Risk Factors for Wound Infections after Deformity Correction Surgery in Neuromuscular Scoliosis

Conclusion: Our data suggest that in the pediatric population treated surgically for NMS, wound infection is strongly associated with postoperative increase in body weight, residual lumbar lordosis, pulmonary comorbidity, history of myelomeningocele repair, seizures, and previous operations.Pediatr Neurosurg
Source: Pediatric Neurosurgery - Category: Neurosurgery Source Type: research

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ConclusionThe tailored ophthalmic surgical intervention(s) provides satisfactory restoration of anatomy and functionality of the eye. These children need specific multi-discipline consultations for the holistic management and complete care.
Source: International Ophthalmology - Category: Opthalmology Source Type: research
ConclusionAlthough there was a trend towards an increased risk of the pectus deformity and scoliosis in patients repaired with muscle flap, it did not reach statistical significance. There is a correlation between musculoskeletal deformities and the severity of the CDH.
Source: Pediatric Surgery International - Category: Surgery Source Type: research
Publication date: Available online 3 August 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): DeAsia D. Jacob, Rachel E. Aliotta, Neilendu Kundu, David K. Magnuson, Francis A. PapayAbstractCongenital diaphragmatic hernia (CDH) is an infrequent occurrence but can present a complex situation for physicians. The respiratory system can be affected in various ways. Primary closure often is not feasible and many autologous tissue, prosthetic and biosynthetic options exist to assist with closure. Many of the sequelae of this repair manifest later in childhood with revision being common for many reasons, most commonl...
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
AbstractScoliosis is common in children with congenital heart disease (CHD) and may have deleterious effects on quality of life and hemodynamics. Relatively little is known about the outcomes of spinal fusion for scoliosis repair in children with complex CHD. We reviewed all cases of children with CHD undergoing first time spinal fusion excluding those with minor CHD between 1995 and 2015. Seventy-eight patients were identified and included in the study. 97.4% of patients included had undergone prior cardiac surgery and sixteen patients had single ventricle circulations. 17.9% of patients experienced a significant perioper...
Source: Mammalian Genome - Category: Genetics & Stem Cells Source Type: research
Conclusions: Information regarding average time missed from school for 10 common orthopaedic surgeries can be used by clinicians to counsel patients and their families regarding expected recovery time. Level of Evidence: Level IV.
Source: Journal of Pediatric Orthopaedics - Category: Orthopaedics Tags: Selected Topics Source Type: research
ConclusionsOur case showed that misplaced pedicle screws can cause potentially fatal complications, such as infected pseudoaneurysm, even in the late postoperative period.
Source: European Spine Journal - Category: Orthopaedics Source Type: research
ConclusionOverall, infants with a RCDH compared to those with a LCDH had greater long-term morbidity, but not if they had undergone FETO.
Source: Pediatric Surgery International - Category: Surgery Source Type: research
Eur J Pediatr Surg DOI: 10.1055/s-0039-1687867 Background Repair of large congenital diaphragmatic hernias (CDHs) is challenging. As primary repair is not always feasible, patches are commonly used. An alternative treatment is split abdominal wall muscle flap repair, which uses vascularized autologous tissue. The aim of this study was to analyze the long-term outcome of large CDH defects undergoing split abdominal wall muscle repair. Materials and Methods This is a retrospective review (2003–2016) of large CDH treated by split abdominal wall muscle flap repair. Results In a total of 107 CDH pa...
Source: European Journal of Pediatric Surgery - Category: Surgery Authors: Tags: Original Article Source Type: research
Scoliosis results in improved but inferior outcomes following gluteus medius repair. The hip is affected by lumbo-pelvic position and gravity, and the disorder is predominant in women and perhaps also related to pelvic morphology. Numerous opportunities for future study exist.
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - Category: Surgery Authors: Tags: Editorial Commentary Source Type: research
AbstractWe implemented a pharmacokinetic/pharmacodynamic (PK/PD) based optimization algorithm recommending intraoperative Remifentanil and Propofol infusion rates to minimize time to emergence and maximize the duration of analgesia in a clinical setting. This feasibility study tested the clinical acceptance of the optimization algorithm ’s recommendations during scoliosis surgical repair for 14 patients. Anesthesiologist accepted 359/394 (91%) of the recommendations given on the basis of the optimization algorithm. While following the optimization’s recommendations the anesthesiologist decreased Propofol infusi...
Source: Journal of Clinical Monitoring and Computing - Category: Information Technology Source Type: research
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