By Lugo-Vicente H.
Uncomplicated textbook of pediatric surgical procedure compiled from an internet resource. encompasses a lot of fine details from a number of authors. Formatting is sufficient yet no longer lovely. an outstanding one to tuck onto your reminiscence card for the subsequent time you wish see a sufferer with biliary atresia or Burkitt's lymphoma.
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Definitive therapy consists of splenectomy. This condition is the most common indication for elective splenectomy in children. The risk of overwhelming postsplenectomy sepsis makes it advisable to delay splenectomy until after six years of age unless the child becomes transfusion dependent. At the time of splenectomy, it is important to identify and remove accessory spleens. If gallstones are present, cholecystectomy should be done. A low content of spectrin and high percentage of microcyte has been used as determinants of early splenectomy as judge by the clinical severity of the disease process.
These are to vaccinate the child against pneumococcus (Pneumovax vaccine), hemophilus influenza type b and meningococcus. Regarding Pneumovax use revaccination after 3-5 years is recommended for children with asplenia who are 10 years of age or younger and for older children and adults who were immunized at least five years before. Duration of vaccine-induced antibodies is unknown but may be shorter than that in normal persons. Long-term antimicrobial prophylaxis is also used. This carries the problem of compliance and for how long.
They are rare, benign, solitary cysts often producing few symptoms. They may present as a palpable mass in the left side of the abdomen or during evaluation for another abdominal problem. Ultrasound (large unilocular sonolucent cyst) is the most important diagnostic method, and can be supplemented by CT-Scan. The lining of the cyst is a flattened endothelium surrounded by fibrous tissue. This mesothelium can produced carcinoembryonic antigen (CEA). , (3) infectious etiology, and a (4) symptomatic child (pain, mass or splenomegaly).