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Espressione renale e livelli urinari di MCP-1 and EGF nella pielonefrite xantogranulomatosa
L’uretere retrocavale associato ad anomalia della giunzione uretero vescicale:case report
Morphological and microbiological changes of bladder urothelium detected by fresh cytomicrobiological test in children with vesicoureteral reflux
Complications of mechanical suturing in pediatric patients
Background/purpose: Although it is widely accepted that staplers are effective in reducing operating time, potential complications related to their use in the pediatric population are not well defined yet. The aim of this study is to evaluate the safety of mechanical suturing.
Methods: Between 1996 and 2001, 174 procedures were performed using circular staplers in gastrointestinal anastomosis, whereas linear staplers were used in gastrointestinal and lung resection. Intraoperative and early complications of each intervention were recorded.
Results: Overall, 12 complications occurred (6.9%). Two were caused by technical problems: In one case the stapler broke, in the other the anvil detached from the instrument shaft. Ten (5.7%) were major complications: 2 cases of leakage and 3 of bleeding in gastrointestinal procedures, and one case of bronchopleural fistula and 4 cases of bleeding during lung surgery. There was a significant correlation (P <.05) between type of stapler used and development of complications, suggesting a safer use of endoscopic staplers compared with conventional linear ones.
Conclusions: Mechanical suturing in children is not used frequently, but some procedures could be used more widely because they are fast and safe
Evaluation and follow-up of children with ureteropelvic junction obstruction by MAG3 TC-99 scintigraphy
Ruolo della scintigrafia renale con MAG3-TC99 nella valutazione e follow-up dei bambini con idronefrosi
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