RESUMEN
INTRODUCTION: The Emergency Management of Severe Burns (EMSB) referral criteria have been implemented for optimal triaging of burn patients. Admission to a burn centre is indicated for patients with severe burns or with specific characteristics like older age or comorbidities. Patients not meeting these criteria can also be treated in a hospital without burn centre. Limited information is available about the organisation of care and referral of these patients. The aims of this study are to determine the burn injury characteristics, treatment (costs), quality of life and scar quality of burn patients admitted to a hospital without dedicated burn centre. These data will subsequently be compared with data from patients with<10% total bodysurface area (TBSA) burned who are admitted (or secondarily referred) to a burn centre. If admissions were in agreement with the EMSB, referral criteria will also be determined. METHODS AND ANALYSIS: In this multicentre, prospective, observational study (cohort study), the following two groups of patients will be followed: 1) all patients (no age limit) admitted with burn-related injuries to a hospital without a dedicated burn centre in the Southwest Netherlands or Brabant Trauma Region and 2) all patients (no age limit) with<10% TBSA burned who are primarily admitted (or secondarily referred) to the burn centre of Maasstad Hospital. Data on the burn injury characteristics (primary outcome), EMSB compliance, treatment, treatment costs and outcome will be collected from the patients' medical files. At 3 weeks and at 3, 6 and 12 months after trauma, patients will be asked to complete the quality of life questionnaire (EuroQoL-5D), and the patient-reported part of the Patient and Observer Scar Assessment Scale (POSAS). At those time visits, the coordinating investigator or research assistant will complete the observer-reported part of the POSAS. ETHICS AND DISSEMINATION: This study has been exempted by the medical research ethics committee Erasmus MC (Rotterdam, The Netherlands). Each participant will provide written consent to participate and remain encoded during the study. The results of the study are planned to be published in an international, peer-reviewed journal. TRIAL REGISTRATION NUMBER: NTR6565.
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Unidades de Quemados , Quemaduras/terapia , Hospitales , Derivación y Consulta , Superficie Corporal , Quemaduras/economía , Quemaduras/epidemiología , Cicatriz , Estudios de Cohortes , Costos de la Atención en Salud , Humanos , Países Bajos/epidemiología , Evaluación de Resultado en la Atención de Salud , Estudios Prospectivos , Calidad de Vida , Lesión por Inhalación de Humo/epidemiología , TriajeRESUMEN
BACKGROUND/PURPOSE: The objective of this study was to evaluate the long-term functional and motor development and abdominal muscle quantity in children operated on for giant omphalocele (GOC) with the Component Separation Technique (CST). METHODS: Between 2004 and 2007, CST was applied in eleven consecutive infants with GOC. Eight underwent ultrasound of the abdominal wall and muscles, assessment of functional and motor development using the Movement Assessment Battery for Children, 2nd Edition (M-ABC-2), and an observational physical examination focused on possible abnormalities in stature and movements related to GOC. Findings were compared with those in age-matched controls. The parents filled in a questionnaire on the children's functioning in daily life. RESULTS: The mean age at evaluation was 71 months (range, 42-141 months) with a median time of follow-up of 54 months (range, 38-84 months). Ultrasound of the abdominal wall muscles showed normal muscle thickness. In seven of the eight children, a rectus diastasis was seen without any protrusion. The MABC-2 was within the normal range, and stature and motor coordination did not differ from those in controls. CONCLUSIONS: After 4.5 years, these children show normal thickness of all abdominal wall muscles and motor function within the normal range, despite a rectus diastasis. The CST seems to be a promising closure technique for GOC.
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Hernia Umbilical/cirugía , Herniorrafia/métodos , Estudios de Casos y Controles , Niño , Desarrollo Infantil , Preescolar , Femenino , Humanos , Lactante , Masculino , Desempeño Psicomotor , Factores de Tiempo , Resultado del TratamientoRESUMEN
An 48-year old woman presented at the emergency room with epigastric pain and nausea. 6 months earlier she had a distended ascending colon, which resolved quickly after conservative treatment with nasogastric tube. Now she had similar complaints. A plain abdominal radiograph was not conclusive; barium enema examination demonstrated a cecal volvulus. Patient required right hemicolectomy. She recovered uneventfully.
