RESUMO
Conjoined twins are rare, and each set of conjoined twins has a unique conjoined anatomy. It is necessary to perform separation to increase the chance of patient survival. Tissue expansion is an advanced technique for providing sufficient soft tissue and skin for wound closure. We report the successful application of rapid tissue expansion in 10-month-old xipho-omphalopagus conjoined twins in Vietnam. A tissue expander was placed on the anterior body between the sternum and umbilicus with a baseline of 70 mL sterile saline (0.9% NaCl). The first injection into the tissue expander began on the 6th day after expander insertion, and injections continued every 2 days with approximately 30–70 mL per injection according to the expansion of the skin. The expander reached 335 mL after six injections and within 10 days. In order to prepare for surgical separation, expansion was completed on the 15th day after insertion. The expanded skin area was estimated to be 180 cm2, which was sufficient to cover both patients’ skin deficiencies. The twins presented for surgical separation 6 days following the completion of tissue expansion. Both babies were discharged in good health 1 month after separation.
RESUMO
Conjoined twins are rare, and each set of conjoined twins has a unique conjoined anatomy. It is necessary to perform separation to increase the chance of patient survival. Tissue expansion is an advanced technique for providing sufficient soft tissue and skin for wound closure. We report the successful application of rapid tissue expansion in 10-month-old xipho-omphalopagus conjoined twins in Vietnam. A tissue expander was placed on the anterior body between the sternum and umbilicus with a baseline of 70 mL sterile saline (0.9% NaCl). The first injection into the tissue expander began on the 6th day after expander insertion, and injections continued every 2 days with approximately 30–70 mL per injection according to the expansion of the skin. The expander reached 335 mL after six injections and within 10 days. In order to prepare for surgical separation, expansion was completed on the 15th day after insertion. The expanded skin area was estimated to be 180 cm2, which was sufficient to cover both patients’ skin deficiencies. The twins presented for surgical separation 6 days following the completion of tissue expansion. Both babies were discharged in good health 1 month after separation.
RESUMO
A retrospective survey on 31 cases of patent ductus arterious diagnosed echocardiographically at the National Institute of Pediatrics in 2000-2003 year period. The disease occurred mainly in prematurily newlyborn infants (74.2%) continuous murmur was found in 10%, systolic murmur in 90% of case in the average age of infant of 5.1 2 days. In premature newborn, their condition was usually combined with the post natal respiratory distress, while in immature newborn infants, it was congenital abnormality and fetal malnutrition. The most common sign was respiratory distress in combining with other respiratory pathologies (58.1%). On X-ray image, 73.1% had had large left heart, proportionally with the sign of urterial duct. The increase of pulmonary arterial pressure in medium levels was common. The > 3mm diameter of arterial duct had impacted to clinical features and hemohynamics of the patients.
Assuntos
Recém-Nascido , Diagnóstico , Canal Arterial , PediatriaRESUMO
The study included 20 pediatric patients with ureteral and renal duplication that were operated laparoscopically at the Surgery Department of the Central Paediatrics Hospital from July 2001 to March 2005. 40% of the patients below one year old, 50% from 1 to 5 year old and 10% from 6 to 10 year old. Clinical symptoms included: strangury 40%, urinary infections 55%, and random detection 5%. Results: the operation was performed successfully in these patients, except 1 case had to opened operation because of sticky nephritis. The average operative time was 115 minutes. The results showed that laparoscopic heminephroureterectomy was safe and feasible
Assuntos
Doenças Renais Policísticas , LaparoscopiaRESUMO
A survey on PPA-containing products consumption was conducted in 10 pharmacies located in Hanoi from February to May 2002. It revealed that there were 20 such products available in the market(of them, 16 were domestic). The PPA content as base form in a single dose of all these preparations was not exceeded 25mg. During the studied period, out of 250 people buying medication for cough and cold, 74 people (29.6% bought PPA-containing products with the most purchased ones were Decolgen forte and Rhumenol. Many patients with cough and cold consumed relatively high amount of PPA, not being aware of its adverse effects and contraindications