The use of Implantable Venous Access Devices (IVADs) in children with hemophilia

International of Pediatric

Abstracts Surgery

Edited by John N. Schullinger, General Considerations Use of Implantable Venous Access Devices in Children With Hemophilia . ... ... .. .... ... .. ... .... .. ... ... ... ... ... . 1178 Practice Patterns of Pediatric Surgeons Caring for Stable Patients With Traumatic Solid Organ Injury .. .. ... .... .._.......................................................... 1179 Alimentary

Tract

Esophageal Manometic Studies in Children With Achalasia Before and After Operative Treatment. 1179 Effects of Down’s Syndrome and Other Chromosomal Abnormalities on Survival and Management in Esophageal Atresia .. ... ... .. ... .... ... .. ... .... .. ... . 1179 Surface Electrogastrography in Children With Esophageal Atresia .... ... .. ... .... ... .. ... ... ... ... ... .. .... ... ... 1179 Altered Messenger RNA Expression of the Neuronal Nitric Oxide Synthase Gene in Infantile Hypertrophic Pyloric Stenosis ... ... ... .. .... ... ... .. .... ... .. ... 1179 Additional Congenital Anomalies in Babies With Gut Atresia or Stenosis .. ... ... .. ... .... ... .. ... .... . .... ... .... . 1179 Bowel Obstruction in a Pregnant Patient With Ileal Pouch-Anal Anastomosis .,................................... 1180 Lymphoid Hyperplasia Causing Recurrent Rectal Prolapse .. ... .... .. ... ... ... ... ... ... .. ... .... .. ... ... .... .. ... ... ... ... . 11 SO Abdomen Laparoscopic Versus Open Cholecystectomy in Children . ..._.................................................................. 1180 Ectopic Gallbladder Revisited .. ... ... .. .... ... ... .. .... ... .. ... 1180 Are Babies With Gastroschisis Small for Gestational Age? .. .. .... .. ... ... ... .. .... .. .... .. .... .. ... ... ... ... ... ... .. 1180 End Results of Experimental Gastroschisis Created by Abdominal Wall Versus Umbilical Cord Defect ... .. .... ... ... .. .... ... .. ... .... ... .. ... ... ... ... ... .... .. ... ... ... .. .. 1181 Genitourinary

Tract

Necrotizing Faciitis After Plastibell Circumcision ... 118 1 Adult Outcome After Staged Repair of Severe Hypospadias With Genital Ambiguity . .. ... ... .... .. ... .... .. ... 118 1 Laparoscopy and the Jones Technique for the Nonpalpable Testis ... ... ... ... ... .. .... ... ... .. .... .. ... ... .... ... .. ... .. 1181 1178

MD

Two-Step Laparoscopic Fowler-Stephens Orchiopexy for Intraabdominal Testes. .. ... ... ... .. .... ... ... .. ... 118 1 Does Treatment With Human Chorionic Gonadotrophin Induce Reversible Changes in Undescended Testes? ... ... ... ... ... ... ... .. .. .. ... ... ... ... ... ... ... ... ... ... .. .... ... . 1181 Estimating Normal Bladder Capacity in Children ... . 1182 Results of Urinary Tract Reconstruction in Boys With End-Stage Bladders Resulting From Obstructive Uropathy .. ... ... ... .,. ... .... .. ... ... ... .. .... ... ... .. .... ... .. . 1182 Laparoscopic Heminephroureterectomy in Pediatric Patients.. .. ... ... .. ... .... .. ... ... .... ... .. ... .._._.... ... .... .. ... ... ... 1182 Extraperitoneal Laparoscopic Dismembered FibrinGlued Pyeloplasty .. ... ... ... ... ... ... ... ... ... ... .. .... ... ... .. ... 1182 Desmopressin for Nocturnal Enuresis .. ... .... .. ... ... ... .. 1182 Neoplasms Wilms’ Tumor in a Prenatally Diagnosed Multicystic Kidney .. .. .... ... ... .. .... ... .. ... .... ... .. ... .... .. ... ... .... .. ... . 1183 Wilms’ Tumor and Multicystic Dysplastic Kidney Disease ... ... .... .. ... ... ... ... ... ... ... ... ... ... .. .... ... ... .. .... ... .. . 1183 Comparison Between Single-Dose and DividedDose Administration of Dactinomycin and Doxorubicin for Patients With Wilms’ Tumor ... ... ... ... ... 1183 PET FDG Studies of Wilms’ Tumors .... ... .. ... .... ... .. ... 1183 A 36-Year Review of Pediatric Pheochromocytoma. 1183 Primary Ewing’s Sarcoma of the Bladder With Elevated Antinuclear Antibody Titer . ... ... .. .... ... .. ... .... . 1183 Actual Half-Life of Alpha-Fetoprotein as Prognostic Tool in Pediatric Malignant Tumors ... . . . . . ... . 1184 GENERAL The Use of Implantable Children With Hemophilia.

Osip, et 1997.

al.

CONSIDERATIONS Venous

Access

J.L.

Perkins,

J Pediatr Hem/Oncol

Devices KA.

(IVADs)

Johnson,

19:339-344,

in J.M.

(July/August),

This review of 35 hemophiliac children at University of Minnesota treated with implantable ports provides encouraging information that these devices have appliability to such patients. The results showed that the patients had an acceptable catheter occlusion and infection rate. No bleeding complications were noted with the placement of these devices. Lower profile devices with longer diaphragms appeared to work best. EMLA cream helped with pain management during access, but needed to be carefully washed off to reduce the possibility of infection. The authors also recommend the use of intermittent prophylactic urokinase.Michael

P. Hirsch

JournalofPediatricSurgery,

Vol33,

No7

(July),1998:pp

1178-1184