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 a completely divided left-lower-quadrant colostomy between the descending and sigmoid colons. Female patients with cloacal anomalies must be recognized at birth so that all urgent urologic evaluations can be performed. Hydrocolpos and obstructive uropathy are common in these neonates and warrant urgent decompression of the urinary tract with a vaginostomy and/or vesicostomy as well as a colostomy. Renal ultrasonography and voiding cystourethrography are mandatory for all patients regardless of the height of the defect. It is critical to discover the important precursors to renal insufficiency including renal agenesis, renal dysplasia, and vesicoureteral reflux in the neonate. The presence of these anomalies mandates early consultation with a pediatric urologist because the morbidity and mortality of these lesions often exceed those of the imperforate anus. Spinal cord anomalies are common and can be found even in patients who have normal plain films and low defects. Spinal ultrasonography or magnetic resonance imaging should be performed in all neonates to rule out occult spinal pathology such as tethered cord or lipoma of the cord. Efficacious and cost-effective care of patients with imperforate anus begins with a carefully thought out plan in the neonate. Optimal execution of the evaluation and surgical treatment at this phase sets the stage for the best possible outcome later in life.
journal_name
Semin Pediatr Surgjournal_title
Seminars in pediatric surgeryauthors
Shaul DB,Harrison EAsubject
Has Abstractpub_date
1997-11-01 00:00:00pages
187-95issue
4eissn
1055-8586issn
1532-9453journal_volume
6pub_type
杂志文章,评审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
更新日期：2018-06-01 00:00:00
abstract：:The salivary glands comprise three main pairs of glands (ie, the parotid, the submandibular, and the sublingual) and a number of minor glands found in the mucosa of the upper aerodigestive tract. Lesions may be inflammatory or obstructive in nature or may stem from granulomatous or neoplastic disease. As such, establi...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2006.02.004
更新日期：2006-05-01 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
pub_type： 杂志文章,评审
doi：10.1016/s1055-8586(99)70027-2
更新日期：1999-11-01 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
pub_type： 杂志文章,评审
doi：
更新日期：1992-02-01 00:00:00
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
更新日期：2016-12-01 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
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2004.01.006
更新日期：2004-05-01 00:00:00
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
更新日期：2012-05-01 00:00:00
abstract：:Congenital diaphragmatic hernia (CDH) is a congenital anomaly consisting of a posterolateral defect in the diaphragm also known as a Bochdalek hernia. It occurs in 1 in 2000 to 3000 newborns and is associated with a variable degree of pulmonary hypoplasia (PH) and persistent pulmonary hypertension (PPH). Despite remar...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2010.03.001
更新日期：2010-08-01 00:00:00
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
更新日期：2013-02-01 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
pub_type： 杂志文章,评审
doi：
更新日期：1996-11-01 00:00:00
abstract：:Congenital obstructive uropathy is a relatively common developmental malformation, and severely affected fetuses die soon after birth from oligohydramnios-induced pulmonary hypoplasia or renal failure. Prenatal ultrasonography can reliably diagnose the specific anatomic defect, and using fetal urine sampling we can de...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：
更新日期：1993-05-01 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
pub_type： 历史文章,杂志文章,评审
doi：10.1053/j.sempedsurg.2017.11.003
更新日期：2018-02-01 00:00:00
abstract：:The practice of pediatric surgery is at the crossroads of 2 specialties, pediatrics and surgery. At that vantage point, many ethical dilemmas can be seen. It is important for the pediatric surgeon to understand the special place of ethics in the care of children and how that care is influenced by society. The purpose ...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/spsu.2001.26837
更新日期：2001-11-01 00:00:00
abstract：:We present two patients who developed delayed fistulization following esophageal replacement surgery. The first is a 13-year-old child who, at the age of 3 years, underwent a trans-mediastinal colonic esophageal replacement for a refractory corrosive injury followed by a retrosternal reverse gastric tube after an earl...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章
doi：10.1053/j.sempedsurg.2009.02.008
更新日期：2009-05-01 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
pub_type： 杂志文章
doi：10.1016/j.sempedsurg.2019.150843
更新日期：2019-10-01 00:00:00
