scholarly journals The analysis of patients who were operated for adnexal mass in the adolescent age group: a single center experience with 104 cases

2018 ◽  
Vol 11 (2) ◽  
pp. 127-130
Author(s):  
Meryem Kuru Pekcan ◽  
Aytekin Tokmak ◽  
Özgür Ağlamış ◽  
Kübra Akkaya ◽  
Yasemin Taşçı
Keyword(s):  
Adnexal Mass ◽  
Age Group ◽  
Single Center ◽  
Single Center Experience ◽  
Group A

Assessment and Management of the Adnexal Mass in the Pediatric Population

2018 ◽  
Vol 15 (1) ◽  
pp. 27-31
Author(s):  
Joshua W. Monson ◽  
Christina L. Jones
Keyword(s):  
Physical Examination ◽  
Children And Adolescents ◽  
Adnexal Mass ◽  
Pediatric Population ◽  
Initial Assessment ◽  
Age Group ◽  
Laboratory Studies ◽  
Adnexal Masses ◽  
Group A ◽  
Radiological Studies

It is important for the obstetrician-gynecologist to be able to decipher the diagnostic clues of an adnexal mass and manage it appropriately. This becomes even more of a challenge when faced with adnexal masses in the pediatric population. Adnexal masses can be of gynecological (cervical, vaginal, primary peritoneal, uterine/endometrial, ovarian) or of non-gynecological origin. In order to approach adnexal masses in any age group, a thorough history and physical examination, along with proper laboratory studies and radiological studies need to be obtained. This pertains as much for adults as it does for assessing adnexal masses in children. This article will review the evaluation to include the initial assessment, usefulness of imaging and markers in the diagnosis, and management of adnexal masses in neonates, young children, and adolescents, and the newest recommendations for each, respectively.

Clinical features and outcome of T-cell acute lymphoblastic leukemia in patients older than 9 years: A single center experience of 110 patients from AIIMS, New Delhi, India.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. 7081-7081
Author(s):  
Sunu Lazar Cyriac ◽  
Bivas Biswas ◽  
Sameer Bakhshi ◽  
Atul Sharma ◽  
Ritu Gupta ◽  
...  
Keyword(s):  
T Cell ◽  
Lymphoblastic Leukemia ◽  
Tumor Lysis Syndrome ◽  
Age Groups ◽  
Maintenance Phase ◽  
Total Leucocyte Count ◽  
P Value ◽  
Age Group ◽  
Single Center ◽  
Single Center Experience

7081 Background: It is known that T cell acute lymphoblastic leukemias (ALL) have poorer outcomes than their B cell counterparts. Data on T-ALL in the age group of >9 years from India is minimal. Methods: This is a single institutional analysis of patients of above 9 years who were treated from January 2000 to December 2010. All patients who completed at least 4 weeks of induction therapy were analysed for various outcomes. Results: T-ALL formed 30% of all ALL in this age group. Of the 110 newly registered patients of T-ALL, the median age was 17 years (Range 10-50 years) with an M:F ratio of 5.9:1. Of this 62%, 30% and 18% patients belonged to 10-18, 19-30 and > 31 years age group respectively. Eighteen (19%) and 2 (2%) and 33 (30%) had CSF, testicular and other extramedullary sites involvement respectively. Twenty eight per cent had a total leucocyte count (TLC) of above 100x109/L. Patients available for survival analysis were 104(94.5%). Complete remission (CR)rate was 68.2% and induction mortality was 14.4%. At a median follow up of 56.4 months 5 year leukemia free survival was 52.3% (median not attained). Twenty seven (38%) patients relapsed (median relapse time of 15.2 months, range 0.7 to 47.3 months), 55% during maintenance phase. The 5 year overall survival (OS) was 46.9% (median OS of 35.4 months). The 5 year OS of 10-18, 19-30 and > 31 years age groups were 42.8%, 71% and 16.6% respectively (p value not significant). Not attaining CR in 1st induction, spontaneous tumor lysis syndrome and peripheral blood blast count of > 80% were significant poor prognostic factors for survival. Conclusions: This is one of the largest study of T-ALL outcomes in patients above 9 years from a single center from India. Attainment of CR in 1st induction was the most important risk factor for survival. 5 year OS was 47%.

