Background: Surgical mortality data are collected routinely in high-income countries, yet virtually no low-or middle-income countries have outcome surveillance in place. The aim was prospectively to collect worldwide mortality data following emergency abdominal surgery, comparing findings across countries with a low, middle or high Human Development Index (HDI).Methods: This was a prospective, multicentre, cohort study. Self-selected hospitals performing emergency surgery submitted prespecified data for consecutive patients from at least one 2-week interval during July to December 2014. Postoperative mortality was analysed by hierarchical multivariable logistic regression.
Hydronephrosis secondary to pelvi-ureteric obstruction affecting one hundred children and derived from a 13 year period were reviewed. Particular attention was paid to symptomatology in infancy and childhood, pre-operative investigations and postoperative assessment. Following pyeloplasty the late results assessed clinically, radiologically and renographically were entirely satisfactory. The operative technique varied satisfactory. The operative technique varied according to the nature and severity of the abnormality but dismembered pyeloplasty and nephrostomy and splintage was favoured. Twelve patients with aberrant lower pole vessels had simple hitching of vessels alone with good results. Our experience suggests that the recuperative power of the kidney in the infant is unpredictable and surprising. For this reason a plea is made for extreme conservatism.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.