Abstract：
PURPOSE:The aim of this study was to determine if the placement of prophylactic drains influences the incidence of postoperative adverse events in neonates. METHODS:Neonatal patients undergoing laparotomy between April 2000 and December 2007 were prospectively assigned to aggressive peritoneal cavity lavage, without the placement of prophylactic drains, before abdominal closure (non-drainage group, n = 111). The historical control group consisted of neonates who underwent laparotomy with routine prophylactic drain placement between January 1993 and March 2000 (drainage group, n = 87). The incidence of postoperative adverse events was compared between the two groups. RESULTS:There were no significant differences in the incidence of overall complications (drainage, 48%; non-drainage, 36%: p = 0.08), infectious complications (drainage, 34%; non-drainage, 26%: p = 0.20) or surgical site infections (drainage, 20%; non-drainage, 14%: p = 0.25) between the two groups. In the subgroup analysis, the incidences of total postoperative complications and infectious complications were significantly higher in the drainage group compared with the non-drainage group for upper gastrointestinal tract operations (52 vs. 20%; 39 vs. 6.7%) (p = 0.04 and 0.02, respectively). CONCLUSION:Prophylactic drainage did not reduce the incidence of postoperative complications, and the placement of drains may possibly increase the incidence of infectious complications.
journal_name
Pediatr Surg Intjournal_title
Pediatric surgery internationalauthors
Inoue M,Uchida K,Otake K,Koike Y,Okugawa Y,Kobayashi M,Mohri Y,Miki C,Kusunoki Mdoi
10.1007/s00383-011-2905-5subject
Has Abstractpub_date
2011-09-01 00:00:00pages
975-9issue
9eissn
0179-0358issn
1437-9813journal_volume
27pub_type
杂志文章abstract：:A new instrument for suction rectal biopsy in infants suspected of having Hirschsprung's disease is described that can be completely dismantled, physically cleaned, lubricated, and heat-sterilised. These attributes are new and are absolutely critical today. The instrument has been used in 60 patients (ca. 180 biopsies...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/BF01194812
更新日期：1997-01-01 00:00:00
abstract：:This study deals with the advancement process of neuroblastoma through clinical observations and circulating tumor cell exploration. Clinical feature, tumor biology, and circulating tumor cell detected by the previously described polymerase chain reaction (PCR) method were analyzed in 31 patients with advanced neurobl...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-005-1503-9
更新日期：2005-11-01 00:00:00
abstract：:An infant developed massive lower gastrointestinal haemorrhage secondary to necrotising enterocolitis after cardiac surgery. The haemorrhage was only controlled following a colectomy. ...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830050613
更新日期：1999-07-01 00:00:00
abstract：:An infant with a large-bowel obstruction due to Salmonella B enterocolitis is presented. The clinical and radiologic findings were suggestive of Hirschsprung's disease with total colonic aganglionosis. Due to further deterioration, an ileostomy was performed. Pathologic examination disclosed ganglia in the colon. At l...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003839900332
更新日期：2000-01-01 00:00:00
abstract：:The transanal endorectal pull-through (TAEPT) procedure is now widely performed for Hirschsprung's disease (HD), however, the colorectal function after TAEPT has not yet been adequately assessed. We evaluated the postoperative clinical outcome and colorectal function based on lower colonic manometry after TAEPT. Twent...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-007-1981-z
更新日期：2007-10-01 00:00:00
abstract：PURPOSE:Historically, the majority of patients with colonic atresia have been managed by ostomy creation at the time of initial operation; conversely, we have tended to treat the atresia with resection and anastomosis. The purpose of this study is to determine the rate of concomitant Hirschsprung's disease and to ident...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-009-2401-3
更新日期：2009-07-01 00:00:00
abstract：:A previous study documented the effects of maternal corticosteroid treatment on structural growth and functional development in fetal lungs associated with pathogenic conditions such as oligohydramnios using immunohistochemical and morphometric analyses. The purpose of the present study was to examine the effect of ma...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-007-1979-6
更新日期：2007-10-01 00:00:00
abstract：:Modern plastic and reconstructive surgery continues to significantly improve the functional and aesthetic post-burn sequelae in children. It has become a major factor in restoring mobility, aesthetic appearance, self-esteem, and quality of life. The entire spectrum of plastic reconstructive procedures should be availa...
