1,721,420 research outputs found
Pediatric endoscopic and minimally invasive surgery
No full textEndoscopic and minimally invasive techniques should have a preminent collocation in a pediatric surgery unit. In fact, they emphasize the role of the pediatric surgeon in such a way as to leave the smallest scar on the patient. Starting from this need the author outlines a philosophy of life that does not exclude traditional surgery but recgnizes the decisive contribution of minimally invasive surgery.
The author reports the patologies treated with minimally invasive surgery describing the procedures, surgical details and results
"Minimally Invasive Pediatric Surgery"
No full textSurgery has considerably developed over the years;modern surgery tries not only to treat the illnesses but also to minimize the patient's discomfort and optimize the therapeutic success. Surgical procedures are evolving into minimally invasive procedures thet tend to limit the trauma of the intervention. Minimally invasive surgery(MIS)has the same goals as classical "open"surgery and takes advantage from access sites that reduces surgical trauma.However, minimally invasive surgery is not free from risks:intraoperative complications may develop,especially with inexperienced operators.The biggest difference is that MIS is characterized by the loss of tactile sensation and by bi-dimensional field of view with loss depth perception
Editorial: Pediatric thoracic surgery
Full text linkIn the last decades pediatric thoracic surgery significantly developed, extending minimally
invasive approaches such as thoracoscopy to infancy and childhood. This progress is mainly
due to the introduction of specific devices for the management of little spaces and little
anatomical structures. Pediatric thoracoscopic surgery has increasingly become important in
clinical practice and now it represents a well-established approach for infants and children
and it is considered, by most thoracic surgeons, as the best choice for many procedures.
Pediatric thoracoscopic surgery allows to reduce pain and morbidity and to avoid the longterm
consequences of a thoracotomy in an infant or a small child
case 62
No full textan 8-year-old girl had a 6-months history of progressive dysphagia, at first for liquids and then for solid, associated with frequent regurgitations, substernal pain, and weight loss. The girl came to our attention because her symptoms worsened. We discuss the management of this girl affected by esophageal achalasia
Pediatric Urology
No full text"Includes chapters on renal transplantation and robotics in pediatric patients
This encompassing volume gathers contributions by renowned experts in the field of pediatric urology to offer a systematic and complete review of the field. The book opens with a general section covering the basis of renal function from the fetus to adulthood, diagnostic imaging, anesthesia and infections. In subsequent sections on the kidneys, upper urinary tract, bladder, urethra and genitalia, specific anomalies are described in depth, from embryological, clinical and diagnostic aspects through to surgical treatment options. Detailed attention is devoted to the role of new technologies such as endoscopic and robotic surgery, but without disregarding the classical principles of pediatric urologic surgery. Urogenital tumors are fully covered and the book closes with a large chapter on renal transplantation. Numerous black and white and color illustrations will assist the reader in better understanding the various anomalies and the surgical procedures.
Enlarged Prostatic Utricle Associated to Hypospadias
No full textHowever beautiful the strategy, you should occasionally look at the results.
Winston Churchill
This message cautions that one should not be so infatuated with the beauty
of one’s design such that one fails to evaluate the outcomes. As has often been
stated, in a surgical discipline with well over 200 described techniques, none
can be universally applied or universally successful. In fact, the only uniformly
successful hypospadias repair was that described by the Greek physicians
Heliodorus and Antyllus, which was amputation of the penis distal to
the hypospadiac meatus.
The “bible” of genital surgery during my residency was written by a plastic
surgeon, Charles Horton. It was entitled Plastic and Reconstructive
Surgery of the Genital Area (1973). Dr. Horton was a gifted surgeon, however,
he realized that surgery of the genitalia in children and particularly
hypospadias, required expertise and techniques from across disciplines. He
partnered with a urology colleague, Charles Devine, to bring together the two
specialties in developing philosophies and techniques for correction of genital
surgical anomalies. During my fellowship in Philadelphia, John Duckett
guest edited an issue of the Urology Clinics of North of North America (1981)
on hypospadias, in which he invited international experts to describe their
favorite hypospadias repair. Here, he coined the term “hypospadiology,” signifying
a distinct subject of study. This certainly holds true, as evidenced by
the considerable amount of literature dedicated to this anomaly. As John
pointed out in 1981, truly original contributions to hypospadias repair are
rare; however, our literature is replete with modifications and alteration of
techniques, in quest of the perfect result.
To me, a successful hypospadiologist is one with a detailed understanding
of the anatomy, meticulous surgical technique, and an appreciation for artistry.
One must be flexible in the operating room and never be bound to a
preoperatively determined technique, as during the course of a repair anatomical
minefields are common. It is not sufficient to be facile with a couple
of repairs, but instead be familiar with many different techniques as well as
their various modifications, alterations, and nuances. A robust armamentarium
is necessary to approach the multiple variances and complications of
hypospadias. I often tell trainees and medical students that
hypospadias is often what causes a pediatric urologist to become a pediatric urologist,
and what causes an adult urologist to stay in adult urolog
Anorectal Malformations
No full textAnorectal malformations (ARMs) are rare birth defects of the digestive system affecting 2–6 per 10.000 births worldwide. These anomalies are the result of an abnormal development of the distal end of the digestive tract interesting the anus and/or rectum that occur early between the sixth and tenth week of embryonic development. ARMs are found as isolated congenital birth defects, as part of a syndrome or associated with other anomalies. Various classifications have been proposed to define the pathology of these anorectal anomalies. Almost all ARMs require surgery early in life. The spectrum of malformations sometimes mandates different techniques for different anomalies, but the preferred technique is also influenced by surgeon’s preference and surgical education. The most commonly used operative procedures for treatment of ARMs include perineal operations, posterior sagittal anorectoplasty, and laparoscopic abdominoperineal rectoplasty techniques. Cloacal anomaly requires highly specialized reconstructive surgery. Constipation and fecal incontinence are the most important functional disorders to avoid after definitive repair
- …
