[Zhang Jinshan, Li Long]
[Absract] Objective
Portal hypertension is one of the important causes of upper gastrointestinal hemorrhage in children.Portal hypertension generally involves the intra-and extra-hepatic portal hypertension in children.For the upper gastrointestinal hemorrhage,conservative treatment (such as hemostasis and blood transfusion) is usually the first choice,but conservative treatment fails torelivingthe portal hypertension.In order to treat portal hypertension effectively,operation is the only method...
[MORE...]
|
|
[Wen Zhe, Zhang Binbin]
[Absract] Objective
Prehepatic portal hypertension (PHT) is the most common type of portal hypertension in children.Its treatment strategies have changed fundamentally over the last two decades.Meso-rex bypass is a first choice.In the Baveno ¢ö consensus,Meso-rex bypass was recommended as the primary and secondary prophylaxis of variceal bleeding in PHT children.In those with prehepatic PHT,coagulation status,blood vessels and liver parenchyma should be evaluated preoperatively.The overall progno...
[MORE...]
|
|
[Liu Zhenyin1, Wen Zhe2, Liu Tao2, Shen Gang1, Zhang Binbin2, Zhang Jing1]
[Absract] Objective
Objective To explore clinical application of balloon dilatation for anastomotic stenosis after meso-Rex bypass (Rex) operation for cavernous transformation of the portal vein (CTPV).Methods Five CTPV patients developed anstomotic stenosis after Rex operation from November 2018 to April 2019.There were 2 boys and 3 girls with an age range of 1.9 to 11 years.Preoperative ultrasonography or computed tomograph (CT) showed stenosis in Rex shunt and the inner diam...
[MORE...]
|
|
[Zhang Jinshan, Li Long]
[Absract] Objective
Objective To explore the efficacy and feasibility of Rex shunt for extrahepatic portal venous obstruction after hepaticojejunostomy in children with choledochal cyst.Methods From August 2010 to November 2018,five children of upper gastrointestinal bleeding or splenomegaly were diagnosed as portal cavernoma,and Rex shunt was performed.All of them underwent hepaticojejunostomy for choledochal cyst prior to an onset of portal hypertension.Three children underwe...
[MORE...]
|
|
[Tian Linhuan, Li Suolin, Liu Lin, Sun Chi, Li Yingchao]
[Absract] Objective
Objective To explore the feasibility and effectivity of laparoscopic subtotal splenectomy (LSS) and selective pericardial devascularization for intrahepatic portal hypertension (IPH) with hypersplenism and variceal bleeding.Methods Seven patients of hepatic cirrhosis with variceal bleeding and severe hypersplenism underwent LSS plus selective pericardial devascularization.While preserving upper splenic pole supplying the gastrosplenic toward splenophrenic sh...
[MORE...]
|
|
[Qi Shiqin, Bian Jian, Wei Decheng, Yang Yong]
[Absract] Objective
Objective To summarize our experiences of treating cavernous transformation of the portal vein (CTPV) in children.Methods A total of 16 children underwent Rex shunting plus devascularization and ligation of splenic artery for CTPV from August 2012 to July 2019.Their clinical data and follow-up results were recorded and analyzed.Results Among them,15 cases were successfully operated.Prior to shunting,the average pressure of portal vein was (32.6¡À5.4)(2...
[MORE...]
|
|
[Wang Yi, Yao Zhiguang, Liu Yingsong, Ma Da]
[Absract] Objective
Objective To explore the efficacies of Rex shunt for children with cavernous transformation of portal vein (CTPV).Methods 7 boys and 5 girls with CTPV aged from 89 to 180 months were recruited between May 2015 and May 2018. There were recurrent upper gastrointestinal (GI) hemorrhage (n=10) and hypersplenism (n=12). Upper GI radiography (UGIR) indicated esophageal-gastric varices (EGV) and ultrasonograph (Us) hinted at CTPV in all children. Afte...
[MORE...]
|
|
[Wang Junlu, Chen Ruoping, Zhang Li]
[Absract] Objective
Objective To explore the outcomes of neuroelectrophysiological monitoring plus microsurgical resection of pediatric posterior fossa (PF) tumors on the protection of cranial nerve function.Methods From March 2012 to December 2015,42 hospitalized children with PF tumors as confirmed by computed tomography (CT) or magnetic resonance imaging (MRI) were retrospectively recruited as research subjects.Nineteen cases of PF tumor undergoing simple microscopical resec...
[MORE...]
|
|
[Sun Yan, Guo Xingqi, Chen Zhifeng, Ding Shaobin]
[Absract] Objective
Objective To retrospectively analyze the clinical efficacy of "+" suturing fixation for acute patella dislocation with cartilage fracture in adolescents.Methods A total of 27 children of acute patella dislocation with cartilage fractures were recruited from May 2016 to May 2018.All of them underwent "+" suturing fixation with non-absorbable sutures and medial patella support band tightening or plus lateral support band releasing.Regular postoperative follow-...