journal_title：Pediatric surgery international
pub_type： 杂志文章,评审
doi：10.1007/BF01076930
更新日期：1997-07-01 00:00:00
abstract：PURPOSE:Intestinal perforation (IP) is a fatal complication in extremely low birth weight infants (ELBWI). We started administrating enteral miconazole (MCZ) to ELBWI in 2002. Since then, the incidence of IP has significantly decreased. The aim of this study was to elucidate the prophylactic effect of MCZ for the treat...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-016-3946-6
更新日期：2016-10-01 00:00:00
abstract：PURPOSE:With the widespread use of the obstetrical ultrasound, identification of a fetal suprarenal mass has become more common. Most of these masses prove to be congenital neuroblastomas (CNB), but the diagnosis is often confused with other benign lesions and the postnatal management remains to be controversial. METH...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-009-2531-7
更新日期：2010-03-01 00:00:00
abstract：:A review of 100 consecutive cases of congenital diaphragmatic hernia (CDH) treated at our institute focusing on the efficacy of protocolized management (PM) was conducted. Of the 100 cases, 14 who became symptomatic more than 24 h after birth, and seven with fatal anomalies (four cardiac and three chromosomal) were ex...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-006-1759-8
更新日期：2006-11-01 00:00:00
abstract：PURPOSE:Enhanced recovery after surgery (ERAS) pathways are standard practice in adult specialties resulting in improved outcomes. It is unclear whether ERAS principles are applicable to Paediatric Surgery. We performed a scoping review to identify the extent to which ERAS has been used in Paediatric Surgery, the natur...
journal_title：Pediatric surgery international
pub_type： 杂志文章,评审
doi：10.1007/s00383-016-3986-y
更新日期：2017-01-01 00:00:00
abstract：:Evolution of the present-day policy of conservative management of ruptured spleen has been hailed as one of the most notable advances in pediatric surgery. Until 1971, routine splenectomy used to be the sacrosanct treatment for splenic trauma. It was universally believed that non-operative management carried a high mo...
journal_title：Pediatric surgery international
pub_type： 历史文章,杂志文章,评审
doi：10.1007/s00383-003-0972-y
更新日期：2003-11-01 00:00:00
abstract：:Female urethral injuries may cause serious morbidity with loss of the entire urethra in some cases. We review the results of construction of a neourethra by the flipped anterior bladder-tube technique in five girls aged 3-18 years (mean 8 years). All had pelvic fractures and had their initial management elsewhere; fou...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830000434
更新日期：2000-01-01 00:00:00
abstract：:Abdominal actinomycosis (AMC) is a rare infection in children. The appendix is the most common intra-abdominal organ involved. It presents as an undifferentiated mass, forming abscesses and fistulas in the right lower quadrant. The case of a 15-year-old girl with a AMC of the appendix detected by the pathologist after...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830050515
更新日期：1999-01-01 00:00:00
abstract：INTRODUCTION:Management of oesophageal atresia (OA) and trachea-oesophageal fistula (TOF) in babies of low birth weight is challenging especially when associated with other anomalies. Birth weight of <1500 g has previously formed part of a classification system designed to predict outcome, alongside the cardiac status ...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-015-3851-4
更新日期：2016-06-01 00:00:00
abstract：:Diagnostic evaluation and treatment of blunt liver trauma in children have changed essentially over the last decades. In the period between January 1975 and December 2002, a total of 45 children, 18 girls and 27 boys, between the ages of 1 and 16 years (mean 8.19) were treated for liver rupture following blunt abdomin...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-004-1276-6
更新日期：2004-12-01 00:00:00
abstract：:Two patients who presented with a history of right inguinal hernia and a third with an impalpable left testis were found to have transverse testicular ectopia. Both testes were fixed in their own scrotum, through a modified Ombredanne operation in two patients and a subdartos pouch in one. ...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：
更新日期：1997-02-01 00:00:00
abstract：:A simple, quick, painless, and versatile dressing that fulfills most of the criteria of an ideal hypospadias dressing is described. ...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-004-1206-7
更新日期：2004-05-01 00:00:00