scholarly journals A simplified laparoscopic-assisted gastrostomy technique: a single center experience

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Hesham M. Sheir ◽  
Tamer A. Wafa ◽  
Abdelrahman Elshafey ◽  
Mohamed Elzohiri
Keyword(s):  
Single Center ◽  
Single Center Experience ◽  
Endoscopic Gastrostomy ◽  
Major Complications ◽  
Significant Difference ◽  
Group A ◽  
The Mean ◽  
Gastrocutaneous Fistula ◽  
Group B ◽  
Laparoscopic Assisted

Abstract Background Although percutaneous endoscopic gastrostomy (PEG) is considered simple and effective, major complications have been reported because of the partly blind placement technique. Laparoscopic gastrostomy was described to overcome most of the problems and the contraindications of PEG. Various modifications have been reported to anchor the stomach to the abdominal wall. This study aims at highlighting a single center experience using a simplified technique for gastrostomy and evaluates its outcome. Results The age of the patients ranged from 7 days to 3 years (mean 11.75 ± 12 months in group A and 16 ± 3 months in group B). The mean body weight at time of gastrostomy was 6.5 ± 4.6 kg in group A and 7.5 ± 2 in group B. The mean operative time was 24.8 ± 4 min in group A and 25 ± 1.6 in group B, ranging from 18 to 31 min. The incidence of gastrostomy-related complications was 20% (three cases) in group A versus 12.5% (one case) among patients included in group B. Yet, this difference was statistically insignificant (p = 0.651). No major complications were reported apart from persistent gastrocutaneous fistula in one out of eight cases followed after removal of the gastrostomy (12.5%). There is no significant difference in the outcome either in neonates or in patients less than 5 kg. Conclusions The described simple technique of laparoscopic-assisted gastrostomy is easy, effective, and with a very low incidence of complications. It is also equally safe in neonates and children less than 5 kg.

scholarly journals The Importance of Rapid Antigen Testing for Group A Streptococcal Tonsillopharyngitis: A Single Center Experience

2018 ◽  
Vol 12 (3) ◽  
pp. 93-98
Author(s):  
Emel Ekşi Alp ◽  
Nazan Dalgıç ◽  
Nur Kına ◽  
Banu Bayraktar ◽  
Ahsen Öncül ◽  
...  
Keyword(s):  
Single Center ◽  
Single Center Experience ◽  
Group A ◽  
Antigen Testing

scholarly journals Synovial Sarcoma in Pediatric Age Group: Single Center Experience

2019 ◽  
Vol 52 (1) ◽  
pp. 25-30
Author(s):  
Turan Bayhan ◽  
Neriman Sarı ◽  
Ebru Atasever Akkaş ◽  
İnci Ergürhan İlhan
Keyword(s):  
Synovial Sarcoma ◽  
Age Group ◽  
Pediatric Age ◽  
Single Center ◽  
Single Center Experience ◽  
Pediatric Age Group

scholarly journals Chronic myeloid leukemia in children and adolescents: A single center experience from Eastern India

2013 ◽  
Vol 02 (04) ◽  
pp. 260-264 ◽  
Author(s):  
Lalit Raut ◽  
Vinay V. Bohara ◽  
Siddhartha S. Ray ◽  
Prantar Chakrabarti ◽  
Utpal Chaudhuri
Keyword(s):  
Chronic Myeloid Leukemia ◽  
Myeloid Leukemia ◽  
Age Group ◽  
Single Center ◽  
Microsoft Excel ◽  
Children And Adolescent ◽  
Group Settings ◽  
Single Center Experience ◽  
Common Sign ◽  
Leukemia In Children

