Hesse AA,Nouri A,Hassan HS,Hashish AA

    更新日期:2012-05-01 00:00:00

  • Imaging techniques to assess the pelvis in young females.

    abstract::This article is designed to help the nonradiologist to form a logical imaging plan when presented with a diagnostic dilemma involving the pelvis of a young female. Common presenting problems are grouped under the categories of fetus, neonate and infant, child, and adolescent. Ultrasound is frequently the initial, and ...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1016/s1055-8586(98)70008-3

    authors: Barnewolt CE

    更新日期:1998-02-01 00:00:00

  • Operative management of appendicitis.

    abstract::Appendectomy has been the standard of care for appendicitis since the late 1800s, and remains one of the most common operations performed in children. The advent of data-driven medicine has led to questions about every aspect of the operation-whether appendectomy is even necessary, when it should be performed (timing)...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2016.05.003

    authors: St Peter SD,Snyder CL

    更新日期:2016-08-01 00:00:00

  • Transition from pediatric to adult surgery care for patients with disorders of sexual development.

    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

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2015.01.009

    authors: McCracken KA,Fallat ME

    更新日期:2015-04-01 00:00:00

  • How young for bariatric surgery in children?

    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

    pub_type: 杂志文章

    doi:10.1053/j.sempedsurg.2009.04.008

    authors: Browne AF,Inge T

    更新日期:2009-08-01 00:00:00

  • Omphalomesenteric duct malformations.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Moore TC

    更新日期:1996-05-01 00:00:00

  • Complications in neonatal surgery.

    abstract::Neonatal surgery is recognized as an independent discipline in general surgery, requiring the expertise of pediatric surgeons to optimize outcomes in infants with surgical conditions. Survival following neonatal surgery has improved dramatically in the past 60 years. Improvements in pediatric surgical outcomes are in ...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2016.10.005

    authors: Escobar MA Jr,Caty MG

    更新日期:2016-12-01 00:00:00

  • Raising eyebrows: problems that get anesthesiologists' attention.

    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

    pub_type: 杂志文章

    doi:10.1016/s1055-8586(99)70009-0

    authors: Shapiro JH

    更新日期:1999-02-01 00:00:00

  • Hemangiomas, cystic hygromas, and teratomas of the head and neck.

    abstract::Hemangiomas, cystic hygromas, and teratomas are the most common bulky lesions presenting in the head and neck of infants, but cystic hygromas and teratomas are rare, and most hemangiomas are initially small. Historically, hemangiomas have been watched with the belief that they all involute with good results. Recogniti...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Filston HC

    更新日期:1994-08-01 00:00:00

  • Abdominal wall defects in infants with very low birth weight.

    abstract::Management strategies for infants with very low birth weight (VLBW) who have abdominal wall defects essentially are the same as for those in larger infants. The authors favor primary closure in infants with gastroschisis, and have achieved this goal in 91% of infants since 1985. Treatment of infants with omphalocele i...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s1055-8586(00)70022-9

    authors: Reynolds M

    更新日期:2000-05-01 00:00:00

  • Difficult esophageal atresia: trick and treat.

    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

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2014.09.006

    authors: Conforti A,Morini F,Bagolan P

    更新日期:2014-10-01 00:00:00

  • Recent innovations in the management of fecal incontinence.

    abstract::The importance of having a reproducible scoring system to objectively assess the severity of fecal incontinence and its response to treatment is stressed, and a number of methods are described. The approach to conservative treatment and investigation is outlined. Recent advances in the surgical management of fecal inc...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/spsu.2002.31806

    authors: Darakhshan AA,Williams NS

    更新日期:2002-05-01 00:00:00

  • The significance of Helicobacter pylori colonization of the stomach.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Cilley RE,Brighton VK

    更新日期:1995-11-01 00:00:00

  • Planning the operation.

    abstract::The management of conjoined twins falls into three distinct groups-non-operative, emergency separation and elective separation. Planning meetings involving all the personnel who will be required during the operation are held. The radiological findings are presented and the anaesthetic, nursing and intensive care requi...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章

    doi:10.1053/j.sempedsurg.2015.06.004

    authors: Kiely EM,Spitz L

    更新日期:2015-10-01 00:00:00

  • Adhesive small bowel obstruction--acute management and treatment in children.

    abstract::Adhesive small bowel obstruction is a significant cause of short- and long-term morbidity in infants and children. Unfortunately, the majority of scientific literature relative to adhesive obstructions continues to be dominated by adult studies. In this article, the existing literature for infant and pediatric adhesiv...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2014.06.006

    authors: Lautz TB,Barsness KA

    更新日期:2014-12-01 00:00:00

  • Pediatric germ cell tumors.

    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

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2011.10.005

    authors: Rescorla FJ

    更新日期:2012-02-01 00:00:00

  • Central venous catheters: Indications, techniques, and complications.

    abstract::Central venous catheters (CVC) are commonplace in the management of critically ill patients and serve a variety of purposes. Venous access is important for the administration of fluid and medications as well as blood procurement needed for lab analyses. However, not every critically ill patient requires a CVC. This ar...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2019.01.005

    authors: Jamshidi R

    更新日期:2019-02-01 00:00:00

  • Medical management of pediatric intestinal failure.

    abstract::The outcome for children with congenital enteropathies or massive surgical resections has improved significantly over the past two decades. Advances in understanding of the pathophysiology of intractable diarrhea and of the mutations causing many of the congenital enteropathies have enabled initiation of preventive me...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2009.11.003

    authors: Kocoshis SA

    更新日期:2010-02-01 00:00:00

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

    abstract::Open spina bifida or myelomeningocele (MMC) is a common birth defect that is associated with significant lifelong morbidity. Little progress has been made in the postnatal surgical management of the child with spina bifida. Postnatal surgery is aimed at covering the exposed spinal cord, preventing infection, and treat...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2012.10.003

    authors: Adzick NS

    更新日期:2013-02-01 00:00:00

  • Laparoscopic fundoplication and gastrostomy.

    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

    pub_type: 杂志文章,评审

    doi:10.1053/spsu.2002.35349

    authors: Ostlie DJ,Holcomb GW 3rd

    更新日期:2002-11-01 00:00:00