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Sushentsev N, Tanner J, Slough RA, Kozlov V, Gill AB, Barrett T. The Effect of Different Drinking and Voiding Preparations on Magnetic Resonance Imaging Bladder Distention in Normal Volunteers and Patients. Can Assoc Radiol J 2018; 69:383-389. [PMID: 30318460 DOI: 10.1016/j.carj.2018.07.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2018] [Revised: 07/12/2018] [Accepted: 07/21/2018] [Indexed: 11/19/2022] Open
Affiliation(s)
- Nikita Sushentsev
- International School "Medicine of the Future", Sechenov First Moscow State Medical University, Moscow, Russia.
| | - James Tanner
- Department of Radiology, Addenbrooke's Hospital, Cambridge, United Kingdom
| | - Rhys A Slough
- Department of Radiology, Addenbrooke's Hospital, Cambridge, United Kingdom
| | - Vasily Kozlov
- Department of Public Health and Healthcare Organization, Sechenov First Moscow State Medical University, Moscow, Russia
| | - Andrew B Gill
- Department of Radiology, Addenbrooke's Hospital, Cambridge, United Kingdom
| | - Tristan Barrett
- International School "Medicine of the Future", Sechenov First Moscow State Medical University, Moscow, Russia; Department of Radiology, Addenbrooke's Hospital, Cambridge, United Kingdom; CamPARI Clinic, Addenbrooke's Hospital and University of Cambridge, Cambridge Biomedical Campus, Cambridge, United Kingdom
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Morozov D, Morozova O, Pervouchine D, Severgina L, Tsyplakov A, Zakharova N, Sushentsev N, Maltseva L, Budnik I. Hypoxic renal injury in newborns with abdominal compartment syndrome (clinical and experimental study). Pediatr Res 2018; 83:520-526. [PMID: 29053704 DOI: 10.1038/pr.2017.263] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/28/2017] [Accepted: 09/29/2017] [Indexed: 12/13/2022]
Abstract
BackgroundSurgical treatment for gastroschisis and congenital diaphragmatic hernia (CDH) commonly leads to abdominal compartment syndrome (ACS) associated with hypoxic renal injury. We hypothesized that measurement of urinary and serum concentrations of vascular endothelial growth factor (VEGF), π-glutathione S-transferase (π-GST), and monocyte chemoattractant protein-1 (MCP-1) may serve for noninvasive detection of hypoxic renal injury in such patients.MethodsIntra-abdominal pressure (IAP), renal excretory function, and the biomarker levels were analyzed before, 4, and 10 days after surgery. Association between the biomarker levels and renal histology was investigated using an original model of ACS in newborn rats.ResultsFour days after surgery, IAP increased, renal excretory function decreased, and the levels of VEGF, π-GST, and MCP-1 increased, indicating renal injury. Ten days after surgery, IAP partially decreased, renal excretory function completely restored, but the biomarker levels remained elevated, suggesting the ongoing kidney injury. In the model of ACS, increase in the biomarker levels was associated with progressing kidney morphological alteration.ConclusionSurgical treatment for gastroschisis and CDH is associated with prolonged hypoxic kidney injury despite complete restoration of renal excretory function. Follow-up measurement of VEGF, π-GST, and MCP-1 levels may provide a better tool for noninvasive assessment of renal parenchyma in newborns with ACS.
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Affiliation(s)
- Dmitry Morozov
- Department of Pediatric Surgery, Sechenov First Moscow State Medical University, Moscow, Russia
| | - Olga Morozova
- Department of Pathophysiology, Sechenov First Moscow State Medical University, Moscow, Russia
| | - Dmitri Pervouchine
- Center for Data-Intensive Biomedicine and Biotechnology, Skolkovo Institute of Science and Technology, Moscow, Russia
| | - Lubov Severgina
- Department of Pathological Anatomy, Sechenov First Moscow State Medical University, Moscow, Russia
| | - Alexei Tsyplakov
- Research Institute for Fundamental and Clinical Uronephrology, Saratov State Medical University n. a. V. I. Razumovsky, Saratov, Russia
| | - Natalya Zakharova
- Research Institute for Fundamental and Clinical Uronephrology, Saratov State Medical University n. a. V. I. Razumovsky, Saratov, Russia
| | - Nikita Sushentsev
- Department of Pathophysiology, Sechenov First Moscow State Medical University, Moscow, Russia
| | - Larisa Maltseva
- Department of Pathophysiology, Sechenov First Moscow State Medical University, Moscow, Russia
| | - Ivan Budnik
- Department of Pathophysiology, Sechenov First Moscow State Medical University, Moscow, Russia
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Mandal KC, Halder P, Barman S, Kumar R, Mukhopadhyay B, Shukla RM. Intragastric pressure: Useful indicator in the management of congenital diaphragmatic hernia. J Indian Assoc Pediatr Surg 2016; 21:175-177. [PMID: 27695209 PMCID: PMC4980878 DOI: 10.4103/0971-9261.186547] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
AIMS To assess the role of measuring of intragastric pressure (IGP) during closure of congenital diaphragmatic hernia. MATERIALS AND METHODS Thirty-two cases were included in the study (August 2008 to February 2014), and IGP has been measured intraoperatively during closure. RESULT Patients were categorized in group A (15 patients), group B (14 patients) and group C (3 patients). In group C, IGP was more than 30 cm of water pressure and all of tehm required creation of ventral hernia and ventilator support. CONCLUSION Measurement of IGP as an objective, noninvasive and simple method to evaluate intra-abdominal pressure and prevention of abdominal compartment syndrome and intraoperative IGP value determines the types of abdominal closure.
