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  1. Article ; Online: Pediatric Malignant Pelvic Paraganglioma-A Diagnostic and Surgical Challenge.

    Al-Shafei, Tariq Rashid Salim / Ali, Farman / Dawood, Bashar / Al-Balushi, Zainab / Al Sulaimi, Jawaher / Mittal, Alok / Ghosh, Dhruva N

    Journal of pediatric hematology/oncology

    2023  Volume 45, Issue 7, Page(s) e833–e836

    Abstract: Pheochromocytoma are chromaffin cell-derived tumors that have an exceptionally high genetic predisposition. The presentation of extra-adrenal and pelvic paraganglioma (PGL) in children is uncommon. Due to the relative rarity, PGL tumors' presentation and ...

    Abstract Pheochromocytoma are chromaffin cell-derived tumors that have an exceptionally high genetic predisposition. The presentation of extra-adrenal and pelvic paraganglioma (PGL) in children is uncommon. Due to the relative rarity, PGL tumors' presentation and disease behavior may vary. Genetic testing, imaging, and biochemical investigation are employed to diagnose PGL. Surgical resection with preoperative angioembolization has been practiced in alleviating the burden of torrential intraoperative bleeding.
    Language English
    Publishing date 2023-08-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1231152-2
    ISSN 1536-3678 ; 1077-4114 ; 0192-8562
    ISSN (online) 1536-3678
    ISSN 1077-4114 ; 0192-8562
    DOI 10.1097/MPH.0000000000002742
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1537: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Erratum to 'Exploring the cost-effectiveness of high versus low perioperative fraction of inspired oxygen in the prevention of surgical site infections among abdominal surgery patients in three low- and middle-income countries' [

    Kachapila, Mwayi / Monahan, Mark / Ademuyiwa, Adesoji O / Adinoyi, Yakubu Momohsani / Biccard, Bruce M / George, Christina / Ghosh, Dhruva N / Glasbey, James / Morton, Dion G / Osayomwanbo, Osaheni / Pearse, Rupert / Roberts, Tracy E / Suroy, Atul / Yakubu, Saidu Yusuf / Oppong, Raymond

    BJA open

    2024  Volume 10, Page(s) 100267

    Abstract: This corrects the article DOI: 10.1016/j.bjao.2023.100207.]. ...

    Abstract [This corrects the article DOI: 10.1016/j.bjao.2023.100207.].
    Language English
    Publishing date 2024-03-06
    Publishing country England
    Document type Published Erratum
    ISSN 2772-6096
    ISSN (online) 2772-6096
    DOI 10.1016/j.bjao.2024.100267
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Erratum to "Exploring the cost-effectiveness of high versus low perioperative fraction of inspired oxygen in the prevention of surgical site infections among abdominal surgery patients in three low- and middle-income countries" [

    Kachapila, Mwayi / Monahan, Mark / Ademuyiwa, Adesoji O / Adinoyi, Yakubu Momohsani / Biccard, Bruce M / George, Christina / Ghosh, Dhruva N / Glasbey, James / Morton, Dion G / Osayomwanbo, Osaheni / Pearse, Rupert / Roberts, Tracy E / Suroy, Atul / Yakubu, Saidu Yusuf / Oppong, Raymond

    BJA open

    2024  Volume 9, Page(s) 100251

    Abstract: This corrects the article DOI: 10.1016/j.bjao.2023.100207.]. ...

    Abstract [This corrects the article DOI: 10.1016/j.bjao.2023.100207.].
    Language English
    Publishing date 2024-02-28
    Publishing country England
    Document type Published Erratum
    ISSN 2772-6096
    ISSN (online) 2772-6096
    DOI 10.1016/j.bjao.2023.100251
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Transition zone pull-through in Hirschsprung's disease: a tertiary hospital experience.

    Ghosh, Dhruva N / Liu, Yingrui / Cass, Daniel T / Soundappan, Soundappan S V

    ANZ journal of surgery

    2017  Volume 87, Issue 10, Page(s) 780–783

    Abstract: Background: Pull-through of ganglionic bowel is essential for successful treatment of Hirschsprung's disease. We studied the incidence of transition zone pull-through in our institution and compared its outcome with ganglionic bowel pull-through.: ... ...

