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    629 results match your criteria African journal of paediatric surgery : AJPS[Journal]

    1 OF 13

    Intraperitoneal cerebrospinal fluid pseudocyst with ventriculoperitoneal shunt.
    Afr J Paediatr Surg 2017 Jul-Sep;14(3):56-58
    Department of Neurosurgery, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
    Ventriculoperitoneal (VP) shunting is mostly used in the treatment of hydrocephalus and many complications have been reported with this method. Abdominal Pseudocyst (APC) are relatively uncommon but important complications in patients with VP shunts. We herein report the case of a 9-year-old boy with VP shunt who presented with abdominal distension, abdominal pain, malaise, and decrease of appetite. Read More

    Congenital absence of jejunum and ileum: A case report and literature review.
    Afr J Paediatr Surg 2017 Jul-Sep;14(3):53-55
    Department of Pediatric Surgery, SVP Postgraduate Institute of Pediatrics, Cuttack, Odisha, India.
    We report an extremely rare finding 'congenital absence of jejunum and ileum' during explorative laparotomy of a 16-day-old female neonate. The dilated duodenum was terminating blindly, and the next segment of intestine was a peanut-sized cecum followed by microcolon. On an extensive survey of literature this type of intestinal atresia is not reported in living babies. Read More

    Acute mechanical intestinal obstruction in children at zinder national hospital, Niger: Aetiologies and prognosis.
    Afr J Paediatr Surg 2017 Jul-Sep;14(3):49-52
    Department of Postoperative and Intensive Care, National Hospital of Zinder, University of Zinder, Zinder, Niger.
    Background: To describe the aetiological and prognostic aspects of acute mechanical intestinal obstruction (AMIO) in children at Zinder National Hospital (Niger).

    Materials And Methods: This was a cross-sectional study on a period to January 2013-June 2015. The database included all children under 15 years of age with a surgical diagnosis of mechanical intestinal obstruction. Read More

    Acute presentation of koch's abdomen in children: Our experience.
    Afr J Paediatr Surg 2017 Jul-Sep;14(3):43-48
    Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
    Background: To analyse our experience with acute presentations of abdominal tuberculosis (TB) in children for early diagnosis and management.

    Materials And Methods: From December 2010 to April 2016, available electronic and operation theatre (OT) records of 17 patients with confirmed diagnosis of abdominal TB were analysed retrospectively. Parameters reviewed were age, sex, presentations, diagnostic investigations, surgery/intervention performed, final outcome and follow-up. Read More

    Oral and maxillofacial tumours in children and adolescents: Clinicopathologic audit of 75 cases in an academic medical centre, Sokoto, Northwest Nigeria.
    Afr J Paediatr Surg 2017 Jul-Sep;14(3):37-42
    Dental and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
    Background: Maxillofacial tumours in children and adolescents have been documented worldwide; however, few studies were reported from Africa, especially sub-Saharan Africa. In Nigeria, most of the studies emanated from the Southwest region.

    Aim: To present an audit of clinicopathologic features and treatment of orofacial tumours in children and adolescents in Sokoto, Northwest Nigeria. Read More

    Reoperation of Anastomotic Stricture after Oesophageal Atresia Repair: An Uncommon Event.
    Afr J Paediatr Surg 2017 Apr-Jun;14(2):34-36
    Department of Pediatric Surgery, Teaching Hospital of Treichville, 01BPV03 Abidjan 01; FELIX HOUPHOUET-BOIGNY, University of Abidjan, Côte d'Ivoire.
    Oesophageal atresia is a common malformation in which the survival rate in developed countries is around 90%, while its mortality remains very high in developing countries. Oesophageal stricture post-oesophageal atresia repair is traditionally treated by non-surgical approach. However, surgical resection of the oesophageal stricture may be necessary after the failure of dilations. Read More

    Unusual Ileal Anomalies Associated with Omphalomesenteric Duct Remnants.
    Afr J Paediatr Surg 2017 Apr-Jun;14(2):32-33
    Department of Pediatric Surgery, School of Medicine, Mother and Child Hospital, Mohammed VI Teaching Hospital, University Cadi Ayyad, Marrakesh, Morocco.
    The association between omphalomesenteric duct remnants and other digestive tract malformations is not rare. Most associated anomalies are reported with Meckel's diverticulum. We report two associated anomalies which were never reported: an ileal stenosis and an ileal duplication. Read More

