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  1. Artikel: Traumatic Abdominal Wall Hernias Following High-Velocity Trauma in Children.

    Quinn, Rakesh / Jehangir, Susan / Collin, Michael / Soundappan, S V S

    Journal of Indian Association of Pediatric Surgeons

    2020  Band 25, Heft 3, Seite(n) 169–171

    Abstract: Traumatic abdominal wall hernias following blunt high-velocity trauma are uncommon in children and can result in concurrent abdominal visceral injuries. We present one such case of a 9 year-old boy requiring a trauma laparotomy to repair visceral ... ...

    Abstract Traumatic abdominal wall hernias following blunt high-velocity trauma are uncommon in children and can result in concurrent abdominal visceral injuries. We present one such case of a 9 year-old boy requiring a trauma laparotomy to repair visceral injuries following a motor vehicle accident.
    Sprache Englisch
    Erscheinungsdatum 2020-04-11
    Erscheinungsland India
    Dokumenttyp Case Reports
    ZDB-ID 2164528-0
    ISSN 1998-3891 ; 0971-9261
    ISSN (online) 1998-3891
    ISSN 0971-9261
    DOI 10.4103/jiaps.JIAPS_33_19
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Tunnelled central venous access devices in small children: A comparison of open vs. ultrasound-guided percutaneous insertion in children weighing ten kilograms or less.

    Vierboom, Liam / Darani, Alexandre / Langusch, Catherine / Soundappan, Svs / Karpelowsky, Jonathan

    Journal of pediatric surgery

    2018  Band 53, Heft 9, Seite(n) 1832–1838

    Abstract: Purpose: Ultrasound-guided (USG) percutaneous insertion of tunnelled central venous access devices (CVADs) has been shown to be safe and effective in adults. However, there have been concerns over the safety of this technique in small children. This ... ...

    Abstract Purpose: Ultrasound-guided (USG) percutaneous insertion of tunnelled central venous access devices (CVADs) has been shown to be safe and effective in adults. However, there have been concerns over the safety of this technique in small children. This paper analyses the safety of USG percutaneous CVAD insertion in the pediatric population weighing ten kilograms or less.
    Method: All surgically inserted CVADs for children weighing ten kilograms or less, between January 2010 and December 2015 at the Children's Hospital at Westmead were retrospectively reviewed. Open and USG percutaneous techniques were compared with intraoperative complications as the primary outcome variable. Secondary outcome measures included conversion to open technique, postoperative complications, operating time and catheter longevity.
    Results: 232 cases were identified: 96 (41.4%) open, 136 (58.6%) USG percutaneous. Age ranged <1-48 months; weight 0.7-10 kg. CVADs ranged 2Fr-9Fr in size. Eleven USG percutaneous cases required conversion to open. There was no significant difference in intraoperative complication rate between open (11/96, 11.5%) and USG percutaneous (19/136, 14.0%) groups (p = 0.574). There was no significant difference in overall postoperative complications, operative time or catheter longevity. Mechanical blockage was significantly higher in the open group than the USG percutaneous group (21% vs 10%, p = 0.015).
    Conclusion: USG percutaneous CVAD insertion is safe in children weighing ten kilograms or less. Open catheter insertion may be associated with higher rates of post-operative catheter blockage in small children.
    Level of evidence: Level III.
    Mesh-Begriff(e) Adult ; Body Weight ; Catheterization, Central Venous/methods ; Catheters, Indwelling/standards ; Catheters, Indwelling/statistics & numerical data ; Central Venous Catheters/standards ; Central Venous Catheters/statistics & numerical data ; Child ; Child, Preschool ; Female ; Hospitals, Pediatric ; Humans ; Male ; Postoperative Complications/prevention & control ; Retrospective Studies ; Ultrasonography, Interventional/methods
    Sprache Englisch
    Erscheinungsdatum 2018-04-05
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 80165-3
    ISSN 1531-5037 ; 0022-3468
    ISSN (online) 1531-5037
    ISSN 0022-3468
    DOI 10.1016/j.jpedsurg.2018.03.025
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel: Pullthrough Operation for Hirschsprung's Disease: Importance of a Circumferential (Donut) Biopsy at the Level of the Anastomosis.

    Jehangir, Susan / Soundappan, Soundappan Venkatraman Sannappa / Krivanek, Micheal / Arbuckle, Susan / Graf, Nicole

    European journal of pediatric surgery reports

    2019  Band 7, Heft 1, Seite(n) e55–e57

    Abstract: Hirschsprung's disease is characterized by the absence of ganglia in the distal colon, resulting in a functional obstruction. It is managed by excision of the aganglionic segment and anastomosis of the ganglionated bowel just above the dentate line. The ... ...

