1,721,012 research outputs found
Dog bites to the external genitalia in children: Review of pediatric literature
No full textDog bite injuries are common in children and represent an important healthcare problem. Most dog bite injuries involve the face or an extremity. Victims tend to seek medical care quickly. Dog bites to the external genitalia are rarely reported but they potentially result in morbidity if improperly managed. Morbidity is also directly related to the severity of initial wound. Guidelines for the management of dog bites include irrigation, débridment, antibiotic therapy, consideration of tetanus and rabies immunisation and suture of wounds or surgical reconstruction. A literature review was conducted and focused to analyze the management of dog bite lesions involving external genitalia. © 2012 Nova Science Publishers, Inc. All rights reserved
Endoscopic repair of post-traumatic fistulae of posterior urethra using hyaluronic acid dextranomer
No full textMany surgical approaches to posterior urethral diseases are reported in published data. The authors report a case of a patient with prostatic urethral post-traumatic fistulae, probably developed from an abscess that developed after a surgical intervention to correct a pubic symphysis fracture. The fistulae were repaired with an unusual mininvasive endourologic procedure, using the hyaluronic acid dextranomer, which is commonly used in vesicoureteral reflux treatment. © 2010 Elsevier Inc
Symptomatic mesodiverticular bands in children
No full textObjective The aim of this study was to review the English literature about a rare condition such as symptomatic mesodiverticular bands (MDBs) in children. Background The MDB is an embryologic remnant of the vitelline circulation, which carries the arterial supply to Meckel's diverticulum. In the event of an error of involution, an arterial band persists and extends from the mesentery to the apex of the antimesenteric diverticulum. This can create a snare-like opening through which bowel loops may herniate and become obstructed. This type of internal hernia is a very rare and often overlooked cause of small bowel obstruction. Materials and methods A computer-assisted (PubMed) search of the literature to identify all cases of symptomatic MDB reported in English with patients' age ranging from 0 to 14 years was performed. Results Eight cases of symptomatic MBD in pediatric age (0-14 years) were found in the literature in the last 50 years. Male: female ratio was 3: 1. The age of onset ranged from 10 days to 12 years. All cases reported an intestinal occlusion as clinical picture. Internal hernia was the cause of the obstruction in six cases, whereas in two patients the occlusion was due to a direct compression. All patients were approached with emergent laparotomy except one case of laparoscopic approach. Conclusion MDB causing internal hernia is a very rare event but it should be kept in mind concerning patients with the presentation of small bowel obstruction when early surgery is important to prevent strangulation, gangrene of the bowel, and to avoid dramatic events
Associated patent urachus and patent omphalo-mesenteric duct in children: Review of the literature
No full textThe objective of this article is to review the literature on a very rare association such as patent urachus and a patent omphalo-mesenteric duct in children. Partial or total failure of the obliteration of urachus gives rise to various anomalies, which can be diagnosed both in childhood and in adulthood. The omphalo-mesenteric duct remnants are the most common anomalies of the gastro-intestinal tract, often asymptomatic. The association of patent urachus and a patent omphalo-mesenteric duct in children is very rare. A computer-assisted (PubMed and Google Scholar) search of the pediatric literature to identify all cases of patent urachus and a patent omphalo-mesenteric duct association was performed. We found only eleven cases of the association of patent urachus and a patent omphalomesenteric duct in the pediatric literature. All cases except one were males. When reported, all children affected were full term. The clinical sign reported was umbilical spillage. In all cases was reported a lack of healing of the umbilical stump with different clinical pictures, except two cases. Treatments reported were application of silver nitrate, antibiotic cream, povidone iodine, and application of salves and plasters. Various diagnostic examinations were performed. In none of these patients was the possible association with PU and POMD suspected, but it was evidenced only during the surgical excision. The surgical approach was laparotomy in all cases. The association of patent urachus and a patent omphalo-mesenteric duct in children is very rare approached in all cases by laparotomy. This review underlines the importance of evaluating any persisting umbilical lesions without delay when conventional pharmacological therapy fails. Ann Pediatr Surg 13:113-11
The microsurgical technique in therapy of the hydronephrosis of newborn and child
No full textThe microsurgical technique in therapy of the hydronephrosis of newborn and chil
Single-port laparoscopic-assisted pyloromyotomy: A 6-year experience
No full textThe aim of this paper is to present the results of a 6-year experience with a laparoscopic-assisted approach to infantile hypertrophic pyloric stenosis (IHPS): the single-port, laparoscopic-assisted pyloromyotomy (SPLAP). Summary background data Ramstedt pyloromyotomy is the procedure of choice for IHPS; however, the best way to approach the pylorus is still debated. The recent literature reports many comparisons between various open and laparoscopic approaches. Here, we report our long-term result with a laparoscopic-assisted technique for IHPS. Materials and methods Thirty-eight infants underwent SPLAP. The approach to the abdominal cavity is performed through a right circumbilical incision and then a 10 mm trocar is inserted. After the pneumoperitoneum is established, an operative telescope is introduced. Once the telescope is inserted, the pylorus is easily located and then grasped and exteriorized by the umbilical incision. At this point, conventional Ramstedt pyloromyotomy is performed. Once the pylorus is reintroduced into the abdomen, a new pneumoperitoneum is created to control mucosal integrity and hemostasis. Results In all 38 cases, adequate pyloromyotomy was performed in a good operative time, without any major intraoperative or postoperative complications, achieving excellent cosmetic results. Conclusion The feasibility of SPLAP found over these 6 years suggests that this procedure is an excellent alternative to open or laparoscopic pyloromyotomy
Laparoscopic treatment of symptomatic urachal remnants in children
No full textPurpose: To evaluate laparoscopic treatment of symptomatic urachal remnants in children, the authors review their experience analyzing different approaches and results obtained in a 8-year period. Patients and Methods: From July 2005 to September 2013, 12 children underwent 13 interventions for treatment of symptomatic urachal remnants. In four patients, the technique was a laparoscopic-assisted removal of the remnant, in two patients, a laparoscopic-assisted drainage of an urachal abscess, and in seven patients, a laparoscopic excision of the remnant. One patient underwent a double intervention-laparoscopic drainage of an infected urachal remnant and its delayed laparoscopic excision. Results: The laparoscopic-assisted removal of the urachal remnant was performed in two cases of infected urachal sinus, in one case of symptomatic sinus, and in one cases of infected urachal cyst. The laparoscopic-assisted drainage of urachal abscesses was performed in two patients: In one patient, the abscess was because of an infected sinus while in the other patient, the abscess was caused by an infected cyst. Of the seven patients treated with pure laparoscopic technique, one had a symptomatic sinus, another had an association between a symptomatic urachal sinus and an urachal cyst, and five patients had a symptomatic urachal cyst. In all cases, intraoperative or postoperative complications and recurrences did not occur, and the cosmetic results were good. Follow-up ranged from 6 months to 8 years and 8 months. Conclusion: Laparoscopic surgery for symptomatic urachal remnants is safe and reliable in cases of drainage of urachal abscess and in cases of excision of the remnant. Laparoscopy allows a radical excision of the remnants with all the advantages of this procedure. In case of conversion, laparoscopic-assisted technique with minimal incision could be a good alternative to open surgery. © 2014 Mary Ann Liebert, Inc
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