Editorial Comment to Modified penile disassembly technique for boys with epispadias and those undergoing complete primary repair of exstrophy: Long-term outcomes

2014 ◽  
Vol 21 (9) ◽  
pp. 940-940
Author(s):  
John P Gearhart
Keyword(s):  
Editorial Comment ◽  
Primary Repair ◽  
Long Term Outcomes

Response to Editorial Comment to Modified penile disassembly technique for boys with epispadias and those undergoing complete primary repair of exstrophy: Long-term outcomes

2014 ◽  
Vol 21 (9) ◽  
pp. 941-941
Author(s):  
Ahmed Zaki Mohamed Anwar ◽  
Mamdouh Abdel-Hamid Mohamed ◽  
Alayman Hussein ◽  
Alaa Mohammed Shaaban
Keyword(s):  
Editorial Comment ◽  
Primary Repair ◽  
Long Term Outcomes

scholarly journals Long-Term Outcomes of Primary Repair of Chronic Thumb Ulnar Collateral Ligament Injuries

Hand ◽  
2016 ◽  
Vol 11 (3) ◽  
pp. 303-309 ◽  
Author(s):  
Thomas Christensen ◽  
Shumaila Sarfani ◽  
Alexander Y. Shin ◽  
Sanjeev Kakar
Keyword(s):  
Primary Repair ◽  
Ulnar Collateral Ligament ◽  
Long Term Outcomes ◽  
Ligament Injuries ◽  
Collateral Ligament

A critical appraisal of continence in bladder exstrophy: Long-term outcomes of the complete primary repair

2016 ◽  
Vol 12 (4) ◽  
pp. 205.e1-205.e7 ◽  
Author(s):  
J.S. Ellison ◽  
M. Shnorhavorian ◽  
K. Willihnganz-Lawson ◽  
R. Grady ◽  
P.A. Merguerian
Keyword(s):  
Critical Appraisal ◽  
Primary Repair ◽  
Bladder Exstrophy ◽  
Long Term Outcomes

Indications, Surgical Complications, and Long-Term Outcomes in Pediatric Esophageal Reconstructions with Pedicled Jejunal Interposition Graft

2020 ◽  
Vol 30 (01) ◽  
pp. 111-116 ◽  
Author(s):  
Antti Koivusalo ◽  
Janne Suominen ◽  
Jukka Salminen ◽  
Mikko Pakarinen
Keyword(s):  
Surgical Complications ◽  
Primary Repair ◽  
Surgical Techniques ◽  
Late Complications ◽  
Esophageal Reconstruction ◽  
Long Term Outcomes ◽  
Rescue Operation ◽  
Interposition Graft ◽  
Life Threatening

Abstract Introduction Several surgical techniques are available for pediatric esophageal reconstruction. We started to use pedicled jejunum interposition graft (PJIG) because other techniques had significant long-term complications. In this retrospective study, the indications, surgical complications, and long-term outcomes were assessed in patients with PJIG. Materials and Methods With ethical consent, we reviewed the hospital records of 14 patients (7 females) who from 2005 to 2019 underwent a total of 16 esophageal reconstructions with PJIG. Results Median age at PJIG was 1.6 (range: 0.2–15) years. Underlying conditions were esophageal atresia (EA) (n = 11) or native esophagus lost by trauma or infection (n = 3). Eight patients with EA underwent PJIG as primary reconstruction and three as a rescue operation after complications in primary repair. Significant surgical complications occurred in 43% of patients. Major reoperations in six (43%) patients included resection and reanastomosis of strictured proximal PJIG (n = 1) and redo PJIG after failure of the first operation (n = 2). Surgical mortality was nil. After a median follow-up of 6.5 (range: 0.7–14) years, 13 (93%) patients survived, and 1 died of congenital heart disease. PJIG failed in three (23%) survivors of whom two underwent graft removal because of life-threatening aspiration and one did not start oral feeds at all. Ten survivors (77%) have full enteral feeds. Respiratory function in the survivors is satisfactory. Two patients have moderate and three mild gastroesophageal reflux symptoms. Conclusion PJIG was a functional option for a variety of conditions that required esophageal reconstruction. However, significant early and late complications required major surgical revisions.

scholarly journals Outcomes of Closed Versus Open Technique of Rhinoplasty During Primary Repair of Unilateral Cleft Lip: A Systematic Review

2018 ◽  
Vol 56 (1) ◽  
pp. 74-83 ◽  
Author(s):  
Rajshree Jayarajan ◽  
Anantharajan Natarajan ◽  
Ravindranathan Nagamuttu
Keyword(s):  
Systematic Review ◽  
Cleft Lip ◽  
Primary Repair ◽  
Case Series ◽  
Open Rhinoplasty ◽  
Inclusion Criteria ◽  
Long Term Outcomes ◽  
Randomized Controlled ◽  
Cleft Lip Repair

Objective: Primary cleft rhinoplasty has almost become the norm in cleft practice. Although various closed and open rhinoplasty techniques are in use, there is no consensus as to which technique is superior in terms of outcome. The authors hypothesized that the long-term outcomes of open rhinoplasty during primary cleft lip repair in unilateral cleft is better than that of the closed method. This systematic review has been done to evaluate the hypothesis by a review and analysis of literature. Methods: Protocol was registered on the PROSPERO register of systematic reviews. PRISMA-P guidelines for the conduct of systematic review were followed. Literature search was done in various databases. The inclusion criteria were patients with nonsyndromic unilateral cleft lip undergoing rhinoplasty with primary cleft lip repair and preference given to studies comparing the 2 procedures. Results: Sixteen articles were selected based on inclusion criteria after screening 522 articles—1 randomized controlled trial, 2 retrospective cohorts, and 13 case series. Both closed and open techniques have achieved good symmetry of nostrils with no impairment of growth. No advantage of one technique over the other was noted. Conclusions: There is a paucity of randomized controlled trials and prospective studies on the subject to arrive at an evidence-based recommendation as to whether open or closed rhinoplasty during primary cleft lip repair gives better long-term outcomes. Due to insufficient evidence, the authors are not able to support or refute the hypothesis put forward in the review.

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