    Abstract Hirschsprung's disease is characterized by the absence of ganglia in the distal colon, resulting in a functional obstruction. It is managed by excision of the aganglionic segment and anastomosis of the ganglionated bowel just above the dentate line. The level of aganglionosis is determined by performing multiple seromuscular biopsies and/or full thickness biopsy on the antimesenteric border of the bowel to determine the level of pullthrough. The transition zone is described as being irregular, and hence a doughnut biopsy is recommended so that the complete circumference can be assessed. Herein, we described a child in whom there was a selective absence of ganglion cells in 30% of the circumference of the bowel along the mesenteric border for most of the transverse colon. This case defies the known concept of neural migration in an intramural and transmesenteric fashion and emphasizes the importance of a doughnut biopsy of the pulled-down segment.
    Sprache Englisch
    Erscheinungsdatum 2019-07-15
    Erscheinungsland Germany
    Dokumenttyp Case Reports
    ZDB-ID 2674016-3
    ISSN 2194-7627 ; 2194-7619
    ISSN (online) 2194-7627
    ISSN 2194-7619
    DOI 10.1055/s-0039-1693494
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel: Pullthrough Operation for Hirschsprung's Disease: Importance of a Circumferential (Donut) Biopsy at the Level of the Anastomosis

    Jehangir, Susan / Soundappan, Soundappan Venkatraman Sannappa / Krivanek, Micheal / Arbuckle, Susan / Graf, Nicole

    European Journal of Pediatric Surgery Reports

    2019  Band 07, Heft 01, Seite(n) e55–e57

    Abstract: Hirschsprung's disease is characterized by the absence of ganglia in the distal colon, resulting in a functional obstruction. It is managed by excision of the aganglionic segment and anastomosis of the ganglionated bowel just above the dentate line. The ... ...

    Abstract Hirschsprung's disease is characterized by the absence of ganglia in the distal colon, resulting in a functional obstruction. It is managed by excision of the aganglionic segment and anastomosis of the ganglionated bowel just above the dentate line. The level of aganglionosis is determined by performing multiple seromuscular biopsies and/or full thickness biopsy on the antimesenteric border of the bowel to determine the level of pullthrough. The transition zone is described as being irregular, and hence a doughnut biopsy is recommended so that the complete circumference can be assessed. Herein, we described a child in whom there was a selective absence of ganglion cells in 30% of the circumference of the bowel along the mesenteric border for most of the transverse colon. This case defies the known concept of neural migration in an intramural and transmesenteric fashion and emphasizes the importance of a doughnut biopsy of the pulled-down segment.
    Schlagwörter atypical aganglionosis ; Hirschsprung's disease ; skip lesions ; zonal aganglionosis
    Sprache Englisch
    Erscheinungsdatum 2019-01-01
    Verlag Georg Thieme Verlag KG
    Erscheinungsort Stuttgart ; New York
    Dokumenttyp Artikel
    ZDB-ID 2674016-3
    ISSN 2194-7627 ; 2194-7619
    ISSN (online) 2194-7627
    ISSN 2194-7619
    DOI 10.1055/s-0039-1693494
    Datenquelle Thieme Verlag

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  5. Artikel ; Online: Successful treatment of recurrent epididymo-orchitis

    Jiwane Ashish / Soundappan S.V.S / Pitkin John / Cass Daniel

    Journal of Indian Association of Pediatric Surgeons, Vol 14, Iss 1, Pp 29-

    Laparoscopic excision of the prostatic utricle

    2009  Band 30

    Abstract: Prostatic utricle presenting with recurrent epididymo-orchitis is not uncommon. Excision of prostatic utricle is the treatment of choice. The various techniques described in literature suffer from the disadvantages of incomplete excision due to poor view. ...

    Abstract Prostatic utricle presenting with recurrent epididymo-orchitis is not uncommon. Excision of prostatic utricle is the treatment of choice. The various techniques described in literature suffer from the disadvantages of incomplete excision due to poor view. We report the successful laparoscopic excision of prostatic utricle in childhood.
    Schlagwörter Epididymo-orchitis ; hypospadias ; laparoscopy ; prostatic utricle ; Surgery ; RD1-811 ; Medicine ; R ; DOAJ:Surgery ; DOAJ:Medicine (General) ; DOAJ:Health Sciences ; Pediatrics ; RJ1-570 ; DOAJ:Pediatrics
    Sprache Englisch
    Erscheinungsdatum 2009-01-01T00:00:00Z
    Verlag Medknow Publications
    Dokumenttyp Artikel ; Online
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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