Publications by authors named "M P Ekstein"
Article Synopsis
- - The study investigates the risk of neurological adverse events (NAEs) in pediatric patients with moyamoya angiopathy (MMA) undergoing general anesthesia for nonrevascularization procedures, as existing data on this topic is limited.
- - Conducted at a pediatric center from 2014 to 2023, the study found a very low incidence of NAEs (0.67%) among 149 procedures, with only one case of acute arterial ischemic stroke after a surgical revision.
- - The results indicate that general anesthesia, especially when combined with preprocedural hyperhydration, is generally safe for these patients, providing reassurance for families regarding the risks associated with such procedures.
Significant blood loss and resultant transfusion may lead to coagulopathy. The need for routine transfusion of non-RBC blood products in healthy pediatric patients suffering significant, yet controlled, intra-operative blood loss is controversial. Open craniosynostosis surgery is often associated with significant intra-operative blood loss and transfusion, and routinely preformed on otherwise healthy pediatric patients.
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- The study aimed to evaluate continence and voiding rates in patients with exstrophy-epispadias after bladder neck reconstruction, assessing factors predicting continence.
- It included data from 27 patients, with a follow-up of around 8 years, finding that 33% achieved full continence and 67% achieved social continence.
- A preoperative bladder capacity of 110 mL or more was identified as a significant predictor for achieving social continence.
Epidural analgesia is effective and an accepted treatment for postoperative pain. Urinary retention is a known complication, but its description is mostly in the adult literature. Management of urinary catheter (UC) placement and removal is an important consideration in children receiving epidural analgesia.
View Article and Find Full Text PDFPurpose: Revision surgery for the removal of excess foreskin after circumcision is a common procedure. The decision regret scale (DRS) is a validated questionnaire which assesses regret after medical decision making. The aim was to evaluate parental regret by means of the DRS and querying about factors associated with regret about deciding to revise their child's circumcision.
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