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Garabedian C, Sfeir R, Langlois C, Bonnard A, Khen-Dunlop N, Gelas T, Michaud L, Auber F, Piolat C, Lemelle JL, Fouquet V, Habonima É, Becmeur F, Polimerol ML, Breton A, Petit T, Podevin G, Lavrand F, Allal H, Lopez M, Elbaz F, Merrot T, Michel JL, Buisson P, Sapin E, Delagausie P, Pelatan C, Gaudin J, Weil D, de Vries P, Jaby O, Lardy H, Aubert D, Borderon C, Fourcade L, Geiss S, Breaud J, Pouzac M, Echaieb A, Laplace C, Gottrand F, Houfflin-Debarge V. Le diagnostic anténatal modifie-t-il la prise en charge néonatale et le devenir à 1 an des enfants suivis pour atrésie de l’œsophage de type III ? ACTA ACUST UNITED AC 2015; 44:848-54. [DOI: 10.1016/j.jgyn.2014.12.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2014] [Revised: 11/09/2014] [Accepted: 12/01/2014] [Indexed: 11/30/2022]
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Varlet F, Petit T, Leclair MD, Lardy H, Geiss S, Becmeur F, Ravasse P, Rod J, de Lambert G, Braik K, Lavrand F, Lardellier-Reynaud F, Lopez M. Néphrectomie par cœlioscopie en oncologie pédiatrique. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)71446-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Daouri A, Dabilly M, Bouty A, Lavrand F, Dobremez E. SFCP P-005 - Corps étrangers œsophagiens de révélation tardive chez l’enfant. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)71721-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Lavrand F. Diagnostic des tumeurs abdominales : rôle du chirurgien. Arch Pediatr 2012. [DOI: 10.1016/s0929-693x(12)71221-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Lavrand F, Bouty A, Semjen F, Verite C, Dobremez E, Mefat L, Vergnes P. CL164 - Utilisation du STRATOS dans les pariétectomies thoraciques de l’enfant. Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70382-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Santiago R, Aladjidi N, Godard Sebillotte C, Lavrand F, Pondarré C, Lambilliotte A, Chambost H, Leverger G, Rohrlich P, Claeyssens S, Bayart S, Marie-Cardine A, Leblanc T, Perel Y. CL032 - Purpura thrombopénique immunologique de l’enfant : la place de la splénectomie. Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70248-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Lavrand F, Notz A, Bouty A, Bessou P, Rullier A, Lamireau T. P249 - Fetus in Fetu : une étiologie rare de tumeur chez l’enfant. Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70647-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Affiliation(s)
- L Harper
- CHU Bordeaux, Department of Pediatric Surgery, Place Amélie Raba-Léon, Bordeaux, France.
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Abstract
The authors report 2 cases of neuroblastoma-associated hepatomegaly, which were treated using a Silastic patch, and discuss in the light of recent reports, the technical aspects and outcome of these children. They were satisfied by the decompression achieved with the patch and believe there is no increased risk in using Silastic rather than other types of material. The outcome for these children depends more on the evolution of the underlying disease than the technical aspects of the abdominal decompression.
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Affiliation(s)
- L Harper
- Department of Paediatric Surgery, Hôpital Pellegrin-Enfants, Bordeaux, France
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Englender M, Lavrand F, Rebouissoux L, Clouzeau H, Le Bail B, Lamireau T. SFP-P159 – Hépatologie, gastro-entérologie et nutrition – Résultats de la chirurgie transanale dans la maladie de Hirschsprung. Arch Pediatr 2008. [DOI: 10.1016/s0929-693x(08)72289-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Harper L, Semjen F, Bordes M, Lavrand F, Herault AL, Vergnes P, Dobremez E. Intravesical instillation of ropivacaine reduces bladder spasms following paediatric ureteroneocystostomy. J Pediatr Urol 2007; 3:301-4. [PMID: 18947760 DOI: 10.1016/j.jpurol.2006.11.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2006] [Accepted: 11/07/2006] [Indexed: 11/29/2022]
Abstract
OBJECTIVE Bladder spasms are a common cause of pain after surgical procedures that call for postoperative catheter drainage. Several therapeutic methods have been used to lessen these spasms but none have received widespread success. PATIENTS AND METHODS Twenty-six children were included in a prospective randomized trial to evaluate the safety and efficacy of daily intravesical instillation of ropivacaine as prophylactic treatment for bladder spasms following ureteroneocystostomy. RESULTS Although six patients experienced mild transient pain during instillation, there was no systemic toxicity attributable to the ropivacaine. The average number of spasms per day fell by half in the instillation group (p<0.01). CONCLUSION Intravesical instillation of ropivacaine is a feasible alternative prophylactic treatment for postoperative bladder spasms.