    Abstract Background: Pull-through of ganglionic bowel is essential for successful treatment of Hirschsprung's disease. We studied the incidence of transition zone pull-through in our institution and compared its outcome with ganglionic bowel pull-through.
    Methods: Children who underwent Soave's pull-through for Hirschsprung's disease from January 2005 to November 2012 were studied. Patients were divided into two groups: ganglionic bowel pull-throughs (Group 1) and transition zone pull-throughs (Group 2). Demographics, presentations, surgical procedure, post-operative results and complications including redo procedures were recorded and reviewed along with histopathology reports.
    Results: Fifty patients underwent Soave's pull-through for Hirschsprung's disease in our group. The median age at surgery was 13.5 days in Group 1 and 22.5 days in Group 2. Transition zone pull-through occurred in eight children (16%). Transition zone pull-through was attributed to errors in histologic interpretation (n = 5), sampling (n = 2) and surgical technique (n = 1). The transition zone was significantly longer in Group 2 (P = 0.002). Constipation and enterocolitis were the main complications needing therapy. One child in Group 2 required surgery for adhesive intestinal obstruction.
    Conclusions: The length of the transition zone in children with transition zone pull-through was significantly longer. Though our children with transition zone pull-through did not require redo surgery the possibility of redo surgery remains. Transition zone pull-through should still be considered an error and should be prevented.
    Language English
    Publishing date 2017-10
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2050749-5
    ISSN 1445-2197 ; 1445-1433 ; 0004-8682
    ISSN (online) 1445-2197
    ISSN 1445-1433 ; 0004-8682
    DOI 10.1111/ans.13745
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 180: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  5. Article ; Online: Preliminary model assessing the cost-effectiveness of preoperative chlorhexidine mouthwash at reducing postoperative pneumonia among abdominal surgery patients in South Africa.

    Kachapila, Mwayi / Ademuyiwa, Adesoji O / Biccard, Bruce M / Ghosh, Dhruva N / Glasbey, James / Monahan, Mark / Moore, Rachel / Morton, Dion G / Oppong, Raymond / Pearse, Rupert / Roberts, Tracy E

    PloS one

    2021  Volume 16, Issue 8, Page(s) e0254698

    Abstract: Background: Pneumonia is a common and severe complication of abdominal surgery, it is associated with increased length of hospital stay, healthcare costs, and mortality. Further, pulmonary complication rates have risen during the SARS-CoV-2 pandemic. ... ...

    Abstract Background: Pneumonia is a common and severe complication of abdominal surgery, it is associated with increased length of hospital stay, healthcare costs, and mortality. Further, pulmonary complication rates have risen during the SARS-CoV-2 pandemic. This study explored the potential cost-effectiveness of administering preoperative chlorhexidine mouthwash versus no-mouthwash at reducing postoperative pneumonia among abdominal surgery patients.
    Methods: A decision analytic model taking the South African healthcare provider perspective was constructed to compare costs and benefits of mouthwash versus no-mouthwash-surgery at 30 days after abdominal surgery. We assumed two scenarios: (i) the absence of COVID-19; (ii) the presence of COVID-19. Input parameters were collected from published literature including prospective cohort studies and expert opinion. Effectiveness was measured as proportion of pneumonia patients. Deterministic and probabilistic sensitivity analyses were performed to assess the impact of parameter uncertainties. The results of the probabilistic sensitivity analysis were presented using cost-effectiveness planes and cost-effectiveness acceptability curves.
    Results: In the absence of COVID-19, mouthwash had lower average costs compared to no-mouthwash-surgery, $3,675 (R 63,770) versus $3,958 (R 68,683), and lower proportion of pneumonia patients, 0.029 versus 0.042 (dominance of mouthwash intervention). In the presence of COVID-19, the increase in pneumonia rate due to COVID-19, made mouthwash more dominant as it was more beneficial to reduce pneumonia patients through administering mouthwash. The cost-effectiveness acceptability curves shown that mouthwash surgery is likely to be cost-effective between $0 (R0) and $15,000 (R 260,220) willingness to pay thresholds.
    Conclusions: Both the absence and presence of SARS-CoV-2, mouthwash is likely to be cost saving intervention for reducing pneumonia after abdominal surgery. However, the available evidence for the effectiveness of mouthwash was extrapolated from cardiac surgery; there is now an urgent need for a robust clinical trial on the intervention on non-cardiac surgery.
    MeSH term(s) Abdomen/surgery ; COVID-19 ; Chlorhexidine/therapeutic use ; Cost-Benefit Analysis ; Humans ; Models, Theoretical ; Mouthwashes ; Pandemics ; Pneumonia/prevention & control ; Postoperative Complications/prevention & control ; Preoperative Care ; Prospective Studies ; South Africa
    Chemical Substances Mouthwashes ; Chlorhexidine (R4KO0DY52L)
    Language English
    Publishing date 2021-08-12
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1932-6203
    ISSN (online) 1932-6203
    DOI 10.1371/journal.pone.0254698
    Database MEDical Literature Analysis and Retrieval System OnLINE

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