Experience in the Early Surgical Management of Myelomeningocele in Zanzibar

Leidinger, Andreas; Piquer, José; Kim, Eliana; Nahonda, Hadia; Qureshi, Mahmood; Young, Paul H.

doi:10.1016/j.wneu.2018.09.145

Cited by 18 publications

(23 citation statements)

References 19 publications

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“…The use of ultrasound for timely diagnosis of neurologic abnormalities is one such example. Ultrasound provided the ability to detect ventriculomegaly, enema, cysts, intraventricular haemorrhage (IVH), abscesses, neural tube defects and paediatric brain tumours 18–21 . Early diagnosis has been shown to be of the utmost importance for the prognosis and outcome of patients with pathology potentially requiring surgery 22 .…”

Section: Discussionmentioning

confidence: 99%

“…Early diagnosis has been shown to be of the utmost importance for the prognosis and outcome of patients with pathology potentially requiring surgery 22 . Through early detection and neurosurgical management, the morbidity and mortality related to neural tube defects have been significantly reduced 21 . Highlighted within the included studies were benefits from use of neuro‐navigated intraoperative ultrasound (NIOUS) during resection of paediatric brain tumours.…”

Section: Discussionmentioning

confidence: 99%

“…Ultrasound provided the ability to detect ventriculomegaly, enema, cysts, intraventricular haemorrhage (IVH), abscesses, neural tube defects and paediatric brain tumours. [18][19][20][21] Early diagnosis has been shown to be of the utmost importance for the prognosis and outcome of patients with pathology potentially requiring surgery. 22 Through early detection and neurosurgical management, the morbidity and mortality related to neural tube defects have been significantly reduced.…”

Section: Discussionmentioning

confidence: 99%

“…22 Through early detection and neurosurgical management, the morbidity and mortality related to neural tube defects have been significantly reduced. 21 Highlighted within the included studies were benefits from use of neuro-navigated intraoperative ultrasound (NIOUS) during resection of paediatric brain tumours. NIOUS was used to characterise tumour size and define tumour margins and for the detection of residual tumours.…”

Section: Discussionmentioning

confidence: 99%

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Surgical applications of ultrasound use in low‐ and middle‐income countries: A systematic review

Navarro

Shaikh

Abdi

et al. 2022

Australas J Ultrason Med

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Background: Ultrasound is a portable technology able to deploy health care effectively in low resource settings. This study presents a systematic review to determine trends in the utility and applicability of this technology in low-and middle-income countries (LMIC), specifically for surgical applications. The review includes characterising and evaluating trends in the geographic and specialty-specific use of ultrasound pertaining to surgical disease. Methods: The databases such as Medline OVID, EMBASE and Cochrane were searched from 2010 through March 2019 for studies available in English, French and Spanish. Commentaries, opinion articles, reviews and book chapters were excluded. A categorical analysis of ultrasound use for surgical disease in LMICs was conducted. Results: A total of 6276 articles were identified, with 4563 studies included for the final review. A total of 221 studies were selected researching ultrasound use in LMICs to treat surgical disease. Most studies identified ultrasound usage focused on general surgery, acute care surgery and surgical ICU topics (52%, 115) followed by computed tomography surgery studies (20%, 44). Most studies were retrospective in nature, with 81% (180) of research studies generated in four countries (India, Pakistan, Nigeria and Egypt). Ultrasound proved to be a feasible technique for utility in pre-operative diagnosis, cost-effectiveness and prediction of surgical outcomes. Findings are limited by the limited number of randomised clinical trials reported. Conclusion and global health implications: Our systematic literature review of ultrasound use in LMICs demonstrates the growing utilisation of this relatively low-cost, portable imaging technology in low resource settings for surgical disease.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Surgical applications of ultrasound use in low‐ and middle‐income countries: A systematic review

Navarro

Shaikh

Abdi

et al. 2022

Australas J Ultrason Med

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“…Myelomeningocele has been reported as the most diagnosed cases and is related with the greatest degree of impairment among NTDs. 13 Myelomeningocele (MMC) is an inborn error of central nervous system (CNS) which occurs due to inappropriate closure of spinal column and the neural elements buldge out in the form of pouch through the bone and skin. Worldwide prevalence of neural tube defects is 1-10 per 1000 live births.…”

Section: Discussionmentioning

confidence: 99%

Localization Of Cyst Of Myelomeningocele Among Pediatric Patients

Fatima¹,

Mehdi²,

Memon³

et al. 2019

J. Bahria Univ. Med. Dent. Coll.

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Objective: To determine the frequency distribution of myelomeningocele cyst location among pediatric patients at a tertiary care hospital of Karachi. Study Design and Setting: This cross sectional study was conducted in outpatient department of neurosurgery ward of JPMC. Methodology: All fifty male and female babies having myelomeningocele, newly born to more than 12 months of age, who presented in outpatient department of neurosurgery ward of JPMC during the period of six months were included in the study. Verbal informed consent of the parents was taken and babies were examined for the location, size and associated complains of myelomeningocele. Results: The patients presented mainly in the age group of newly born to 3months. Majority of them were males. Atonic bladder and bowel along with paralysis of lower limbs were uniformly found associated features. Among male patients distribution of myelomeningocele was 3% each in cervical and thoracic while 96% in lumbar region whereas female patients had 6% cervical and 84% lumbar cysts with no cyst in the thoracic region. The average size of MMC cyst in lumbar region was 4.0×4.2 cm. Conclusion: Cyst of myelomeningocele was found to be more in male children up to 3months of age with location in the lumbar region. The average size of cyst was 4.0×4.2 cm and accounted for atonic bladder and bowel along with paralysis of lower limbs

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The Role of Neurosurgery in Worldwide Health Care and Its Disparities: An Overview

Servadei

Zaed

2022

Neurosurgery and Global Health

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Experience in the Early Surgical Management of Myelomeningocele in Zanzibar

Cited by 18 publications

References 19 publications

Surgical applications of ultrasound use in low‐ and middle‐income countries: A systematic review

Surgical applications of ultrasound use in low‐ and middle‐income countries: A systematic review

Localization Of Cyst Of Myelomeningocele Among Pediatric Patients

The Role of Neurosurgery in Worldwide Health Care and Its Disparities: An Overview

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