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Affiliation(s)
- L Harper
- Department of Paediatric Surgery, Hôpital Pellegrin-Enfants, C.H.U Bordeaux, Place Amélie Raba-Léon, 33076 Bordeaux Cedex, France.
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Roullet S, Lavrand F, Français S, Bordes M, Semjen F. [Thoracic epidural analgesia for a thrombocytopenic child]. ACTA ACUST UNITED AC 2006; 25:994-6. [PMID: 16914286 DOI: 10.1016/j.annfar.2006.05.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2005] [Accepted: 05/29/2006] [Indexed: 10/24/2022]
Abstract
Per- and postoperative analgesia of patients with chronic pain is a challenging issue for anaesthetists and can be achieved with locoregional anaesthesia, unless it is contraindicated. We report the case of a thrombocytopenic child presenting for thoracotomy and in whom intravenous analgesia failed after previous surgeries. Due to the central origin of the thrombocytopenia, thoracic epidural analgesia could be achieved, after platelet transfusions. When clinical advantage of thoracic epidural is unquestionable, central thrombocytopenia is a relative contraindication.
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Affiliation(s)
- S Roullet
- Département d'anesthésie-réanimation-IV, hôpital Pellegrin-Enfants, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France
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Dobremez E, Lefevre Y, Harper L, Rebouissoux L, Lavrand F, Bondonny JM, Vergnes P. Complications occurring during conservative management of splenic trauma in children. Eur J Pediatr Surg 2006; 16:166-70. [PMID: 16909354 DOI: 10.1055/s-2006-924197] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
AIM Conservative management of splenic rupture in haemodynamically stable children is now generally accepted. However, during follow-up, many complications can occur. The aim of this study was to describe the complications we observed and to propose a standardised follow-up adapted to them. METHODS Between March 1992 and December 2002 we managed 65 children (aged between 3 and 15 years old) with accidental splenic rupture. Follow-up and treatment consisted of a 10-day bed rest with sonogram and Doppler controls on the 5th and 10th day and subsequently every month until complete healing. Complications included secondary haemorrhage in 3 cases, cystic evolution in 5 cases, and pseudo-aneurysm in 2 cases. All were treated by renewed bed rest. Three of the cysts resolved spontaneously, the other two underwent cystic resection and epiploplasty by laparotomy (n = 1) or laparoscopy (n = 1) and both pseudo-aneurysms were selectively embolised. There were no splenectomies. CONCLUSIONS Complications essentially occurred in older children and were not related to gender, type of fracture, or extent of bleeding. Cystic evolution of the sub-capsular haematomas can appear up to 1 month after trauma. Peripheral pseudo-aneurysms which could be responsible for secondary haemorrhages were selectively embolised. We favour the use of the Doppler sonogram for follow-up until total recovery of these patients, even in low-grade traumas. Considering the number of complications encountered we do not believe the American evidence-based guidelines are suitable for our population.
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Affiliation(s)
- E Dobremez
- Department of Paediatric Surgery, Hôpital Pellegrin-Enfants, Bordeaux, Université Victor Segalen Bordeaux 2, France.
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Harper L, Lavrand F, Pietrera P, Loot M, Vergnes P. [Spontaneous rupture of a choledochal cyst in a 11-month-old girl]. Arch Pediatr 2005; 13:156-8. [PMID: 16364616 DOI: 10.1016/j.arcped.2005.11.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2004] [Accepted: 11/10/2005] [Indexed: 10/25/2022]
Abstract
Choledochal cysts are rare congenital malformations of the biliary tract. Though most cysts are diagnosed incidentally, some present directly with complications. We report on the case of an 11-month-old girl admitted for abdominal pain, fever and vomiting. Ultrasonography revealed intraabdominal fluid and the absence of a choledochal cyst diagnosed 2 months earlier. Laparotomy for suspected rupture of a choledochal cyst was planned and a choledochojejunostomy with Roux-en-Y was performed. Spontaneous rupture of a choledochal cyst is rare and occurs most frequently in children under the age of 4. The exact cause is yet unknown and several factors have been implicated. The most probable cause is the combination of pancreatic reflux and epithelial irritation of a weakened cyst wall. Choledochal cysts should preferably be treated as soon as the child is 6 months old. Complete excision of the cyst is mandatory because of the risk of malignant transformation.
