RESUMO
We would like to introduce a semi-automated registration system for the National Clinical Database. Japan Surgery Society runs the National Clinical Database since January 2011. And automated registration system is long-awaited due to the number of cases and diverse items to register. Well-known database management system, FileMakerPro enabled collecting and registering the items to the web-site automatically. Still some items need to copy one by one, but after filling the data, all data would be input to the web page for registration. Merit for this automated system is increasing not only the efficiency of administration work but the quality and the usefulness of this database. This paper is to report the outline of the registration system to the NCD database.
Assuntos
Sistemas de Gerenciamento de Base de Dados , Bases de Dados Factuais , Automação , Cirurgia Geral , Japão , Sistema de Registros , Sociedades MédicasRESUMO
Communicating bronchopulmonary foregut malformation (CBPFM) and congenital tracheal stenosis (CTS) are difficult developmental disorders especially when they are presented simultaneously in a patient. The authors report a case of a newborn boy born at 37 weeks of gestation weighing 2356 g with CBPFM (right esophageal lung) and long segment CTS. Staged surgical repair (by-force endotracheal intubation for securing the airway followed by bronchotracheal anastomosis for CBPFM, tracheostomy with handmade, length-adjustable tracheostomy tube, and slide tracheoplasty) was performed. He has been healthy without tracheostomy for 25 months after slide tracheoplasty. This is the first report of a successful tracheobronchial reconstruction for a patient with a long segment CTS and CBPFM preserving the affected lung function.
Assuntos
Anormalidades Múltiplas/cirurgia , Brônquios/cirurgia , Anormalidades do Sistema Respiratório/cirurgia , Traqueia/cirurgia , Estenose Traqueal/cirurgia , Anormalidades Múltiplas/diagnóstico , Anastomose Cirúrgica , Brônquios/anormalidades , Humanos , Lactente , Recém-Nascido , Pulmão/anormalidades , Pulmão/cirurgia , Masculino , Anormalidades do Sistema Respiratório/diagnóstico , Traqueia/anormalidades , Estenose Traqueal/congênito , Estenose Traqueal/diagnósticoRESUMO
A sutureless gastroschisis closure provides a cosmetically appealing outcome. The umbilical cord is usually used as a covering material in a sutureless closure because it is a native tissue. However, during the staged closure with a silo placement, special attention is required to keep the umbilical cord moist. The authors report a simple technique to preserve the feasibility of the umbilical cord as a biologic dressing during the silo placement in staged gastroschisis closures.