Publications by authors named "Riadh Mhiri"

Objective: The purpose of this study is to compare the surgical outcomes of open appendectomy (OA) and laparoscopic appendectomy (LA) for pediatric acute appendicitis in order to guide its future management.

Materials And Methods: We conducted a retrospective study including all children under the age of 14 years, who underwent appendectomy for acute appendicitis, during a period of 6 years (2013-2018). We divided our patients in two groups based on the surgical modality: the laparoscopic and open group.

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Objective: To examine outcomes and associated risk factors for children who undergo surgery for lung hydatidosis (LH).

Study Design: Through a retrospective and analytical-aim-study, over a period of 35 years in 2 surgical departments, we reported all operative cases for LH in children, regardless of cyst number, location, and aspect. Univariate and multivariable analyses were used to assess variables potentially predictive of postoperative morbidity.

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Background: Difficult airway management is one of the main challenges in paediatric anaesthesia, particularly in low- and middle-income countries.

Aims: The aim of this study was to investigate the main predictors of difficult paediatric intubation.

Methods: In this observational study, we included all children aged less than five years undergoing intra-abdominal surgery with endotracheal intubation.

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Article Synopsis
  • - CMMRD is a rare genetic syndrome that increases the risk of certain childhood cancers, specifically caused by harmful mutations in mismatch repair genes. - The study presents a case of an 11-year-old diagnosed with colorectal cancer and a 12-year-old with grade 3 astrocytoma, revealing a significant mutation in the MSH6 gene linked to their condition. - It emphasizes the importance of timely diagnosis and raising awareness about CMMRD to improve treatment options and support for affected families.
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Although ultrasound is considered the gold standard for the evaluation of children with suspected appendicitis, there is still much debate about the most accurate ultrasound findings. The purpose of this study was to define the best ultrasound signs that could ultimately improve the diagnostic accuracy of ultrasound for diagnosing pediatric acute appendicitis, and to differentiate between simple appendicitis and complicated appendicitis. After approval by our Institutional Review Board, a prospective study was carried out from January 1, 2022, to July 31, 2023, in a pediatric emergency department.

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Most studies have demonstrated the high accuracy of ultrasound for the diagnosis of acute appendicitis (AA) in children. However, the lack of visualization of the appendix on ultrasound is usually a challenge. The aim of this study was to identify any factors that might help the physician make the right decision when dealing with a child with suspected appendicitis and an appendix not seen on ultrasound.

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Airway management in neonates is difficult because of the risk of rapid hypoxia. It presents a challenge even for an experienced anesthesiologist. Oral tumors in neonates can obstruct the airway or feeding problems in the newborn.

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Purpose: To identify the risk factors for adverse outcomes after pediatric pyeloplasty.

Methods: We conducted a retrospective review of all children under the age of 14 years who underwent primary pyeloplasty for unilateral ureteropelvic junction (UPJ) obstruction at a single teaching hospital in Tunisia between January 1, 2013, and December 31, 2022.

Results: A total of 103 patients were included.

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