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 79
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)
Spinal cord dysfunction and quadriplegia following tracheal resection - A rare complication
Sheetal Bulchandani
Lokmanya Tilak Municipal Medical College, India
Introduction & Objective: Tracheal stenosis is narrowing of the windpipe which can occur after radiation therapy, prolonged use of
an endotracheal tube or rarely, be congenital. Tracheal resection and primary reanastomosis for tracheal tumors and stenosis is a well-
described procedure. Common complications of this procedure include Bleeding, infection airway edema, pulmonary insufficiency,
recurrent laryngeal nerve injury, anastomotic dehiscence, fistula, leak and stenosis. We report a case of a 16 year-old male who
suffered permanent quadriplegia following tracheal resection.
Case Report and Literature Review: We searched PUBMED using the words ‘tracheal resection + paraplegia’ ‘tracheal resection +
quadriplegia’. All the relevant articles were thoroughly reviewed.
Conclusion: Quadriplegia/Paraplegia after tracheal resection is an extremely ‘rare but there’ complication of tracheal resection.
Different methods may be used to relieve the tension on the anastomotic site and the most appropriate method must be determined.
A daily postoperative neurological examination should be performed in these patients. Immediate MRI should be performed if
any abnormal findings are seen to verify the diagnosis. Quadriplegia in this setting likely resulted from compromised blood supply,
concomitant edema, hemorrhage (as in this case, although the cause of hemorrhage is not known) or even traction (Breig9) however,
the exact cause of injury remains unclear.
Outcome of twin deliveries at a tertiary care centre of eastern Nepal
Shipra Chaudhary
B P Koirala Institute of Health Sciences, Nepal
Background: Twins, compared to singletons, have higher perinatal mortality and morbidity. The aim of this study is to describe the
twinning rate, epidemiological variables and hospital outcome of twin deliveries at this institution.
Methods: We evaluated retrospectively the outcome of 92 twin pregnancies during one year study period (1st January 2014 to 31st
December 2014). Only inborn twins were included. Cases with <28 weeks gestation and those twins delivered outside institution were
excluded. Maternal and neonatal data were retrieved and statistically analysed.
Results: The twinning rate was 9.2/1000 (92/10,031). The mean birth weight was 1636.30±339.21 grams and mean gestational age
34.31±2.67 weeks. 182 babies (98.9%) were Low Birth Weight (LBW) while 32.1% were small for Gestational Age (SGA). There was
mild, moderate and severe growth discordance in 68.5%, 23.9% and 7.6% respectively. Three (3.26%) of 92 pairs had twin to twin
transfusion syndrome. The mortality rate was 10.87% (20/184). Out of 181 live babies, 69 (37.5%) had complications. The clinical
causes of death were hyaline membrane disease (3.3%), severe birth asphyxia (2.7%), sepsis (1.6%) and congenital malformations
(1.6%).
Conclusion: Twin deliveries are common in this hospital and need special consideration due to their substantial higher risk of
complications and thereby consumption of relatively large proportion of resources before, during and after birth. Preparedness, early
management and follow-ups are required for better management of twin infants in our part.