Thane A Blinman, MD, FAAP  

Interests: Minimally Invasive Surgery
My Posts
Nov 09, 2009 in the Surgery Expert Forum - 1
So sorry to hear about your trouble. It is no more likely for this next baby to have gastroschisis. It certainly could still happen....it is just that the probability does not appear to be increased merely because it has happened in the family before (at least that science has so far identified; on one interesting note, the overall risk of this disease ha...
Nov 04, 2009 in the Surgery Expert Forum - 1
What you describe sounds like gastroesophageal reflux disease....possibly complicated by esophagitis, a stricture, or poor motility. All of these are very common in patients with tracheo-esophageal fistula....but they can be managed! If she is suffering to the point of dehydration and very poor weight gain, she needs to be seen. A pediatric surgeon or ...
Oct 14, 2009 in the Surgery Expert Forum - 2
Answers follow your original questions.... What are the 3 pramary duties of a pedatric surgeon? -->Pediatric surgeons care for all general surgical (generally no brains, long-bones, or heart) needs for patients from before birth, until around 18 years of age. This includes doing the operations, caring for children in the ICU, and usually, trauma. ...
Oct 14, 2009 in the Surgery Expert Forum - 1
This sounds like a brush with a dangerous condition called Malignant Hyperthermia. An older review article describes it nicely: "Malignant hyperthermia (MH) is a rare autosomal dominant trait that predisposes individuals to great danger when exposed to certain anaesthetic triggering agents, such as potent volatile anaesthetics and succinylcholine. Sud...
Oct 06, 2009 in the Surgery Expert Forum - 2
So sorry to hear about your struggles. It is likely that the pyloroplasty contributes to both the dumping syndrome and the gastritis. The dumping (there are two types, and you do not describe which, but "early dumping" would be likely in your case: cramps, jitters, bloat, diarrhea. "Late dumping" is a severe reactive hypoglycemia) ...
Aug 05, 2009 in the Fetal & Pediatric Surgery Expert Forum - 1
He may have what is called a "retractile testis" on the right side. Here, while the testis made it to the scrotum, the gubernaculum (the "anchor" that keeps the testis in the scrotal sac) may be stretched or otherwise ineffective. The main risk is that this could become what is called an "ascending testis" where the testis esse...
Aug 05, 2009 in the Surgery Expert Forum - 2
Bowel distension in a fetus could mean any of several problems that all have a common origin: some kind of blockage. Things that can cause this include (in no particular order): --imperforate anus (as your doctor suggested) --an ATRESIA of the large or small intesting (this is a "gap" in the bowel) --meconium ileus (from cystic fibrosis) or plu...
Jul 30, 2009 in the Fetal & Pediatric Surgery Expert Forum - 1
Epigastric hernias are defects in the midline fascia (the connective tissue of the abdominal wall) usually in the midline, and above the belly button. Most of the time, they are "corked" with a little blob of fat, in which case they are called "epiploceles." Sometimes, the child will actually have a lipoma, or funny round fatty mass (not...
Jul 21, 2009 in the Surgery Expert Forum - 1
Cysts form commonly on infant ovaries. Usually these are trivial, and resolve on their own without other treatment, and have no effect on fertility. Occasionally, however, the cyst either cause or indicated trouble. Sometimes, the cyst grows VERY large, and when the baby is born the cyst creates mechanical problems just from being so big. For example, ...
Jul 21, 2009 in the Surgery Expert Forum - 2
Sorry to hear about your daughter’s troubles. It sounds like a reasonable strategy to remove the colon: it sounds like all efforts have been made to make that organ function, and these have failed. If you were to proceed with this, then where would that leave her “plumbing,” as it were. The “j-pouch” is simply the very end of the small bowel formed ...