RESUMO
OBJECTIVE: The aim this study was to demonstrate the utility and suitability of octyl-2-cianocrylate in cutaneus repair of different conditions in the pediatric population. Octyl-2-cianocrylate is a topical tissular adhesive which can be used on skin and which has been tested in surgical practice as a wound sealant, avoiding the use of conventional sutures. MATERIAL AND METHODS: We applied octyl-2-cianocrylate in 100 patients with skin wounds smaller than 5 cm. The patients were distributed as follows: Emergency department: simple sharp wounds in the face and extremities (20 patients); surgical block: surgical wounds in 80 patients with the following conditions: inguinal hernia (20 patients), cryptorchidism (20 patients), umbilical hernia (10 patients), hypospadias (17 patients), post-hypospadias fistula repair (8 patients) and cleft lip (5 patients). The results were analyzed in terms of efficacy, cosmetic result, procedure time, material used, and patient comfort. CONCLUSIONS: Octyl-2-cianocrylate was easier to use than conventional sutures in all its applications, requiring less time than conventional sutures and therefore lowering the cost per procedure.
Assuntos
Cianoacrilatos , Adesivos Teciduais , Criança , Pré-Escolar , Humanos , Lactente , Pele/lesões , Procedimentos Cirúrgicos Operatórios , Ferimentos Perfurantes/terapiaAssuntos
Pólipos Intestinais/cirurgia , Pré-Escolar , Humanos , Pólipos Intestinais/patologia , MasculinoRESUMO
We report on 6 laparoschisis treated in the last 5 years. Five patients survived whereas one died at the age of 41 days. We review clinical aspects of this malformation and point out the need for a prompt operation and an adequate nutritional management.
Assuntos
Músculos Abdominais/anormalidades , Hérnia Ventral/congênito , Músculos Abdominais/cirurgia , Diagnóstico Diferencial , Feminino , Hérnia Umbilical/diagnóstico , Hérnia Ventral/cirurgia , Humanos , Recém-Nascido , MasculinoAssuntos
Permeabilidade do Canal Arterial/mortalidade , Recém-Nascido de Baixo Peso , Doenças do Prematuro/mortalidade , Permeabilidade do Canal Arterial/complicações , Permeabilidade do Canal Arterial/cirurgia , Permeabilidade do Canal Arterial/terapia , Humanos , Recém-Nascido , Doenças do Prematuro/cirurgia , Doenças do Prematuro/terapia , Prognóstico , Taxa de SobrevidaRESUMO
Four cases of pleuroperitoneals diaphragmatic hernia are described. The onset in the four infants was intensive respiratory distress. In all patients the only herniated viscera was the stomach, that was found strangulated and dilated into the thoracic cavity. The foramen herniarium was located on the diaphragmatic cupula with a size between 2-3 cm.