Management strategy of meconium ileus-outcome analysis
Conclusion: MI is an important neonatal emergency, which needed immediate attention of a pediatric surgeon. Proper evaluation of the patient, careful application of principals of conservative management, and timely surgical intervention may fetch satisfactory results.
Authors: Al-Ibrahim N Abstract Cornual ectopic pregnancy is a rare form of ectopic pregnancy but has catastrophic presentation when diagnosis is missed. It is usually misdiagnosed as degenerated myoma at uterine fundus but can be differentiated by positive pregnancy test, absence of intrauterine gestational sac and diagnostic laparoscopy when necessary. In this case, we present a case of cornual ectopic pregnancy diagnosed by serial serum beta subunit of human chorionic gonadotropin, vaginal ultrasound and diagnostic laparoscopy, which was managed by evacuation of the cornual ectopic by laparotomy, excision of the ...
We report a case of 16 year old male, who was presented to Jawaharlal Nehru Medical College, AMU, Aligarh, India as an emergency case with complaints of severe abdominal pain, difficulty in breathing and bilious vomiting. He was diagnosed as a case of late post traumatic right side diaphragmatic hernia with acute intestinal obstruction. He was successfully treated surgically by laparotomy and the defect was closed with polypropylene suture. The patient was followed for 3 months after operation and there was no complication. PMID: 31435467 [PubMed]
CONCLUSIONS: Rosmarinic acid has antioxidant properties and is an effective hepatoprotective agent. However, although rosmarinic acid provides useful effects in the lung by increasing antioxidant capacity and reducing oxidative stress after ischemia/reperfusion injury, it does not ameliorate histopathologic changes. These findings suggest that rosmarinic acid is likely to provide favorable outcomes in the treatment of hepatic ischemia/reperfusion injury. PMID: 31436305 [PubMed - as supplied by publisher]
Publication date: Available online 22 August 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Kendall M. Lawrence, Matthew Iyer, Prerana Baranwal, Aliza Solomon, Nitsana A. SpiglandAbstractIngestion of neodymium magnets carries risks of dangerous intestinal complications including necrosis of the intestinal wall, bowel perforation, enteroenteric fistulae, and even death. Prompt endoscopic or surgical removal can prevent these complications. Here we report a case of unwitnessed ingestion of 19 neodymium magnets that went unrecognized for two weeks before presenting with small bowel obstruction due to a phytob...
CONCLUSION: LESS surgery using an angiocatheter needle, with leaving only a small postoperative scar, was deemed feasible for the management of huge ovarian cysts. PMID: 31433584 [PubMed - in process]
This study aimed to investigate the factors affecting the postoperative mortality rate in patients undergoing surgery for perforated diverticulitis. Further, we compared the recovery courses of patients between open and laparoscopic surgeries. Methods: We analyzed the medical records of adult patients with peritonitis caused by perforated diverticulitis from six hospitals of Hallym University Medical Center from January 2006 to December 2016. Results: A total of 166 patients were identified. In the univariate analysis, the statistically significant factors associated with postoperative mortality were age ≥ 60 ye...
ConclusionsIn conclusion, LLPJ seems to be a safe, feasible and effective technique in patients with chronic pancreatitis. However, the number of descriptions published to date is very small, and there are no studies with high scientific evidence comparing LLPJ with open surgery or with endoscopic treatment that would allow us to draw firmer conclusions at the present time.
We present a case of a 3-year-old child with a grade IV blunt pancreatic trauma with concomitant injuries to the liver and spleen that was successfully managed conservatively.
Condition: Laparotomy Intervention: Procedure: Reopen the abdomen to check missed pathology or abdominal washouts Sponsor: Dow University of Health Sciences Completed
CONCLUSIONS: As a component of multimodal analgesia, bilateral PVB provides noninferior analgesia compared to TEA for midline laparotomy. PMID: 31425230 [PubMed - in process]