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Enfermedades del Ciego/diagnóstico , Vólvulo Intestinal/diagnóstico , Dolor Abdominal/diagnóstico , Dolor Abdominal/etiología , Enfermedades del Ciego/complicaciones , Enfermedades del Ciego/cirugía , Femenino , Humanos , Vólvulo Intestinal/complicaciones , Vólvulo Intestinal/cirugía , Persona de Mediana Edad , Náusea/diagnóstico , Náusea/etiología , Resultado del TratamientoRESUMEN
PURPOSE: Operative treatment of giant omphalocele (OC) is still a challenge for pediatric surgeons. We were interested to ascertain whether published operative techniques for giant OC once advocated by their authors were still being used by these authors and whether the techniques had been modified or even abandoned for other techniques. METHODS: Relevant studies concerning the treatment of giant OC were identified by an electronic search. Publication date of the articles was from 1967 to 2009. A questionnaire was sent to the first author or coauthor, unless contact details were unavailable. The described surgical techniques were categorized into primary closure, staged closure, and delayed closure. RESULTS: Almost half of the authors (42%), independent of the initial technique used (primary, staged, or delayed closure), changed or stopped using their technique after the publication of the article. The change was not to one particular proven better technique. Herniation rate was lower in delayed closure (9% delayed vs 18% staged vs 58% primary). CONCLUSIONS: The results of the questionnaire did not show a generally accepted method of treatment after more than 30 years of innovations in managing patients with a giant OC. There are generally 2 main treatment modalities: staged closure and delayed closure. Because of the lack of large patient numbers and late follow-up, long-term results of the published techniques are needed, and randomized multicenter trials based on these outcomes are recommended. Until then, we remain dependent on expert opinions.
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Técnicas de Cierre de Herida Abdominal/tendencias , Hernia Umbilical/cirugía , Pautas de la Práctica en Medicina/estadística & datos numéricos , Técnicas de Cierre de Herida Abdominal/estadística & datos numéricos , Bioprótesis/estadística & datos numéricos , Cirugía General , Hernia Umbilical/epidemiología , Humanos , Médicos/psicología , Complicaciones Posoperatorias/epidemiología , Pautas de la Práctica en Medicina/tendencias , Mallas Quirúrgicas/estadística & datos numéricos , Infección de la Herida Quirúrgica/epidemiología , Encuestas y Cuestionarios , Factores de Tiempo , Dispositivos de Expansión Tisular/estadística & datos numéricos , Resultado del TratamientoRESUMEN
UNLABELLED: This study evaluates whether, on the long run, in patients born with a giant omphalocele, the liver and other solid organs reach their normal position, shape, and size. Seventeen former patients with a giant omphalocele, treated between 1970 and 2004, were included. Physical examination was supplemented with ultrasonography for ventral hernia and precise description of the liver, spleen, and kidneys. The findings were compared with 17 controls matched for age, gender, and body mass index. We found an abnormal position of the liver, spleen, left kidney, and right kidney in eight, six, five, and four patients, respectively. An unprotected liver was present in all 17 patients and in 11 controls, the difference being statistically significant (p = 0.04). In ten of the 11 patients with an incisional hernia, the liver was located underneath the abdominal defect. CONCLUSION: In all former patients with a giant omphalocele, an abnormal position of the liver and in the majority of them, an incisional hernia was also found. The liver and sometimes also the spleen and the kidneys do not migrate to their normal position. Exact documentation and good information are important for both the patient and their caretakers in order to avoid liver trauma.
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Hernia Umbilical/diagnóstico por imagen , Hígado/diagnóstico por imagen , Vísceras/diagnóstico por imagen , Adolescente , Adulto , Niño , Preescolar , Femenino , Hernia Ventral/diagnóstico por imagen , Humanos , Riñón/diagnóstico por imagen , Masculino , Bazo/diagnóstico por imagen , Ultrasonografía , Adulto JovenRESUMEN
PURPOSE: Long-term outcome and quality of life in omphalocele (OC) studies are mainly focused on cosmetic disorders with the abdominal scar and gastrointestinal disorders. The aim of this study was to compare long-term mortality, morbidity, and quality of life between patients with minor and giant OCs. METHODS: Records of 89 minor and 22 giant OC children were reviewed. A questionnaire on general health was sent to all patients. A second questionnaire concerning quality of life and functional status; Darthmouth COOP Functional Health Assessment Charts/WONCA (COOP/WONCA) was sent to all patients aged 18 years or older and a peer control group. RESULTS: Of the surviving patients (69 minor OC, 20 giant OC), 12 were lost to hospital follow-up. The first questionnaire was returned by 64 (83%) of 77 patients. There were no significant differences in gastrointestinal disorders. Cosmetic problems were experienced significantly more in giant OC. The results of the COOP/WONCA charts indicated a good to very good quality of life in both groups comparable to the control group. CONCLUSIONS: Our study indicates that after a high level of medical intervention perinatally, quality of life is good to very good in both groups and comparable to healthy young adults.
