Related Surgical Specialties

Pediatric Surgery, Thoracic Surgery, Gynecology, Urology

• Pregnant women with appendicitis:  Early surgical intervention (appendectomy) and IV antibiotics
• Pediatric appendicitis – use single antibiotic regimen
• Most cases of blunt pediatric pancreatic trauma, may be non-operative due to delay in diagnosis
• Bilious emesis in the New Born is the hallmark of intestinal malrotation with midgut volvulus.
• Esophageal atresia in infants present with immediate feeding intolerance and respiratory failure
• Ingested multiple magnets can lead to perforation or obstruction
• Acute urinary retention in a adolescent female is virtually diagnostic for imperforate hymen.
• Most babies with bilateral cryptorchid testes tend to be premature males who have not had normal testicular descent
• Resection of thyroglossal duct cyst, and removal of the mid portion of the hyoid bone to the base of the tongue.
• External bracing to repair pectus carinatum – to be worn nearly continuously for 1.5 -2 years.
• Spontaneous pneumothorax – typically occur in young men who are very tall and thin who have had previous episodes.
• after thoracoscopic bleb resection and mechanical pleuridesis, the recurrence rate of spontaneous pneumothorax is 5-15%.
• undrained hemothoraces may lead to chronic fibro-thorax resulting in entrapment and compromise of pulmonary function.
• Lung abscesses who respond to medical therapy should have bronchoscopy to diagnose foreign body or previous undiagnosed tumor.
• Massive hemoptysis, hypoxemia is the true cause of mortality.
• Massive hemoptysis related to PA catheter – leave balloon inflated – it might tamponade.
• Hypoglycemia may predispose to sternal wound infection and mediastinitis after cardiac surgery
• Squamous cell esophageal cancer – thoracoscopic resection of the esophagus reduces post operative complications.
• Thoracic endovascular repair may work in causes of traumatic aortic disruption in patients who are not normally operative candidates.
• Intima, media, adventitia injury in the aorta most likely need operative intervention (all three walls).
• If only the intima is injured in the aorta – healing is possible by itself.