Neonatal Surgery - Science topic

I plan a mouse trial to describe the role of macrophages in hollow viscus organ remodeling. I am looking for options to collaborate/share animals.

Thank you!!

M

a premature baby , gestational age 37 w , was planned for laser surgery due to ROP , weight was 1.4 kg .. no cardiac problem,,,,, chest is clinically free,,, oxygen saturation was 98 on room air ,,,,  patient was not intubated ..... the problem was that he had physiological anaemia Hb = 8.3 .......neonatologists usually are not giving blood for such cases as it was physiological,,,,,the question is shall we proceed in such case with this Hb level as it is non bloody surgery ? or asking to raise the Hb level preoperatively due to our concern regarding oxygen carrying capacity? 

cases with duodenal atresia with difficult kimura anastmosis

Dear colleagues,

Does somebody have an experience with patient with isolated duodenum.

In our department we have a patient in whom already prenataly cystic mass in the abdominal cavity was diagnosed.Postnataly in the 1st day of life he was tranfered to our department with exteremly enlarged abdomen, no vomiting. In laparotomy megaduodenum with duodenal atresia was diagnosed, stomack was absolutaly normal. There was isolated megaduodenum. Duodenojejunostomy was performed. In histology - nerve cells and fibres are present in the wall of dilated megaduodenum, fibrotic tissue in submucosa is seen. Transfer through anastomosis was not observed although 4,8 mm endoscope freely entered the anastomosis. In order to provide the patient enteral feeding jejunostomy was performed. Acholic stool appeared. Discharege from nasoduodenal tube - with bile around 120-160 ml/day. Third laparotomy was performed - duodeno-jejunal anastomosis was re-made, jejunal tube was put through nose (naso-jejunal). After this third operation - still acholic stool, large amount of discharge with bile from nasoduodenal tube. In contrast X ray - no passage through the anastomosis, endoscopy - 4,8 mm endoscope enters the anastomosis without problems.

What could be the tactic and managemnt of this patient?

Thank you all in advance!

Zane Abola

Pediatric Surgeon

A term male child with antenatally detected cystic structure in abdomen. Asymptomatic- Normal feeding and no bowel or urinary abnormalities. No mass palpable.

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