Przeglądanie według Temat "complications"

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Assessment of the effect of size of the umbilical ring on the risk of umbilical hernia complication in children
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2022) Emeka, Chukwubuike Kevin; Chikaodili, Eze Thaddeus
Introduction and aim. Assessment of risk of complications in umbilical hernia is important. The aim of this study was to evaluate the effect of size of the umbilical ring on the risk of complication occurring in umbilical hernia. Material and methods. This was a prospective study of children who had umbilical hernia repair for symptomatic umbilical hernia. Using Vernier caliper, the umbilical ring diameter (URD) was measured at surgery and the patients were divided into 2 groups. Group A had URD of less than of 15 millimeter (mm) and group B patients had URD of 15 mm and above. The 2 groups were compared. Results. Thirty two cases were evaluated. Their mean age was 42 months. All the patients had umbilical pain. Twenty six (81.3%) patients had URD of less than 15 mm (group A) whereas 6 (18.7%) patients had URD of greater or equal to 15 mm (group B). Group A patients had a mean URD of 12.1±3.4 mm whereas group B patients had a mean URD of 30.5±5.0 mm (p=0.001). Conclusion. Children who have URD of less than 15 mm are at a higher risk of developing umbilical hernia complications.
Multistage treatment of a patient with developmental dysplasia of the hip: A case study
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2018) Cyran-Grzebyk, Barbara; Szczepanik, Magdalena; Majewska, Joanna; Bazarnik-Mucha, Katarzyna; Snela, Sławomir
Introduction. Developmental dysplasia of the hip (DDH) concerns about 5 per cent of the newborn population, and congenital hip dislocation (1%) is considered a challenge in child orthopedics due to the risk of further complications. Recently, the occurrence of this illness has been decreasing due to early hip diagnostics in newborns and fast implementation of proper treatment. Aim. To describe multi-annual treatment and multiplicitous complications in a 15 years old patient diagnosed with DDH. Description of the case. Complications occurring, despite the treatment conducted in accordance with accepted standards, induced the necessity of surgical procedures. This paper describes applied surgical techniques, physiotherapy treatment, the functional status of patient during particular stages of treatment as well as current results of gait analyses. Conclusions. In spite of early diagnosis and treatment of DDH, surgical intervention does not always bring the expected result.
Neonatal circumcision: profile of neonates with complications resulting from the use of plastibell
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2021) Emeka, Chukwubuike Kevin
Introduction. Circumcision is one of the most performed surgical procedures in neonates. Aim. The aim of this study was to evaluate our experience with neonates who developed complications following the use of plastibell for circumcision. Material and methods. This was a retrospective study of male neonates who were managed for complications resulting from circumcision (performed with plastibell) over a 5-year period at the pediatric surgery unit of a teaching hospital in Enugu, Nigeria. Ethical approval was obtained from the ethics and research committee. Results. Out of the 1794 neonatal circumcisions (using plastibell) performed during the study period, 134 (7.5%) neonates had complications. Sixty percent (1074) of the circumcisions were performed in the teaching hospital while 40% were referred cases. The ages of the patients ranged from 7 to 27 days with a median of 10 days and their mean weight was 2.5 kilograms. Majority of the plastibell circumcisions that developed complications was performed by unregistered (auxiliary) nurses. Retained plastibell was the most common complication and its removal was the most performed procedure. No mortality was recorded. Conclusion. Complications following circumcision with plastibell vary widely. Retained plastibell was the most common in the present study. The most complications occurred when the circumcision was performed by auxiliary (unregistered) nurses.
Pelvic Exenteration: An Updated Mini-Review from 1948 to 2020
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2019) Unal, Ethem; Yıldız, Abdullah; Yuksekdag, Sema; Fırat, Aysun
Introduction. Pelvic exenteration (PE) is a curative or palliative radical surgical procedure applied for advanced or recurrent pelvic or perineal cancers. From 1948 to date, improvements in surgical techniques, including urinary conduits and pelvic reconstruction, have improved its morbidity and mortality. Aim. The present study reviews the evolution of PE, indications, complications and current results. Material and methods. Large case series and studies on PE were searched in PubMed, covering all years available, and recent applications of PE were reviewed. Results. Indications of PE are primary or locally advanced tumors (cervix. rectum. vulva. bladder), recurrence after radiotherapy (cervix), recurrence after primary resection (vulva, vagina, cervix, rectum) and palliative treatment for advanced tumors or pubic fistulas. Contraindication are distant metastases, involvement of iliac vessels, pelvic side-wall or para-aortic lymph nodes and invasion of sacrum proximal to S1/S2 or sciatic foramen. However, recent studies have reported more radical resections, including side-wall and vessels. Patient’s health condition and fitness are also important in decision-making. Conclusion. PE can be the last chance of cure or improving quality of life for advanced or locally recurrent pelvic cancers. 5-year survival rates with PE are better, but complications of such a radical surgery are still high, and should be improved.