ABSTRACT
While there is agreement that hydrostatic reduction (HR) is the ideal first-line treatment for childhood intussusception, there is controversy about which technique is best, namely, barium, air, or saline. We present our experience in the Pediatric Surgical Center, University of Alexandria, in HR of intussusception under ultrasound (US) guidance. The study was divided into two phases: between 1983 and 1990 and between 1991 and 1998. HR was started gradually in phase I, and became routine in phase II. Diagnosis and reduction were done by the pediatric surgical staff. The success rate was 71.7% in phase I and 85.5% in phase II. Most unreduced cases were the ileo-ileocolic type: 58.6% in phase I and 69.3% in phase II. HR under US guidance is equal or superior to other techniques of reduction, while having the obvious advantage of avoiding radiation exposure.
Subject(s)
Air , Barium Sulfate/therapeutic use , Enema/methods , Ileal Diseases/diagnostic imaging , Ileal Diseases/therapy , Intussusception/diagnostic imaging , Intussusception/therapy , Sodium Chloride/therapeutic use , Ultrasonography, Interventional/methods , Barium Sulfate/adverse effects , Child , Diagnosis, Differential , Enema/adverse effects , Enema/instrumentation , Enema/trends , Humans , Hydrostatic Pressure , Intestinal Perforation/etiology , Patient Selection , Recurrence , Retrospective Studies , Sensitivity and Specificity , Time Factors , Treatment Outcome , Ultrasonography, Interventional/adverse effects , Ultrasonography, Interventional/instrumentation , Ultrasonography, Interventional/mortality , Ultrasonography, Interventional/trendsABSTRACT
The history of medicine can never be complete without referral to ancient Egyptian medicine. Imhotep has been identified as the god of medicine. There are 13 faculties of medicine in Egypt; the oldest is the Kasr El Aini Faculty, which started in 1925. We review undergraduate and postgraduate education in Egypt. The Egyptian Society of Surgeons organizes the scientific surgical activities. Schistosomiasis is a national health problem. Health care is provided by many types of hospitals, including university, teaching, Ministry of Public Health, military, and private hospitals.
Subject(s)
Education, Medical , General Surgery/history , Education, Medical/history , Egypt , General Surgery/education , History, 19th Century , History, 20th Century , Humans , Schools, Medical/history , Societies, Medical/historyABSTRACT
A case of a 7-mo old male infant with a diverticulum of the left ventricle is reported. The diverticulum has been successfully resected and the defect of the diaphragm closed. Repair of the associated huge ventral hernia has been postponed to be done in stages.