Special Pediatric Surgery Forums
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Quotes from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "A segmental resection of the diverticulum and adjacent ileum should be performed if the patient is presenting with bleeding to ensure removal of all ectopic mucosa and the bleeding ileal ulcer" "In the case of an incidentally found MD or if the patient is not presenting with bleeding or perforation, then a diverticulectomy may be performed by either a wedge resection (Fig. 31.4) with a hand-sewn anastomosis or a tangential diverticulectomy using a stapler (Fig. 31.5), taking care not to narrow the lumen." "Although the majority of the ectopi…
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Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "Park et al., found that certain characteristics may be predictive for the development of complications and recommended diverticulectomy of incidental diverticula that meet any of the following four criteria: (1) male sex, (2) age less than 50 years, (3) diverticular length greater than 2 cm, and (4) abnormal features of the diverticula such as thickened tissue or a palpable mass [14]. Other studies have also recommended prophylactic resection if there is a narrow diverticular base [30]. At this time, most pediatric surgeons will perform a resec…
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