[MORE...]
|
|
[Zhang Wanyu1, Ye Weijing2, Shi Jinxiu3, Zhang Chenhui3, Jiang Xincheng2, Wang Junqi1, Wang Wei1, Lu Wenli1, Xiao Yuan1, Dong Zhiya1]
[Absract] Objective
Objective To detect the pathogenic genes of 110 patients with 46,XY disorders of sex development (DSD) by a targeted panel of next-generation sequencing (NGS) and examine the genotype and clinical phenotype of hypospadias patients.Methods Clinical data of 110 46,XY DSD patients at Affiliated Ruijin and Renji Hospitals from 2017 to 2018 were reviewed and analyzed.We performed sequencing analysis for 110 patients with hypospadias of unknown etiology for screen...
[MORE...]
|
|
[Peng Kun, Zhou Chonggao, Li Bixiang, Xu Guang, Zou Chanjuan, Xia Renpeng, Ma Tidong, Zhao Fan]
[Absract] Objective
Objective To investigate the effectiveness of enhanced recovery after surgery in perioperative period of biliary atresia.Methods 28 patients diagnosed with biliary atresia and underwent Kasai operation in Neonatal surgery department,Hunan Children¡¯s Hospital from October 2018 to February 2019 were included as ERAS observation group,and the management mode of enhance drecovery after surgery was adopted during the perioperative period.20 patients who were diag...
[MORE...]
|
|
[Chen Yichu, Pi Ming¡¯an]
[Absract] Objective
Objective To explore the surgical approaches and perioperative managements of congenital diaphragmatic hernia (CDH) in neonates and summarize the relevant clinical experiences.Methods From January 2012 to June 2017,retrospective analysis was performed for the clinical data of 48 hospitalized CDH neonates.According to different surgical approaches,they were divided into two groups of open surgery and endoscopy.Early-stage (prior to 2014) conventional thoracic...
[MORE...]
|
|
[Xu Haihua, Xu Guodong, Zhang Fuyi, Chen Ziying, Wang Xiaojia]
[Absract] Objective
Objective To explore the characteristics and curative efficacy of co-application of dot suturing fixation on transposition flap,collagen sponge and basic fibroblast growth factor (bFGF) for preventing postoperative necrosis of hypospadias. Methods From March 2017 to March 2018,44 eligible hypospadias cases were selected.The same operative approach of straightening plus urethroplasty plus transplantation pedicled flap from dorsal part to ventral part for cove...
[MORE...]
|
|
[Yan Wenbo, Wang Jun, Pan Weihua, Wu Zhixiang, Zhang Minzhong, Xu Xiaoxing, Shi Chengren]
[Absract] Objective
Objective Congenital diaphragmatic eventration (CDE) due to diaphragmatic dysplasia may impair respiratory functions and arrest normal growth.The goal of this study was to compare the clinical characteristics and prognoses of CDE patients with left versus right-sided lesions.Methods Retrospective reviews were conducted for 43 CDE children from January 2007 to June 2017.There were 31 boys and 12 girls with an average age of 12 (2-72) months.And the involved s...
[MORE...]
|
|
[Wei Min, Xiao Bo]
[Absract] Objective
Cerebral palsy (CP) is one of the major diseases leading to physical disability in children around the world.The major clinical type is spastic cerebral palsy (SCP).Selective dorsal rhizotomy (SDR) or selective posterior rhizotomy (SPR) can effectively reduce muscle tone and relieve paralysis.It has been widely used in the surgical treatment of spastic cerebral palsy (SCP) since early 1990s.This article reviews the history,domestic surgical approaches,indications,postoperativ...
[MORE...]
|
|
[Cheng Cheng, Wu Yeming]
[Absract] Objective
Congenital esophageal hiatal hernia is mainly caused by congenital dysplasia of diaphragm in children.Its treatment methods include conservative measures and surgery.The surgical goals include reducing impacted stomach and esophagus,repairing diaphragmatic defect and parallel fundoplication for preventing recurrence and anti-reflux.Currently laparoscopic hiatal hernia repair and fundoplication are widely accepted by both surgeons and parents.And the modes of fundoplication ma...
[MORE...]
|
|
[Hong Pan, Ze Renhao, Tang Xin, Xu Ruijing, Li Jin]
[Absract] Objective
Based on the existing orthopedic literature on enhanced recovery after surgery (ERAS),this article introduces its current advances in children and draws three important conclusions of avoiding prolonged fasting,non-routine use of tubes and drains and early oral nutrition and mobilization.With regard to the application of ERAS in pediatric orthopedics,this paper also introduces the research prospects of other literature in the field of ERAS.At the same time,our hospital has ca...
[MORE...]
|
|
|
|
|
|
|
|
