GIT

Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay - "Children presenting RP and older than 4 years usually have a predisposing condition. These older patients usually present recurrent or persistent RP and tend to require surgical repair more often, while RP is usually a self-limiting condition that resolves spontaneously in younger patients [2]." Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay - "The diagnosis of RP is mostly clinical. RP should be considered a symptom of an underlying condition rath…

This quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "Review of the KID data found a 1.67 odds ratio of small bowel resection with operative intervention delayed until hospital day 3–14, and no difference in small bowel resection between operating on day 1 versus day 2. It is recommended that stable patients without concerning signs of perforation, strangulation, or peritonitis can be safely managed conservatively for 48 h in children over 2 years and 24–48 h in children less than 2 years of age [18]. It is crucial that these patients are closely observed for signs of deterioration in eithe…

“Placement of the Stoma Site. The stoma site on the abdominal wall should be placed away from the rib cage because, with the child’s growth, the distance between the two tends to become shorter. A gastric access device that is too close to the ribs will cause discomfort and interfere with care. Additionally, pivoting motion resulting from breathing and moving can lead to stoma enlargement and leakage. In small children, the linea alba tends to be broad and very thin and also should be avoided as an exit site. The stoma site on the stomach should be in the mid-body—away from the greater curvature, because the proximity to the transverse colon can lead to a gastrocolic fist…

Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay - "compared to totally transanal endorectal pull-through, the Soave-Georgeson technique allows to better assess the colon pedicle tension, to avoid colon twisting, and to perform intraoperative colon biopsies before starting endorectal dissection and mesocolic vessel division."