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Affiliation(s)
| | - Pankaj Halder
- Department of Pediatric Surgery, Dr. B. C. Roy, PGIPS, Kolkata, West Bengal, India
| | - Shibsankar Barman
- Department of Pediatric Surgery, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India
| | - Rajarshi Kumar
- Department of Pediatric Surgery, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India
| | - Biswanath Mukhopadhyay
- Senior Consultant, Pediatric Surgery, Apollo Gleneagles Hospitals, Kolkata, West Bengal, India
| | - Ram Mohan Shukla
- Department of Pediatric Surgery, R D Gardi Medical College, Ujjain, Madhya Pradesh, India
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Fujishiro J, Ishimaru T, Sugiyama M, Arai M, Suzuki K, Kawashima H, Iwanaka T. Minimally invasive surgery for diaphragmatic diseases in neonates and infants. Surg Today 2015; 46:757-63. [PMID: 27246508 DOI: 10.1007/s00595-015-1222-3] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2015] [Accepted: 06/29/2015] [Indexed: 10/23/2022]
Abstract
Owing to recent advances in minimally invasive surgery (MIS), laparoscopic and thoracoscopic surgery have been gradually introduced for use in neonates and infants. This review focuses on two popular MIS procedures for diaphragmatic diseases in neonates and infants: congenital diaphragmatic hernia (CHD) repair and plication for diaphragmatic eventration. While several advantages of MIS are proposed for CDH repair in neonates, there are also some concerns, namely intraoperative hypercapnia and acidosis and a higher recurrence rate than open techniques. Thus, neonates with severe CDH, along with an unstable circulatory and respiratory status, may be unsuitable for MIS repair, and the use of selection criteria is, therefore, important in these patients. It is generally believed that a learning curve is associated with the higher recurrence rate. Contrary to CDH repair, no major disadvantages associated with the use of MIS for diaphragmatic eventration have been reported in the literature, other than technical difficulty. Thus, if technically feasible, all pediatric patients with diaphragmatic eventration requiring surgical treatment are potential candidates for MIS. Due to a shortage of studies on this procedure, the potential advantages of MIS compared to open techniques for diaphragmatic eventration, such as early recovery and more rapid extubation, need to be confirmed by further studies.
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Affiliation(s)
- Jun Fujishiro
- Department of Pediatric Surgery, Faculty of Medicine, The University of Tokyo, Hongo 7-3-1, Bunkyo-ku, Tokyo, 113-8655, Japan.
| | - Tetsuya Ishimaru
- Department of Pediatric Surgery, Faculty of Medicine, The University of Tokyo, Hongo 7-3-1, Bunkyo-ku, Tokyo, 113-8655, Japan
| | - Masahiko Sugiyama
- Department of Pediatric Surgery, Faculty of Medicine, The University of Tokyo, Hongo 7-3-1, Bunkyo-ku, Tokyo, 113-8655, Japan
| | - Mari Arai
- Department of Pediatric Surgery, Faculty of Medicine, The University of Tokyo, Hongo 7-3-1, Bunkyo-ku, Tokyo, 113-8655, Japan
| | - Keisuke Suzuki
- Division of Surgery, Saitama Children's Medical Center, Magome 2100, Iwatsuki-ku, Saitama, Saitama, 339-8551, Japan
| | - Hiroshi Kawashima
- Division of Surgery, Saitama Children's Medical Center, Magome 2100, Iwatsuki-ku, Saitama, Saitama, 339-8551, Japan
| | - Tadashi Iwanaka
- Department of Pediatric Surgery, Faculty of Medicine, The University of Tokyo, Hongo 7-3-1, Bunkyo-ku, Tokyo, 113-8655, Japan.,Saitama Children's Medical Center, Magome 2100, Iwatsuki-ku, Saitama, Saitama, 339-8551, Japan
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