    One or Two Stages Procedure for Repair of Rectovestibular Fistula: Which is Safer? (A Single Institution Experience).
    Afr J Paediatr Surg 2017 Apr-Jun;14(2):27-31
    Department of Pediatric Surgery, Zagazig University Hospital, Zagazig, Egypt.
    Background: Rectovestibular fistula (RVF) is the most common type of anorectal malformations in females. The need for a diverting colostomy during correction of defect has ignited a heated debate. In this study, we reviewed the girls with RVF that had been treated by either one or two stage procedure in the past 10 years in our institution to define whether one stage or two stage procedures is safer and more beneficial for the patients. Read More

    Retroperitoneoscopic Varicocelectomy in Adolescents: Long-term Follow-up in Two Italian Centres.
    Afr J Paediatr Surg 2017 Apr-Jun;14(2):24-26
    Department of Medical, Surgical and Neurological Science, Pediatric Surgery Unit, University of Siena, 53100 Siena, Italy.
    Background: The varicocele is the most commonly diagnosed pre-pubertal andrological condition with an incidence of 10%-15% between adolescents. The aim of this study was to evaluate the efficacy of retroperitoneoscopic varicocelectomy (RV) in two Italian centres with particular attention to post-operative testicular volume and semen analysis after 18 years of life.

    Materials And Methods: From 1999 to 2010, 286 adolescents underwent retroperitoneoscopic left varicocelectomy. Read More

    Factors Associated with the Risk of Persistent Gastrostomy Site Infection Following Laparoscopic or Open Nissen Fundoplication.
    Afr J Paediatr Surg 2017 Apr-Jun;14(2):21-23
    Department of Gastroenterological Surgery, Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
    Background: Gastrostomy for feeding disorders or swallowing dysfunctions can be complicated by persistent gastrostomy site infection (PGSI). PGSI causes nutrient leakage, with dilated PGSI requiring gastrostomy reconstruction. The purpose of this study was to evaluate the causes, patient characteristics, and perioperative management of PGSI after Nissen fundoplication and gastrostomy for patients with gastro-oesophageal reflux. Read More

    Successful reconstruction of congenital perineal skin defect using gluteal-fold bilobed perforator flap.
    Afr J Paediatr Surg 2017 Jan-Mar;14(1):15-17
    Department of Plastic and Reconstructive Surgery, National Hospital Organization Nagasaki Medical Center, Nagasaki, Japan.
    Perineovaginorectal defect usually requires surgical repair; however, direct closure often leads to dehiscence. We present two patients with a congenital perineal skin defect who were successfully treated using a gluteal-fold bilobed perforator flap. This flap facilitates esthetic restoration and a more natural perineovaginorectal appearance, using only a one-stage procedure. Read More

    Chronic recurrent vomiting associated with primary gastric volvulus in infant: A case report and review of literature.
    Afr J Paediatr Surg 2017 Jan-Mar;14(1):12-14
    Department of Radiology, AIIMS, Patna, Bihar, India.
    Gastric volvulus is an uncommon entity found in the paediatric population. We are reporting a case of chronic gastric volvulus presented to us with the complaints of recurrent vomiting after each feed. The vomiting was projectile, nonbilious, and the content was milk. Read More

    Delayed primary end-to-end anastomosis for traumatic long segment urethral stricture and its short-term outcomes.
    Afr J Paediatr Surg 2017 Jan-Mar;14(1):8-11
    Department of Paediatric Surgery, Apollo Gleneagles Hospital, Kolkata, West Bengal, India.
    Background:: The purpose of this study is to evaluate the aetiology of posterior urethral stricture in children and analysis of results after delayed primary repair with extensive distal urethral mobilisation.

    Materials And Methods: This was a retrospective study carried out in a tertiary care centre from January 2009 to December 2013.

