Malrotation: The postoperative period

Intestinal malrotation presenting outside the neonatal period.

We report 37 patients ranging in age from 1 month to 14 years treated for intestinal malrotation during a five year period. The main presenting features consisted of intermittent attacks of vomiting (15 patients), failure to thrive (seven), and recurrent colicky abdominal pain (seven). The diagnosis was confirmed by gastrointestinal contrast studies in all but three patients. A standard Ladd's ...

The postoperative period summary.

Following considerable discussion of this area, it was noted that meta-analysis of pain management has been done. However, this does not include analysis of subgroups. It was the consensus that considerable data are missing on hard numbers and there is little information regarding the duration of therapy. In subspecialty groups such as thoracic and orthopedic patients, a local epidural is good ...

Epidural Analgesia in the Postoperative Period

Kidney dysfunction in the postoperative period.

The development of perioperative acute renal failure is associated with a high incidence of morbidity and mortality. Although this incidence varies with different surgical procedures and with the definition used for renal failure, we now understand better the aetiology of the underlying problem. However, successful strategies to provide renal protection or strategies for 'rescue therapy' are ei...

Takotsubo Cardiomyopathy Occurring in the Postoperative Period.

Takotsubo cardiomyopathy simulates acute myocardial infarction, and it is characterised by reversible left ventricular failure. A case of Takotsubo cardiomyopathy diagnosed after emergency angiography performed in a patient with evidence of acute myocardial infarction in the postoperative period will be described in this report. Transurethral resection of a bladder tumour (TUR-BT) was performed...