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Role of ultrasound in the treatment of pediatric infectious diseases:case series and narrative review

World Journal of Pediatrics 2023年第1期19卷 20-34页

作者： Takahiro Hosokawa Yutaka Tanami Yumiko Sato Kuntaro Deguchi Haruka Takei Eiji Oguma Department of Radiology Saitama Children's Medical Center1-2 Shintoshin Chuo-kuSaitama 330-8777Japan Department of Infectious Diseases and Immunology Saitama Children's Medical CenterSaitamaJapan

Background Infectious diseases are common in pediatric *** these patients,ultrasound is a useful imaging modality that involves no irradiation or sedation and can be performed repeatedly at the patient's *** purpose of this review was to show pediatric cases with infectious disease that used ultrasound to decide the methods of *** sources Literature review was performed using Pubmed as the medical database *** year-of-publication restric-tion was *** mesh terms used were:"ultrasound","sonography","infectious disease","treatment","antibiotics","surgical intervention","pediatric","children","deep neck abscess","pyothorax","empyema","pneumonia","urinary tract infection","intra-abdominal abscess","soft tissue infection","septic arthritis","osteomyelitis",and"surgical site infection".Results We presented pediatric case series with infectious diseases,including deep neck abscess,pyothorax and empyema,pneumonia,urinary tract infection,intra-abdominal abscess,soft tissue infection,septic arthritis and osteomyelitis,and surgical-site *** was useful for evaluating the extent and location of inflammation and abscess and for decision-making concerning surgical *** Knowledge of these sonographic findings is important for sonographers during examinations and for physicians when determining the treatment plan and period of antibiotic therapy for infected lesions.

关键词： Infectious diseases intra-abdominal abscess Osteomyelitis Pyothorax Ultrasound

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Laparoscopic treatment of perforated appendicitis

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World Journal of Gastroenterology 2014年第39期20卷 14338-14347页

作者： Heng-Fu Lin Hong-Shiee Lai I-Rue Lai Department of Surgery Far-Eastern Memorial Hospital Department of Emergency Medicine National Taiwan University Hospital National Taiwan University College of Medicine Department of Surgery National Taiwan University Hospital Department of Anatomy and Cell Biology Medical College National Taiwan University

The use of laparoscopy has been established in improving perioperative and postoperative outcomes for patients with simple appendicitis. Laparoscopic appendectomy is associated with less wound pain, less wound infection, a shorter hospital stay, and faster overall recovery when compared to the open appendectomy for uncomplicated cases. In the past two decades, the use of laparoscopy for the treatment of perforated appendicitis to take the advantages of minimally invasiveness has increased. This article reviewed the prevalence, approaches, safety disclaimers, perioperative and postoperative outcomes of the laparoscopic appendectomy in the treatment of patients with perforated appendicitis. Special issues including the conversion, interval appendectomy, laparoscopic approach for elderly or obese patient are also discussed to define the role of laparoscopic treatment for patients with perforated appendicitis.

关键词： Perforation Laparoscopic appendectomy intra-abdominal abscess Cost

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