Abstract Context: Chronic Myeloid Leukemia (CML) constitutes around 3% of leukemia in the children and adolescent age group. Aims: The aim of the study was to evaluate the characteristics at presentation and the treatment outcome of CML in the children and adolescent age group. Settings and Design: Retrospective analysis was carried out at a single center in India. Materials and Methods: Thirteen patients (≤17 years) attending CML outdoor from April 2008 to August 2012 were included in the analysis. Statistical Analysis Used: The mean and median of various parameters were calculated using a Microsoft excel sheet. SPSS 16.0 version software was used to calculate OS and PFS. Results: CML-CP was the most common phase at presentation. Maximum patients belonged to the 14 - 17 year old age group. Disease was common in the male sex. Splenic discomfort and asthenia were the most common symptoms and splenomegaly was the most common sign. Conclusions: The treatment with Imatinib was effective and well-tolerated.

Learning Curve of an Innovative “3-Port” Laparoscopic Radical Prostatectomy: A Single-Center Analysis from 2016 to 2019

2021 ◽  
pp. 1-6
Author(s):  
Ben Xu ◽  
Bing-lei Ma ◽  
Yi-ji Peng ◽  
Qian Zhang
Keyword(s):  
Radical Prostatectomy ◽  
Learning Curve ◽  
Laparoscopic Radical Prostatectomy ◽  
Single Center ◽  
Single Center Experience ◽  
Estimated Blood Loss ◽  
Group A ◽  
Treat Prostate Cancer ◽  
Improved Learning ◽  
Group B

<b><i>Background:</i></b> “Three-port” laparoscopic radical prostatectomy (LRP) has been applied as a substitution for the conventional 4- to 5-port LRP to treat prostate cancer (PCa) patients in our institution. <b><i>Objective:</i></b> To evaluate the learning curve of an innovative “3-port” LRP for PCa patients. <b><i>Methods:</i></b> 206 patients who received “3-port” LRP were retrospectively reviewed between January 2016 and December 2019 at our institution. According to the different years of operations performed, all of the patients were divided into group A (No. 1–50), group B (No. 51–107), group C (No. 108–160), and group D (No. 161–206). A learning curve was depicted by analyzing the parameters of operative time (OT), estimated blood loss (EBL), hospitalization, and drainage indwelling days. <b><i>Results:</i></b> All groups were comparable with regard to the preoperative characteristics (<i>p</i> &#x3e; 0.05). The sloping learning curve for the surgeon showed that OT and EBL were strongly correlated with an accumulated experience when compared between group A and the other groups (<i>p</i> &#x3c; 0.05), denoting that the surgical skill of the “3-port” LRP can be fully mastered after around 50 cases. Although no significant correlation with additional experience was observed in the hospitalization and drainage indwelling days among groups, a tendency towards less hospitalization and drainage indwelling days was still reflected. <b><i>Conclusions:</i></b> Our 4-year analysis based on a single-center experience exhibits that the innovative “3-port” LRP appears to be favorable with decreasing tendency in OT and EBL with experience accumulation. In view of its advantage of perioperative parameters with an evidently improved learning curve, it should be recommended in the clinical practice!

scholarly journals Blood transfusion and lung surgeries in pediatric age group: A single center retrospective study

2020 ◽  
Vol 23 (2) ◽  
pp. 149
Author(s):  
AhmedS Elgebaly ◽  
SamehM Fathy ◽  
MonaB Elmorad ◽  
AymanA Sallam
Keyword(s):  
Retrospective Study ◽  
Blood Transfusion ◽  
Age Group ◽  
Pediatric Age ◽  
Single Center ◽  
Pediatric Age Group ◽  
Group A

scholarly journals Outcomes of Percutaneous Nephrolithotomy in Preschool Age Group: A Single-Center Study

2020 ◽  
Vol 34 (10) ◽  
pp. 1001-1007
Author(s):  
Hakan Bahadir Haberal ◽  
Hasan Serkan Dogan ◽  
Burak Citamak ◽  
Berk Hazir ◽  
Mesut Altan ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Preschool Age ◽  
Age Group ◽  
Single Center ◽  
Single Center Study ◽  
Group A ◽  
Center Study
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