Procedure

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Related to Kasai Procedure: biliary atresia

Procedure

The methods by which legal rights are enforced; the specific machinery for carrying on a lawsuit, including process, the pleadings, rules of evidence, and rules of Civil Procedure or Criminal Procedure.

The form, manner, and order of steps taken in conducting a lawsuit are all regulated by procedural law, which regulates how the law will be administered. Substantive Law creates and defines rights that exist under the law.

Cross-references

Civil Procedure.

West's Encyclopedia of American Law, edition 2. Copyright 2008 The Gale Group, Inc. All rights reserved.

procedure

n. the methods and mechanics of the legal process. These include filing complaints, answers and demurrers, serving documents on the opposition, setting hearings, depositions, motions, petitions, interrogatories, preparing orders, giving notice to the other parties, conduct of trials, and all the rules and laws governing that process. Every state has a set of procedural statutes (often called the Codes of Civil Procedure and Criminal Procedure), courts have so-called "local rules," which govern times for filing documents, conduct of the courts and other technicalities. Law practice before the federal courts operates under the Federal Rules of Civil Procedure and the Federal Rules of Criminal Procedure). Procedural law is distinguished from "substantive" law, which involves the statutes and legal precedents upon which cases are tried and judgments made.

Copyright © 1981-2005 by Gerald N. Hill and Kathleen T. Hill. All Right reserved.
References in periodicals archive ?
Six months after the Kasai procedure, there were 139 patients (139/201, 69.2%) in the jaundice-resolved group and 62 patients (62/201, 30.8%) in the jaundice-unresolved group.
A study performed in the United States enrolled 92 patients with BA, and detection of FSV, retinol-binding protein, blood lipids, and TB at 1, 3, and 6 months after the Kasai procedure showed that FSV deficiency was common; the percentages of vitamins A, D, K, and E deficiency were 29% to 36%, 21% to 37%, 10% to 22%, and 16% to 18%, respectively [15].
This suggests that there is a long recovery period after the Kasai procedure. After adjusting for the time variable, analysis of the correlation between the 25-(OH)D and bilirubin levels before surgery, 2 weeks after surgery, and 1, 3, and 6 months after surgery showed that the 25-(OH)D level was negatively correlated with the TB level.
The Kasai procedure (Roux-en-Y hepatic portoenterostomy) is the standard initial operation for treatment of infants with biliary atresia.
With the widespread application of minimally invasive techniques even to the most complex operations, the laparoscopic Kasai procedure has been described and used at several centers worldwide.
Some investigators have proposed that primary liver transplant be considered the initial treatment for infants with biliary atresia, citing deleterious effects of the Kasai procedure on possible subsequent liver transplant.
Cholangitis is the most frequent complication after Kasai procedure, with an incidence ranging from 33% to 60% and is most common in first 2 years1,10.
In the remaining 50% of cases where the Kasai procedure does not work, the problem usually lies in the fact that the obstructed bile ducts are "intrahepatic" or inside the liver, as well as outside.
Unfortunately, despite bile flow, the Kasai procedure is not a cure for biliary atresia.
Although some studies have concluded that children who received the Kasai procedure earlier always have a better prognosis, the age at time of surgery had no significant influence on survival with native liver in the present study [19-21].
O'Gorman et al., "Highdose steroids, ursodeoxycholic acid, and chronic intravenous antibiotics improve bile flow after Kasai procedure in infants with biliary atresia," Journal of Pediatric Surgery, vol.