ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63734-4

出版商:Wiley    

年代:2006

数据来源: WILEY

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63735-6

出版商:Wiley    

年代:2006

数据来源: WILEY

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63736-8

出版商:Wiley    

年代:2006

数据来源: WILEY

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63737-X

出版商:Wiley    

年代:2006

数据来源: WILEY

摘要:

ABSTRACTLaparoscopic Nissen fundoplication is an effective treatment for gastroesophageal reflux. The procedure involves wrapping the gastric fundus around the lower end of the esophagus to augment the lower esophageal sphincter. The procedure offers several advantages over open laparotomy, including smaller abdominal incisions, reduced postoperative discomfort, and shortened postoperative recovery and hospital stays. The laparoscopic approach also reduces the length of time a patient has an ileus.AORN J61 (March 1995) 483–489.

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63738-1

出版商:Wiley    

年代:2006

数据来源: WILEY

摘要:

ABSTRACTClubfoot is a birth defect that is marked primarily by a deformed talus (ie, ankle) and calcaneous (ie, heel) that give the foot a characteristic “club‐like” appearance. In congenital idiopathic clubfoot (ie, talipes equinovarus), the infant's foot points downward (ie, equinus) and turns inward (ie, varus), while the forefoot curls toward the heel (ie, adduction). This congenital disorder has an incidence of 1 in 400 live births, with boys affected twice as often as girls. Unilateral clubfoot is somewhat more common than bilateral clubfoot and may occur as an isolated defect or in association with other disorders (eg, chromosomal aberrations, cerebral palsy, spina bifida, arthrogryposis). Infantile clubfoot deformity is painless and is correctable with early diagnosis and prompt treatment.AORN J61 (March 1995) 492–506.

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63739-3

出版商:Wiley    

年代:2006

数据来源: WILEY

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63740-X

出版商:Wiley    

年代:2006

数据来源: WILEY

摘要:

ABSTRACTUntil recently, treatment of muscle spasticity in children with cerebral palsy has consisted of physical therapy, bracing, and surgery to release and lengthen tight tendons of contracted muscles and correct muscle contractures. Selective dorsal rhizotomy is a surgical intervention that selectively cuts the spinal sensory nerve rootlets carrying the most abnormal signals, thereby reducing spasticity in all muscle groups of the affected extremities. It is not a cure for spastic cerebral palsy. Children who have this procedure can gain significant increases in knee and thigh ranges of motion and increased strength and muscle control if they have good family support and follow through with intensive postoperative physical therapy.AORN J61 (March 1995) 514–525.

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63741-1

出版商:Wiley    

年代:2006

数据来源: WILEY

摘要:

ABSTRACTOne of the greatest fears of children undergoing surgery is separation from their parents. Children for whom preoperative sedation is contraindicated often endure the distress of this separation and the beginning of anesthesia surrounded by masked strangers. Those who receive sedation often experience the invasiveness of a medication administered rectally or intramuscularly or the insertion of an IV line. Until recently, the doors to the operating room remained closed to family members. Like other hospitals throughout the country, however, Children's Hospital in Boston has responded to the concerns of parents and staff members by implementing a parent‐present anesthesia induction program. As a result, the surgical experience for many children and families has changed significantly for the better.AORN J61 (March 1995) 526–531.

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63742-3

出版商:Wiley    

年代:2006

数据来源: WILEY

摘要:

ABSTRACTPapillomas are the most common laryngeal tumors in childhood, and their etiology is thought to be viral. Papillomatosis (ie, widespread, multiple papillomas) may involve a child's airway from the epiglottis to the bronchi. Hoarseness is an early sign of juvenile laryngeal papillomas (JLP), and airway obstruction is a later, life‐threatening sign. The recurrence and spread of JLP is common. An otorhinolaryngologist may perform a tracheostomy on a child with JLP; however, this procedure is avoided if possible, because a tracheostomy predisposes the trachea to papilloma seeding. Laser ablation of papillomas through the use of rigid endoscopic equipment and a carbon dioxide laser is the mainstay of therapy.AORN J61 (March 1995) 532–544.

ISSN:0001-2092    

DOI:10.1016/S0001-2092(06)63743-5

出版商:Wiley    

年代:2006

数据来源: WILEY