Comparison of two models of surgical care for patients with cleft lip and palate in resource-challenged settings.
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Delivery of Health Care
Medically Underserved Area
Referral and Consultation
MetadataShow full item record
CitationComparison of two models of surgical care for patients with cleft lip and palate in resource-challenged settings. 2015, 39 (1):47-53 World J Surg
PublisherSpringer International Publishing
JournalWorld journal of surgery (World J Surg.)
AbstractThe Peruvian health system is limited in providing specialized care for patients with clefts because there are an insufficient number of hospitals and few specially trained doctors in rural areas of the country. The most common model of care in these areas is the surgical mission wherein experienced cleft surgeons perform surgeries and teach local doctors. The purpose of this research was to identify the differences in outcome between the surgical mission trip and the referral center model of care provided by the same team.
DescriptionEl texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.
- CIRPLAST: Cleft Lip and Palate Missions in Peru.
- Authors: Navarro CE
- Issue date: 2015 Jun
- Cleft and Craniofacial Care During Military Pediatric Plastic Surgery Humanitarian Missions.
- Authors: Madsen C, Lough D, Lim A, Harshbarger RJ 3rd, Kumar AR
- Issue date: 2015 Jun
- Comparison of two models of surgical care for patients with clefts in Peru.
- Authors: McQueen KA
- Issue date: 2015 Jan
- Association between palatal index and cleft palate repair outcomes in patients with complete unilateral cleft lip and palate.
- Authors: Rossell-Perry P, Caceres Nano E, Gavino-Gutierrez AM
- Issue date: 2014 May-Jun
- A comparison of the effects of the Latham-Millard procedure with those of a conservative treatment approach for dental occlusion and facial aesthetics in unilateral and bilateral complete cleft lip and palate: part I. Dental occlusion.
- Authors: Berkowitz S, Mejia M, Bystrik A
- Issue date: 2004 Jan
Showing items related by title, author, creator and subject.
Regarding: Should we operate for an intra-abdominal emergency in the setting of disseminated cancer?Gonzales, Juan A.; Urrunaga, Paula V.; Jauregui, Alfredo M.; Hernandez, Adrian V.; firstname.lastname@example.org (Elsevier B.V., 2016-03)Cartas al editor
Association between obesity and postoperative atrial fibrillation in patients undergoing cardiac operations: a systematic review and meta-analysisHernández, Adrian V.; Kaw, Roop; Pasupuleti, Vinay; Bina, Pouya; P. A. Ioannidis, John; Bueno, Hector; Boersma, Eric; Gillinov, Marc (Elsevier B.V., 2014-07-03)In a systematic review and random effects meta-analysis, we evaluated whether obesity is associated with postoperative atrial fibrillation (POAF) in patients undergoing cardiac surgery. Eighteen observational studies that excluded patients with preoperative AF were selected until December 2011 (n=36,147). Obese patients had a modest higher risk of POAF in comparison to non-obese (OR 1.12, 95%CI 1.04-1.21, p=0.002). The association between obesity and POAF did not vary substantially by type of cardiac surgery, study design or year of publication. POAF was significantly associated with higher risk of stroke, respiratory failure, and operative mortality.
Internal abdominal hernia: Intestinal obstruction due to trans-mesenteric hernia containing transverse colonCrispín-Trebejo, Brenda; Robles-Cuadros, María Cristina; Orendo-Velásquez, Edwin; Andrade, Felipe P. (Elsevier B.V., 2014-06-10)INTRODUCTION Internal abdominal hernias are infrequent but an increasing cause of bowel obstruction still often underdiagnosed. Among adults its usual causes are congenital anomalies of intestinal rotation, postsurgical iatrogenic, trauma or infection diseases. PRESENTATION OF CASE We report the case of a 63-year-old woman with history of chronic constipation. The patient was hospitalized for two days with acute abdominal pain, abdominal distension and inability to eliminate flatus. The X-ray and abdominal computerized tomography scan (CT scan) showed signs of intestinal obstruction. Exploratory laparotomy performed revealed a trans-mesenteric hernia containing part of the transverse colon. The intestine was viable and resection was not necessary. Only the hernia was repaired. DISCUSSION Internal trans-mesenteric hernia constitutes a rare type of internal abdominal hernia, corresponding from 0.2 to 0.9% of bowel obstructions. This type carries a high risk of strangulation and even small hernias can be fatal. This complication is specially related to trans-mesenteric hernias as it tends to volvulize. Unfortunately, the clinical diagnosis is rather difficult. CONCLUSION Trans-mesenteric internal abdominal hernia may be asymptomatic for many years because of its nonspecific symptoms. The role of imaging test is relevant but still does not avoid the necessity of exploratory surgery when clinical features are uncertain.