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Affiliation(s)
- L Harper
- Département de Chirurgie Pédiatrique, Hôpital Pellegrin-Enfants, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France.
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Coste C, Jouvencel P, Debuch C, Argote C, Lavrand F, Feghali H, Brissaud O. [Delayed discovery of congenital diaphragmatic hernia: diagnostic difficulties. A report of two cases]. Arch Pediatr 2004; 11:929-31. [PMID: 15288084 DOI: 10.1016/j.arcped.2004.04.018] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2003] [Accepted: 04/19/2004] [Indexed: 10/26/2022]
Abstract
Delayed revelation of congenital diaphragmatic hernias (CDH) is not uncommon and can represent 5-30% of total CDHs. Time before diagnosis may be prolonged, sometimes to the adult period. Respiratory and gastrointestinal symptoms are frequent but not specific. The clinical presentation of delayed CDH may thus mislead the practitioner. Diagnosis can be approached and/or confirmed by plain radiography. Outcome is usually favorable after surgery. We report two cases of delayed CDH and we discuss the difficulty of diagnosis.
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Affiliation(s)
- C Coste
- Service des urgences, centre hospitalier général de Langon, 33210 Langon, France
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Pérel Y, Valteau-Couanet D, Michon J, Lavrand F, Coze C, Bergeron C, Notz A, Plantaz D, Chastagner P, Bernard F, Thomas C, Rubie H. [Prognosis of neuroblastoma in childhood. Methods of assessment and clinical use]. Arch Pediatr 2004; 11:834-42. [PMID: 15234382 DOI: 10.1016/j.arcped.2004.02.022] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2003] [Accepted: 02/21/2004] [Indexed: 01/30/2023]
Abstract
Neuroblastoma and its benign counterpart, ganglioneuroma, are pediatric neuroblastic tumors arising in the sympathetic nervous system from neural-crest cells. Neuroblastoma, the most common extra-cranial solid tumour during childhood, is unique for its broad spectrum of clinical virulence from spontaneous remission to rapid and fatal progression despite intensive multimodality therapy. To a large extent, outcome could be predicted by the stage of disease and the age at diagnosis. However, a number of molecular events in neuroblastoma tumors, accounting for the variability of outcome and response to therapy, have been identified over the past decades. Among these, MYCN amplification is the most relevant prognostic factor and was the first genetic marker, in paediatric oncology, to be included in clinical strategies as a guide for therapeutic decision. This has allowed the most suitable intensity of therapy to be delivered according to a risk-stratified strategy, from observation to megadose chemotherapy with stem cell transplantation. Recent advances in understanding the biology and genetics of neuroblastoma will ultimately allow to select poor-risk patients for appropriate future biologically based therapies.
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Affiliation(s)
- Y Pérel
- Unité d'oncohématologie pédiatrique, département de pédiatrie, hôpital des enfants, groupe hospitalier Pellegrin, CHU de Bordeaux, 33076 Bordeaux, France.
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Abstract
The treatment of acute appendicitis in children is sometimes followed by complications including intra-abdominal abscess, for which the traditional treatment is surgical drainage. We evaluated the efficacy of antibiotic management compared to classic surgical treatment. This retrospective study investigated 22 children from 5 to 13 years of age with one or many abscesses after appendectomy, treated between 1992 and 2002. Eleven received surgery and the other 11 were treated with triple antibiotherapy. The two groups were comparable. Surgery was efficient in 36% of cases and complications occurred in 64% of cases (digestive fistula, intraperitoneal abscess, gaseous gangrene and septic shock). Average hospital stay in this group was 16.7 days. In the other group, medication was efficient in 91% of cases; a recurrent abscess was operated and a residual stercolith, which was maintaining the infection, was removed. The average hospital stay in this group was 10.4 days. Medical treatment of intraperitoneal abscess seems to be effective. Hospitalisation is shorter with medical management and complications are rare. Therefore, medication may be proposed in most cases, except when there are residual foreign bodies or stercoliths. Poor patient status and septic shock are the two other contraindications, because antibiotherapy is not immediately efficient.
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Affiliation(s)
- E Dobremez
- Service de Chirurgie Pédiatrique, Hôpital Pellegrin-Enfants, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France.
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Aladjidi N, Barat P, Vérité C, Boulard S, Labessan C, Lavrand F, Notz A, Pérel Y. P57 Endocrinologie Hemorragie genitale de la petite fille de moins d'un an: Comment rechercher une origine tumorale? Arch Pediatr 2003. [DOI: 10.1016/s0929-693x(03)90570-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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