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Hernia Umbilical/cirugía , Calidad de Vida , Adolescente , Adulto , Niño , Preescolar , Femenino , Estudios de Seguimiento , Hernia Umbilical/psicología , Humanos , Lactante , Tiempo de Internación , Masculino , Readmisión del Paciente/estadística & datos numéricos , Estudios Retrospectivos , Encuestas y Cuestionarios , Factores de Tiempo , Resultado del Tratamiento , Adulto JovenRESUMEN
BACKGROUND/PURPOSE: Adhesive small bowel obstruction (SBO) is a feared complication after correction of abdominal wall defects in neonates. Knowledge of its incidence and potential risk factors in a well-documented group with strict follow-up is needed to guide preventive measures. METHODS: Records of 170 neonates with abdominal wall defects, 59 gastroschisis (GS) and 111 omphalocele (OC), were reviewed focusing on SBO. Risk of SBO was calculated, and potential risk factors were analyzed. Long-term complaints possibly associated with adhesions were assessed through questionnaire. RESULTS: One hundred forty-seven neonates were operated on, 12 were treated nonoperatively, and 11 patients died shortly after birth. Defects were primarily closed in 128, 7 neonates needed prosthetic mesh, and 12 had a silastic sac inserted. Twenty-six (18%) neonates had SBO, 14 (25%) of 55 with GS, and 12 (13%) of 92 with OC (P = .06). Of the 26 with SBO, 26 (88%) needed laparotomy. Four patients died because of SBO. Most episodes (85%) were in the first year. Sepsis and fascia dehiscence were predicting risk factors for SBO. Abdominal pain and constipation were frequent long-term complaints not significantly associated with SBO. CONCLUSIONS: Adhesive SBO is a frequent and serious complication in the first year after treatment of congenital abdominal wall defects. Sepsis and fascial dehiscence are predictive factors.
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Gastrosquisis/cirugía , Hernia Umbilical/cirugía , Obstrucción Intestinal/epidemiología , Femenino , Estudios de Seguimiento , Gastrosquisis/diagnóstico , Gastrosquisis/mortalidad , Hernia Umbilical/diagnóstico , Hernia Umbilical/mortalidad , Humanos , Recién Nacido , Obstrucción Intestinal/etiología , Obstrucción Intestinal/cirugía , Intestino Delgado , Masculino , Países Bajos/epidemiología , Complicaciones Posoperatorias/diagnóstico , Complicaciones Posoperatorias/epidemiología , Estudios Retrospectivos , Medición de Riesgo , Tasa de Supervivencia , Factores de Tiempo , Adherencias Tisulares/epidemiología , Adherencias Tisulares/etiología , Adherencias Tisulares/cirugíaRESUMEN
BACKGROUND/PURPOSE: Several techniques have been described to repair giant omphaloceles. There is no procedure considered to be the criterion standard worldwide. The aim of the present prospective study was to analyze the early and late results of secondary closure of giant omphaloceles using the component separation technique (CST) in infants. METHODS: From January 2004 to January 2007, 10 consecutive pediatric patients with a giant omphalocele were treated at our department. Initially, patients were treated conservatively. After epithelialization of the omphalocele, the abdominal wall was reconstructed using CST. Patients were monitored for complications during admission, and all patients were seen for follow-up. RESULTS: Component separation technique was performed at median age of 6.5 months (range, 5-69 months). The median diameter of the hernia was 8 cm (range, 6-9 cm). There was no mortality. The postoperative course was uneventful in 7 patients. Complications were seen in 3 patients (infection, skin necrosis, and hematoma). Median hospital stay was 7 days. After median follow-up of 23.5 months (range, 3-39 month), no reherniations were found. CONCLUSIONS: The CST is a safe 1-stage procedure for secondary closure in children with a giant omphalocele without the need for prosthetic material and with good clinical outcome.
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Hernia Umbilical/cirugía , Procedimientos de Cirugía Plástica/métodos , Recto del Abdomen/cirugía , Mallas Quirúrgicas , Pared Abdominal/fisiopatología , Pared Abdominal/cirugía , Preescolar , Estética , Femenino , Estudios de Seguimiento , Hernia Umbilical/diagnóstico , Humanos , Lactante , Masculino , Estudios Prospectivos , Medición de Riesgo , Índice de Severidad de la Enfermedad , Resistencia a la Tracción , Resultado del TratamientoRESUMEN
The current report describes a case of an infant girl with a giant omphalocele in whom a new surgical technique was used for closing the abdominal wall after epithelialization of the omphalocele for 16 months. The technique used was translation of the muscular layers of the abdominal wall. The functional and cosmetic results appear superior compared with other suggested treatments used for this abdominal wall defect.