    Results:: Eight children with median age 7. Read More

    Is the plastibell of any haemostatic value after 24 h?
    Afr J Paediatr Surg 2017 Jan-Mar;14(1):5-7
    Department of Surgery, Burns and Plastic Surgery Unit, College of Medicine, University of Lagos, Idi Araba, Lagos, Nigeria.
    Background: The Plastibell is the most popular circumcision method among mothers in our city. Haemorrhage is its major problem. At our centre, we have recorded many circumcision problems resulting from prolonged retention of the Plastibell ring and this study, therefore, sought to explore the ways of reducing complications resulting from prolonged retention of the ring. Read More

    Paediatric ureterolithotripsy: Tips and tricks - Experience at a single center.
    Afr J Paediatr Surg 2017 Jan-Mar;14(1):1-4
    Department of Paediatric Surgery, Dr. Ulhas Patil Medical College and Hospital, Jalgaon, Maharashtra, India.
    Background: Paediatric stone disease is very common in certain regions of India. Traditionally, the endourology for the stones even in paediatric age group is managed by adult urologist and paediatric surgeons tend to do open surgeries. The nonavailability of paediatric size equipments and lack of training at the teaching and tertiary care paediatric surgical centers in India are factors due to which there is continued apathy of paediatric surgeons to endourology. Read More

    Neonatal neuroblastoma with adrenal primary and metastasis to the liver: A case report and a review of literature.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):217-222
    Department of Radiodiagnosis, Lagos University Teaching Hospital, Lagos, Nigeria.
    We report the case of a 23-day-old neonate with neuroblastoma (NBL) in the right adrenal gland and widespread metastases to the liver. This raises the possibility of foetal NBL, which was missed during periodic ultrasonography done during the mother's pregnancy. We hope that this report would increase the awareness of physicians about foetal, congenital and neonatal NBL; and of sonographers about space-occupying lesions in the foetus. Read More

    Unusual presentations of child abuse: A report of two cases and the role of imaging.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):213-216
    Department of Surgery, Lagos University Teaching Hospital, Lagos, Nigeria.
    Insufficient attention has been paid to child abuse in Nigeria, where corporal punishment is still acceptable both at home and in the wider public including schools. This is notlimited to the parents; these punitive measures can also be undertaken by the extended family, caregivers, and neighbors. Mild to extreme force is allowed particularly when the crime involves tarnishing the family image. Read More

    Thoracic heteropagus conjoined twins associated to an omphalocele: Report of a case and complete review of the literature.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):209-212
    Department of Pediatric Surgery, Hedi Chaker Hospital, 30219 Sfax, Tunisia.
    Heteropagus twins are an extremely rare event with an incidence of 1-2 million live births that represents, sometimes, a real challenge for paediatric surgeons. The majority of cases have complete or partial duplication of the pelvis and/or lower extremities. Thoracic heteropagus conjoined twins is a rare condition in which a grossly defective foetus (the parasite) is attached to the thorax of the main foetus (the autosite). Read More

    Appendicular bilharzioma: An unusual cause of acute intestinal obstruction in childhood (a case report at Charles de Gaulle Paediatric Teaching Hospital of Ouagadougou).
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):206-208
    Department of Paediatric Surgery, Charles de Gaulle Paediatric Teaching Hospital, Ouagadougou, Burkina Faso.
    The authors report the case of a 12-year-old boy admitted to the surgical emergency department of Charles de Gaulle Paediatric Teaching Hospital of Ouagadougou for acute abdominal pain. A strangulation of the terminal ileum by a tumour-like appendix wound around the bowel loop was seen during operation. The histological examination of the removed appendix disclosed eggs of Schistosoma haematobium and concluded to bilharzian appendicitis. Read More

    Simultaneous occurrence of intussusception and duodenal haematoma in a patient with Glanzmann's thrombasthenia.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):202-205
    Department of Pediatric Surgery, Zayed Military Hospital, Abu Dhabi, United Arab Emirates.
    Glanzmann's thrombasthenia (GT) is a rare autosomal recessive disorder in which the platelets have anomalies of fibrinogen receptors causing bleeding tendencies. The disease usually presents with mucosal bleeding, petechial haemorrhages or gastrointestinal (GI) bleeding. Only sporadic cases of intussusception or duodenal haematoma have been reported with GT. Read More

    Acute neonatal parotid abscess: A rare case report.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):199-201
    Department of Surgery, Krishna Institute of Medical Sciences, Karad, Satara, Maharashtra, India.
    Acute suppurative parotitis is uncommon in children and is very rare in neonates. Most common organism isolated is Staphylococcus aureus. We present a 15-day-old full-term breast-fed female neonate with left-sided acute parotid abscess. Read More

    Impact of umbilical polyp resection: A report and literature review.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):196-198
    Department of Gastroenterological Surgery I, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
    The preferred treatment for this lesion should be the total resection of the umbilical polyp with a mini-laparotomy because residual intestinal mucosa at the umbilicus can be confirmed to eliminate the risk of recurrence. Read More

    Our experience of proximal hypospadias repair using the Cloutier-Bracka technique at the Gynaeco-Obstetric and Paediatric Hospital, Yaounde-Cameroon.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):193-195
    Lyon Teaching Hospital, France.
    Background: In parts of Africa, routine circumcision is practised and sometimes even on children with hypospadias. The lack of preputial foreskin renders urethroplasty more difficult and often requires to use of a mucosal graft as described by Bracka.

