pediatrics-conference-2016_posters-accepted-abstracts

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Volume 6, Issue 4(Suppl) Pediat Therapeut 2016
ISSN: 2161-0665 Pediatrics, an open access journal
Page 76
Pediatrics Conference 2016
September 14-16, 2016
conferenceseries.com
7th European Pediatrics and
Pediatric Surgery
September 14-16, 2016 Amsterdam, Netherlands
Pediat Therapeut 2016, 6:4(Suppl)
Complications of colostomy and their correction in children
Mansur Nasirov
Tashkent Pediatric Medical Institute, Uzbekistan
Objective: To study the causes of complications in children colostomy.
Material & Methods: There were 84 patients with a colostomy in the period from 2003 to 2013. Colostomy was applied in order to
decompress the bowel (intestinal paresis, peritonitis), anorectal malformations and Hirschsprung’s disease.
Results: Complications of colostomy were detected in 44 patients.Themost frequent complications were paracolostomic inflammatory
complications-14 (32%). Parastomal infiltrate developed in mucocutaneous transition colostomy due to infection of postoperative
wound edges intestinal contents. In 5 (11%) patients colostomy was complicated with necrosis due to massive devascularization and
redundant loops derived. 7 (16%) patients developed to stenosis of colostomy. Evagination occurred in 8 (18%) patients, which was
resulted due to living of a large abdominal free part of the colon in 5 patients, single-barrel stoma were in 3 children. Eventration was
seen in 10 (23%) patients.
Conclusion: The major complications of colostomy were paracolostomic inflammatory complications, which were eliminated using
local therapy; necrosis, stenosis of the stoma; eventration, due to the superposition of single-row fixation sutures and suturing the
parietal peritoneum to the skin; evagination related to insufficient fixation guts to parietal peritoneum and abdominal leaving a large
free prestomal part of the colon. Developed in our clinic, method corrugating stoma led to a significant decrease in the number of
complications.
Usefulness of Wieneke criteria in assessing morphologic characteristics of adrenocortical tumors in
children
Nuru Ahmed Seid and Endris Alkadir Seman
Bahir Dar University, Ethiopia
Purpose: The objective of our study was to compare the Wieneke criteria with the standard Weiss criteria used in adults in assessing
malignant potential of adrenocortical tumors (ACTs) in children.
Aim: The aim of this study was to document the spectrum of clinic-pathological findings in pediatric ACTs and to apply Wieneke
criteria in assessing clinical behavior of these tumors.
Methods: This multi-institutional study comprised of 13 children with ACTs from January 2005 toMay 2014. Clinical and pathological
findings were collected from records. Review and analysis of microscopic features were performed. Each individual tumor was
assessed applying the criteria proposed by Wieneke et al and designated benign, intermediate for malignancy or malignant. The adult
Weiss criteria were also used in the same cases for comparison.
Result: Out of 13 cases, 6 were adreno-cortical adenoma, 7 cases were adreno-cortical carcinoma. Majority (76.9%) presented with
endocrine dysfunction. Younger patients were found to be associated with better prognosis. Applying Wieneke criteria, there were 6
adenoma, 6 carcinoma and one case was assigned to intermediate for malignancy group. Applying Weiss criteria on the same cases; 3
cases with benign clinical course were assigned to malignant group.
Conclusion: Our study validates the reliability of Wieneke scoring system in assessing malignancy in Pediatric ACTs. We are also
studying the role of P53 status and KI 67 index in assessing malignancy in pediatric ACTs which will be concluded later.