abstract：:Recently, laparoscopic orchidopexy has been accepted as the standard procedure of management for clinically impalpable testes. However, many techniques have been described for the delivery of the mobilized testes. In this report, a new approach is described. The use of a fourth "scroto-peritoneal" port, makes complete...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830050372
更新日期：1998-07-01 00:00:00
abstract：:The incidence of postoperative cholangitis has changed very little despite progressive improvement in the treatment of biliary atresia. The role of the bilioenteric conduit in its pathogenesis is still uncertain. A retrospective study of 39 patients undergoing either a conventional Kasai operation (group 1, n = 20) or...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830050008
更新日期：2000-01-01 00:00:00
abstract：PURPOSE:Laparoscopic-assisted anorectoplasty (LAARP) is considered to benefit the patients with vesico-prostatic fistula. The aim of this study is to present the details of our LAARP technique for improving the short- and long-term outcomes in the patients with high and intermediate types of anorectal malformations (AR...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-019-04614-x
更新日期：2020-03-01 00:00:00
abstract：PURPOSE:The aim of this study was to analyze the outcomes of children added to the waiting list for deceased donor liver transplantation (DDLT) and the results of DDLT in a single Japanese center. METHODS:Forty-seven children were listed on the organ allocation system for DDLT. The priority points related to the medic...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-013-3381-x
更新日期：2013-11-01 00:00:00
abstract：:Intestinal ischemia-reperfusion (IIR) is a complex phenomenon causing local and remote tissue destruction, and even multiple-organ failure. To examine the hypothesis that IIR affects renal function, 21-day-old male Sprague-Dawley rats underwent 45 min superior mesenteric artery occlusion and control rats were subjecte...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-002-0834-z
更新日期：2002-09-01 00:00:00
abstract：:Pharyngeal perforations are uncommon in children and are usually secondary to instrumentation or external penetrating injuries. A delay in management can lead to life-threatening complications such as retropharyngeal abscess, mediastinitis, and airway compromise. We report three children who had pharyngeal perforation...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-005-1447-0
更新日期：2005-06-01 00:00:00
abstract：:Glicentin, the main component of enteroglucagon, has trophic effects on intestinal mucosa. It may also have an inhibitory effect on extraintestinal invasion of enteric bacteria. We have established an in vitro bioassay system for determining the effects of recombinant human glicentin on bacterial internalization by co...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-007-1895-9
更新日期：2007-06-01 00:00:00
abstract：INTRODUCTION:This review aims to (1) assess the breadth of pediatric orthopaedic research in low- and middle-income countries (LMICs) and (2) determine the impact of academic collaboration (an LMIC and a non-LMIC investigator) in published LMIC research. METHODS:Pediatric orthopaedic clinical studies conducted in LMIC...
journal_title：Pediatric surgery international
pub_type： 杂志文章,评审
doi：10.1007/s00383-018-4412-4
更新日期：2019-03-01 00:00:00
abstract：BACKGROUND/AIM:Esophageal dilatation, gastroesophageal reflux, and intestinal obstruction have been demonstrated in CDH survivors. Abnormal esophageal and intestinal innervations were recently found in rats and babies with this disease. Our aim was to further characterize these malformations in embryos and fetal rats e...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-010-2788-x
更新日期：2011-02-01 00:00:00
abstract：AIM:To share our experience in ovary-sparing surgery for teratomas in children. PATIENTS AND METHODS:The medical records of nine patients (mean age of 11.2 years, r 6-15 years) who had undergone ovary-sparing surgery for teratoma were analyzed retrospectively. Mean duration for follow-up was 29.5 months (r 15-75 month...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-012-3228-x
更新日期：2013-03-01 00:00:00
abstract：:Hirschsprung's disease is characterized by the absence of ganglion cells in the distal bowel and extends proximally for varying distances. In recent years, the purinergic P2Y receptors have begun to receive much attention as they have been recognised as major ATP receptors in many regions of the body, including the in...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-007-2044-1
更新日期：2008-01-01 00:00:00
