pediatrics-conference-2016_posters-accepted-abstracts

9 / 19

Volume 6, Issue 4(Suppl) Pediat Therapeut 2016
ISSN: 2161-0665 Pediatrics, an open access journal
Page 70
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)
Helal technique for simplified single incision laparoscopic pediatric inguinal hernia repair
Ahmed Abd Elgaffar Helal
MGM Medical College, India
Background: The desire to reduce number of incisions and postoperative pain while achieving better cosmoses has recently led to
the introduction of single incision laparoscopic hernia repair (SILHR). Intracorporeal knotting, remain a major challenging tasks for
pediatric surgeons during SILHR. We introduce a simplified technique for pediatric SILHR with intracorporeal knotting.
Patients & Methods: This prospective study was conducted at Al-Azhar University Hospitals, between Feb 2014 and Aug 2016. One
hundred children with hernia defects were subjected to SILHR. Extraperitoneal saline was injected around internal inguinal ring
[IIR] in males. The opened IIR was closed by percutaneous insertion of purse string suture using epidural needle gauge-18 with
intracorporeal knotting. The main outcome measurements include: Operative time, feasibility of the procedure, complications and
cosmesis.
Results: Ages ranged between 6 months and 7 years (mean2±24.2 years). They were 81 males and 19 females. Thirty four patients
presented with right sided inguinal hernia, 46 patients with left sided hernia, and 20 patients with bilateral hernia. The mean operative
time was 8±2.2 minutes for unilateral hernia repair and 16±4.3 for bilateral cases. On follow-up, there was only 1 case of recurrence
and 1 cases of hydrocele and the scar is nearly invisible.
Conclusion: Our technique is very simple to achieve secure closure of IIR and reduce operative time with excellent cosmetic results.
It avoids the drawbacks of extracorporeal knotting.
Etiologies and early diagnosis of short stature and growth failure in children and adolescents
Alan D Rogol
University of Virginia, USA
Accurate measurement of height and weight using standardized techniques is a fundamental component of pediatric medical
visits. Calculation of height velocity over time enables comparison with standardized growth charts to identify potential
deviations from normal. Growth deviations may be expressed as SD from the normal population mean for children of comparable
age and sex; children with heights >2 SD below the mean are generally classified as short stature. In a child with suspected impaired
growth, a detailed evaluation should be conducted to identify the cause. Such an evaluation may include a combination of personal,
family, and social history; physical examination; general and perhaps specialized laboratory evaluations; radiologic examinations;
genetic testing; and consultation with a pediatric subspecialist, such as a pediatric endocrinologist. Variants of normal growth include
familial short stature, constitutional delay of growth and puberty, and small for gestational age with catch-up growth. Pathological
causes of abnormal growth include many systemic diseases and their treatments, growth hormone deficiency, and a series of genetic
syndromes, including Noonan syndrome and Turner syndrome. Children with short stature in whom no specific cause is identified
may be diagnosed with idiopathic short stature. Early identification of abnormal growth patterns and prompt referral to specialist
care offer children with growth failure and/or short stature the greatest chance for appropriate diagnosis, treatment, and improved
clinical outcomes.