    Objective: The authors describe their experience of hypospadias repair using Bracka's technique. Read More

    Non-laparoscopic minimal surgical approach to pyloromyotomy: An experience from a challenged resource setting.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):189-192
    Division of Pediatric Surgery, Department of Surgery, College of Medicine, King Faisal University, Al Ahsa, KSA.
    Background: The aim of the study is to review the experience with the classic Ramstedt's pyloromyotomy through the RUQ approach and the circumlinear supraumbilical fold approach (circumumbilical [CU]) pyloromyotomy (an approach that combines the ease and safety of the open pyloromyotomy with the advantages of minimal invasiveness).

    Patients And Methods: A single centre review in a period of 12 years from January 2001 to December 2013 with the institutional ethical committee's approval, evaluating 316 pyloromyotomies based on surgical approach: RUQ (171); and CU (145). Patients' demographics, acid-base/electrolyte status on presentation, mean operative time (MOT), postoperative length of stay (LOS) at hospital, and complications were recorded. Read More

    Outcome of primary closure of abdominal wounds following laparotomy for peritonitis in children.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):185-188
    Department of Surgery, Division of Paediatric Surgery, National Hospital, Abuja, Nigeria.
    Background: Primary wound closure following laparotomy for peritonitis is generally believed to be associated with wound complications and long hospital stay. Open wound management has long been the most common practice after laparotomy for peritonitis. Primary closure (PC), however, has recently been advocated to reduce cost and morbidity. Read More

    Evaluation of the use of laparoscopic-guided cholecystocholangiography and liver biopsy in definitive diagnosis of neonatal cholestatic jaundice.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):181-184
    Department of Pediatric Surgery, Asser Central Hospital and Abha Maternity Children Hospital, Abha, Saudi Arabia.
    Background: Once it is established that a jaundiced infant has direct hyperbilirubinemia, the principal diagnostic concern is to differentiate hepatocellular from obstructive cholestasis. Traditional tests such as ultrasonography, percutaneous liver biopsy and technetium 99 m hepatobiliary iminodiacetic acid (HIDA) scan are often not sufficiently discriminating. Definitive exclusion of biliary atresia (BA) in the infant with cholestatic jaundice usually requires mini-laparotomy and intra-operative cholangiography. Read More

    Typhoid perforation: Post-operative Intensive Care Unit care and outcome.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):175-180
    Department of Anaesthesia, University College Hospital, Ibadan, Nigeria.
    Background: Typhoid perforation ileitis is a serious complication of typhoid fever, a common and unfortunate health problem in a resource-poor country like Nigeria. Following bowel perforation, treatment is usually by simple closure or bowel resection and anastomosis after adequate aggressive fluid resuscitation and electrolyte correction. Postoperatively, some of these patients do require management in Intensive Care Unit (ICU) on account of sepsis or septic shock and to improve survival. Read More

    Meckel's diverticulum in children: Our 12-year experience.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):170-174
    Department of Pediatric Surgery, PGIMS, Rohtak, Haryana, India.
    Background: Meckel's diverticulum (MD) is the one of the most common congenital malformation of gastrointestinal tract and has varied clinical presentations. We are presenting here our 12-year experiences with MD in children at tertiary care hospital in North India. It highlights the fact that isolated gangrene of MD can occur, and it is associated with increased morbidity. Read More

    Childhood intussusception: Impact of delay in presentation in a developing country.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):166-169
    Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria.
    Background: The classical cases of intussusception are readily diagnosed clinically, and despite recent improvements in radiological techniques, the diagnosis of intussusception and success in its nonoperative reduction has been suboptimal, thus making operative management a veritable backup. This study examined the impact of delays in presentation on the rate of bowel resection, length of hospital stay, and appraised the outcome of operative treatment.