abstract：:Even if no large comparative studies enable us to definitely confirm the potential advantages of minimal retroperitoneoscopic access surgery, this new technique is now expanding in pediatric urology and considered today as feasible and safe in well-trained hands. The technique is described in detail; the main indicati...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章
doi：10.1053/j.sempedsurg.2007.06.010
更新日期：2007-11-01 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
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2013.01.003
更新日期：2013-05-01 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
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2016.09.011
更新日期：2016-10-01 00:00:00
abstract：:The field of intestinal transplantation has experienced dramatic growth since the first reported cases 3 decades ago. Improvements in operative technique, donor assessment and immunosuppressive protocols have afforded children who suffer from life-threatening complications of intestinal failure a chance at long-term s...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2017.07.007
更新日期：2017-08-01 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
pub_type： 杂志文章,评审
doi：10.1053/spsu.2001.22855
更新日期：2001-05-01 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
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2007.10.006
更新日期：2008-02-01 00:00:00
abstract：:Sternal clefts, ectopia cordis, and Cantrell's pentalogy continue to be very rare congenital anomalies in pediatric surgery. Unfortunately, these conditions present as neonatal emergencies and demand early surgical intervention. This article reviews the embryological development of the chest wall, specific sternal def...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2008.03.004
更新日期：2008-08-01 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
pub_type： 杂志文章
doi：10.1053/j.sempedsurg.2004.10.027
更新日期：2005-02-01 00:00:00
abstract：:Until the 1970s, bladder exstrophy was a frequently fatal birth defect that, at the very least, conferred a shortened life span with devastating consequences for afflicted patients. Beginning with the modern era of surgical management, survival has become routine, and now the focus is on optimizing a near-normal retur...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2011.01.001
更新日期：2011-05-01 00:00:00
abstract：:For most children, cancer has become a curable disease. With this increased survival, the late effects of the diagnosis of cancer and its therapy have assumed increased importance for these children. Multiple late effects of essentially all organ systems have been described in selected groups of survivors. These may b...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：
更新日期：1993-02-01 00:00:00
abstract：:Enterocolitis remains a relatively common complication of Hirschsprung's disease with significant morbidity and mortality. The etiology of Hirschsprung's enterocolitis (HEC) is multifactorial and remains poorly understood. Preventative measures and better treatment modalities will evolve out of a better understanding ...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2004.10.014
更新日期：2004-11-01 00:00:00
abstract：:Prune belly is a lax, wrinkled abdominal wall and frequently is associated with other anomalies. The prune belly syndrome is a specific constellation of anomalies consisting of an abdominal wall deficient in muscular tissue, dilated urinary tract, and bilateral cryptorchidism. This group of anomalies is also called th...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/spsu.2000.7556
更新日期：2000-08-01 00:00:00
abstract：:Traditional surgical attitude regarding error and complications has focused on individual failings. Human factors research has brought new and significant insights into the occurrence of error in healthcare, helping us identify systemic problems that injure patients while enhancing individual accountability and teamwo...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章
doi：10.1053/j.sempedsurg.2015.08.003
更新日期：2015-12-01 00:00:00
abstract：:Survey methodologies enable researchers to obtain information not routinely captured in electronic medical records, including how delivery of surgical care is perceived through the lens of a child, a parent or caregiver, or a surgeon. Here we describe the approach to using surveys to aid pediatric surgery practice. Th...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2018.10.007
更新日期：2018-12-01 00:00:00
abstract：:Recent advances in molecular biological techniques have increased our capability to distinguish the small differences in gene expression between subpopulations of cells found within specific tissues or tumor isolates. We use subtractive hybridization or subtractive cloning to generate information regarding genes that ...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：
更新日期：1996-08-01 00:00:00
