Cost-effectiveness of Laparoscopy in Children

Article Abstract:

The use of laparoscopy is a cost effective method to use for the four most commonly performed procedures in pediatric surgery, and would be more so if some disposables were replaced with durable surgical equipment. A total of 478 children were operated on with either laparoscopy or open surgery. Their operations were for appendectomy, fundoplication, cholecystectomy, or splenectomy. Operational time in all procedures aside from choelcystectomy (removal of the gall bladder) were longer with laparoscopic than open surgery, but all laparoscopic patients were discharged from the hospital sooner than the others. Disposable instruments add to the laparoscopic costs.

Economic aspects, Children, Laparoscopic surgery, Pediatric surgery

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Pseudoephedrine and Air Travel-Associated Ear Pain in Children

Article Abstract:

Pseudoephedrine does not seem to have an effect on aerotitis media (aviation otitis) in children, and does not decrease the incidence of ear pain during either ascent or descent. Aviation otitis refers to an acute or chronic inflammation of the middle ear during airplane travel resulting from unequal pressures in the ear and in the cabin due to some sort of eustachian tube obstruction. Fifty children were studied on 91 flights varying approximately 1 to 4 hours. The pseudoehpedrine had no effect on ear pain, but there was a significant increase in the incidence of drowsiness in those who took it.

Care and treatment, Evaluation, Pseudoephedrine, Barotrauma

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Outcome after exploratory laparoscopy for unexplained abdominal pain in childhood

Article Abstract:

Exploratory laparoscopic surgery, of itself, seemed to resolve children's unexplained abdominal pain. A laparoscope is an optical tube system inserted through a small incision in the abdomen wall. In eight cases of children with abdominal pain for which there was no explanation, exploration with a laparoscope was done. In each case, some abnormality was found at the location of the pain, but no further procedure was done. In seven of the eight cases, the pain either disappeared or improved considerably. It is not clear what caused the improvement in the patients' conditions.

Health aspects, Laparoscopy, Abdominal pain in children, Pediatric abdominal pain

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