    Patients And Methods: This was a retrospective study of consecutive children admitted and treated surgically for intussusception between January 2002 and December 2011 at the University College Hospital, Ibadan, Nigeria. Read More

    Experience with neonatal hydrometrocolpos in the Niger Delta area of Nigeria: Upsurge or increased recognition?
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):161-165
    Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
    Background: Hydrometrocolpos (HMC) is a clinical condition in which there is a cystic distension of the vagina (hydrocolpos), uterus and sometimes, fallopian tubes (hydrosalpinx) with fluid. This study described our experience with cases of HMC seen in our practice, and highlighted the flare in our practice.

    Patients And Methods: A retrospective study of cases of HMC managed at the University of Port Harcourt Teaching Hospital between September 2010 and August 2012. Read More

    Penetrating chest wound of the foetus.
    Afr J Paediatr Surg 2016 Jul-Sep;13(3):155-7
    Department of Paediatric Surgery, Charles de Gaulle Paediatric Teaching Hospital, Ouagadougou, Burkina Faso.
    Traumas of the foetus caused by stabbings are rare but actually life-threatening for both the foetus and the mother. We report a case of penetrating chest wound on a baby taken from the obstetrics unit to the paediatric surgical department. His mother was assaulted by his father, a mentally sick person with no appropriate follow-up. Read More

    A case report of Cowper's syringocele in an 18-months old infant at the Yaoundé Gynaeco-Obstetric and Pediatric Hospital.
    Afr J Paediatr Surg 2016 Jul-Sep;13(3):152-4
    Lyon Teaching Hospital, Lyon, France.
    Syringocele or dilatation of the duct of the bulbo-urethral (Cowper's) gland is usually of congenital origin but can be acquired. It is a very rare deformity, <10 cases have been reported in literature. The main objective is to describe an additional case of syringocele of Cowper's glands and review the literature. Read More

    Laparoscopic management of an axially torsed gangrenous Meckel's diverticulum in a child.
    Afr J Paediatr Surg 2016 Jul-Sep;13(3):150-1
    Department of Pediatric Surgery, Hedi Chaker Hospital, 30219 Sfax, Tunisia.
    Meckel's diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract. Most often is asymptomatic but it may give a number of complications including gastrointestinal bleeding, obstruction and inflammation. Axial torsion and gangrene of MD are exceptional. Read More

    Mixed gonadal dysgenesis in Yaoundé: A preliminary experience about three cases.
    Afr J Paediatr Surg 2016 Jul-Sep;13(3):145-9
    Lyon Teaching Hospital, Lyon, France.
    Unlabelled: Mixed gonadal dysgenesis is characterised by unilateral chromosomal abnormality, which is probably the result of anaphase lag during mitosis. The 45, XO/46, XY karyotype is the most common form of mosaicism involving the Y chromosome. It is a rare clinical entity with a worldwide incidence of 1. Read More

    The value of using loupe magnification and methylene blue dye in intra-operative identification of thyroglossal duct tract.
    Afr J Paediatr Surg 2016 Jul-Sep;13(3):140-4
    Department of ENT, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
    Background: This was a comparative randomised study to find out the value of using loupe magnification and methylene blue dye in identification of the thyroglossal duct and to compare between them.

    Patients And Methods: Twenty-two patients who presented with infrahyoid thyroglossal duct cyst were subjected to excision of the cyst with two methods for identification of thyroglossal duct track during the operation. Data were anlysed for identification of multiple tracts, the tract relation to the hyoid bone, incidence of complications and operative time. Read More

    Association between plasma kisspeptin levels and adolescent gynecomastia.
    Afr J Paediatr Surg 2016 Jul-Sep;13(3):136-9
    Department of Pediatric Surgery, Faculty of Medicine, Acibadem University, Istanbul, Turkey.
    Background: Gynecomastia is defined as benign proliferation of male breast glandular tissue. To date, the pathophysiology of adolescent gynecomastia (AG) remains unclear. Kisspeptin is a polypeptide that plays an important role in the regulation of the hypothalamic-pituitary-gonadal hormonal axis. Read More

    Digital camera image analysis of faeces in detection of cholestatic jaundice in infants.
    Afr J Paediatr Surg 2016 Jul-Sep;13(3):131-5
    Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
    Background: Stool colour assessment is a screening method for biliary tract obstruction in infants. This study is aimed to be a proof of concept work of digital photograph image analysis of stool colour compared to colour grading by a colour card, and the stool bilirubin level test.

