17 research outputs found
Risk of surgical site infection in paediatric herniotomies without any prophylactic antibiotics: A preliminary experience
No full textBackground: Different studies underline the use of pre-operative antibiotic prophylaxis in clean surgeries like herniotomy and inguinal orchiopexy. But, the meta-analyses do not recommend nor discard the use of prophylactic pre-operative antibiotics. The scarcity of controlled clinical trials in paediatric population further vitiates the matter. This study assessed the difference in the rate of early post-operative wound infection cases in children who received single dose of pre-operative antibiotics and children who did not receive antibiotics after inguinal herniotomy and orchiopexy. Materials and Methods: This randomised prospective study was conducted in Paediatric Surgery department of PGIMER Chandigarh. Out of 251 patients, 112 patients were randomised to the case group and 139 were ascribed to the control group. The patients in control group were given a standard regimen of single dose of intravenous antibiotic at the time of induction followed by 3-4 days of oral antibiotic. Case group patients underwent the surgical procedure in similar manner with no antibiotic either at the time of induction or post-operatively. Results: The incidence of surgical site infection in case group was 3.73 % and that in control group was 2.22%. The observed difference in the incidence of surgical site infection was statistically insignificant (P value = 0.7027). The overall infection rate in case and control group was 2.89%. Conclusions: Our preliminary experience suggests that there is no statistically significant difference in the proportion of early post-operative wound infection between the patients who received single dose of pre-operative antibiotics and the patients who received no antibiotics after inguinal herniotomy and orchiopexy. The risk of surgical site infection in paediatric heriotomies does not increase even if the child′s weight is less than his/her expected weight for age
Re: Lazarus et al.: Abdominal Tuberculosis Presenting as an Inguinal Hernia in a Child (Urology 2011;77:1470-1471)
No full textPancreaticoduodenectomy for paediatric pancreatic trauma with a decade of follow-up
No full textPancreaticoduodenal injuries are rare in children. They pose challenges for the treating surgeon in decision making with respect to diagnosis, surgical and post-surgical management. The management plan must be tailored to the nature and severity of trauma, patient profile, surgeon′s expertise and the resources available at surgeon′s disposal. We describe a pancreaticoduodenal injury in 3-year-old child with successful outcome and follow-up of a decade
Novel association of multiple gastrointestinal anomalies in a single patient: Can Sonic Hedgehog explain it?
No full textEsophageal atresia with tracheo-esophageal fistula: Accidental transtracheal gastric intubation
No full textThe diagnostic feature of esophageal atresia (EA) is the inability to pass a catheter into the stomach. EA can be ruled out if the feeding tube can be passed into the stomach. In EA, when a tracheo-esophageal fistula (TEF) is present, theoretically the feeding tube can find its way into the stomach via tracheal route and through the TEF. We report such a rare occurrence. In this situation, the diagnosis and further management of EA and TEF was delayed
Crystal Facets of Serenity: Ljerka Njerš
No full textAutorica je diplomirala (1960.) u klasi senzibilnog kolorista Marina Tartaglie na Akademiji likovnih umjetnosti u Zagrebu. Slikarski metier izrazila je na tradicionalan način slikanjem na platnu i papiru, no glavninu opusa ostvarila je oslikavanjem keramike, porculana, emajla ili stakla da bi svoj stvaralački identitet afirmirala slikajući keramikom, porculanom i staklom. Forme autoričinih umjetnina često imaju utilitarne karakteristike (pladnjevi, vaze, zdjele) te ih povijesnoumjetnička kritika svrstava u primijenjenu umjetnost. Ipak, u suštini autoričine morfologije to su samo plohe slobodnih formi čiji plasticitet doprinosi biti njezina umjetničkog izričaja.The author graduated (1960) from the Academy of Fine Arts in Zagreb in the class of sensitive colourist Marino Tartaglia. She expressed her painter’s métier in a traditional way through painting on canvas and paper, however she affirmed her creative identity in the painting of ceramics, porcelain, enamel and glass. The author’s works of art often have utilitarian characteristics (platters, vases, bowls), and so historical-art criticism places them within the applied arts. However, in the core of the author’s morphology, these are only planes of free forms whose plasticity contributes to the core of her artistic form of expression