    Materials And Methods: The total bilirubin (TB) level contents in stool samples from 17 infants aged less than 1 year, seven with confirmed cholestatic jaundice and ten healthy subjects was measured, and outcome correlated with the physical colour of the stool. Read More

    Lower limbs deformities in patients with McCune-Albright syndrome: Tomography and treatment.
    Afr J Paediatr Surg 2016 Jul-Sep;13(3):125-30
    Paediatric Department, Orthopaedic Hospital of Speising, Vienna, Austria.
    Background: The skeletal changes in McCune-Albright disease are usually severe because of the polyostotic form of the disease. Trendelenberg gait and limited mobility are the most common presenting features. The constellation of Café-au lait spots and polyostotic bone involvement is commonly referred to as McCune-Albright's syndrome (MAS). Read More

    Clinical spectrum of neonates presenting with pneumoperitoneum: A retrospective study.
    Afr J Paediatr Surg 2016 Jul-Sep;13(3):120-4
    Department of Paediatric Surgery, Benha Children Hospital, Banha, Kaliobeya, Egypt.
    Background: Neonatal pneumoperitoneum is attributed, in most of the reported cases, to necrotising enterocolitis (NEC). There are also other causes leading to free intraperitoneal air. The aim of this study is to describe the clinical spectrum, causes, management and outcome of neonates admitted with pneumoperitoneum in the paediatric surgery unit of a university hospital. Read More

    Management of oesophageal atresia in a developing country: Is primary repair forbidden?
    Afr J Paediatr Surg 2016 Jul-Sep;13(3):114-9
    Department of Anaesthesia, Korle-Bu Teaching Hospital, Accra, Ghana.
    Background: The aim of the study was to evaluate the outcomes of initial surgical procedures for oesophageal atresia at our institution. Primary repair of oesophageal atresia at our centre was perceived to be associated with a high mortality rate. In view of this, almost all patients seen since January 2014 were offered initial surgery for staged repair. Read More

    Physiological marker and surgical ligation of patent ductus arteriosus in neonates.
    Afr J Paediatr Surg 2016 Jul-Sep;13(3):109-13
    Division of Paediatric Surgery, Tygerberg Hospital, University of Stellenbosch, Cape Town 7505, South Africa.
    Background: In preterm infants, immediate complications of surgical closure of a patent ductus arteriosus (PDA) are often serious and due to haemorrhage or ligation of incorrect structures. The aim of this study was to measure blood pressure (BP) changes during ligation and hence introduce a novel physiological marker to alert surgeons to the ligation of incorrect structures.

    Materials And Methods: This study included 146 preterm babies (≤35 weeks of gestation) who underwent surgical PDA closure of a left-to-right unidirectional PDA between June 2006 and December 2015. Read More

    Aneurysmal femoral neck cyst: Report of a paediatric case and review of literature.
    Afr J Paediatr Surg 2016 Apr-Jun;13(2):103-106
    Department of Pediatric Surgery, Aristide Le Dantec Hospital, Dakar, Senegal.
    The aneurysmal bone cyst (ABC) is a benign tumour of children and young adults. It represents approximately 1-2% of all bone tumours. The ABC may develop on all skeletal bones, but the proximal end of the femur is the most common location. Read More

    Laparoscopic treatment of adrenal masses in children: Report of two cases and review of literature.
    Afr J Paediatr Surg 2016 Apr-Jun;13(2):98-102
    Department of Science and Pediatric Surgery, Operative Unit of Pediatric Surgery, Policlinico-Giovanni XXIII University Hospital, Bari, Italy.
    Laparoscopic adrenalectomy has become a common alternative to open surgery for the resection of adrenal lesions in adults: The advantages are to provide better exposure of the adrenal gland, diminish soft tissue dissection, decrease morbidity and postoperative pain; however, reporting on the laparoscopic adrenalectomy in paediatric patients has been limited. We present two cases of laparoscopic adrenalectomy performed at our institution in two children, for left adrenal neuroblastoma in a first patient with opsomyoclonus syndrome, and for a right incidentaloma in the second case. According to recent literature, our experience has demonstrated that the laparoscopic adrenalectomy is a feasible procedure in children with small, well-circumscribed adrenal masses: It can be used a safety to treat suspected benign and malignant adrenal masses in children, with minimal morbidity and short hospital stay. Read More

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