62 research outputs found
LAPAROSCOPIC-ASSISTED EXCISION OF GIANT ABDOMINAL LYMPHANGIOMAS OF THE SMALL BOWEL MESENTERY
No full textIl reflusso gastro-esofageo in età pediatrica: revisione di una casistica di 182 pazienti.
No full textLa pH-metria esofagea per 24 ore nello studio del reflusso gastroesofageo del lattante: esperienza su 110 pazienti.
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Il trattamento laparoscopico del varicocele vs. approccio open: follow up a lungo termine
No full textTransumbilical laparoscopic-assisted appendectomy (TULAA): A safe and useful alternative for uncomplicated appendicitis
No full textAim: To compare transumbilical laparoscopic-assisted appendectomy (TULAA) and open appendectomy (OA) in cases of acute uncomplicated appendicitis. Methods: 58 TULAA and 65 OA in patients with a preoperative diagnosis of acute uncomplicated appendicitis are compared. Pneumoperitoneum was obtained with a transumbilical 10 mm trocar (telescope access) and a 5 mm operative channel introduced in the left iliac fossa. Appendectomy was performed outside the abdomen, after the exteriorisation of the appendix through the transumbilical incision. Results: In the TULAA group, operative time and hospital stay were reduced. Conversion was necessary in one case (1.7%), and in one case (1.7%), an additional 5 mm operative channel was introduced. Neither intra- or postoperative complications were found in the TULAA group, with excellent cosmetic results. In the OA group we had a wound infection (1.5%) and in 8 cases (12.3%) an enlargement of the incision was necessary. Conclusions: TULAA is the best approach in uncomplicated appendicitis. It is less invasive and traumatic, permits a complete evaluation of the peritoneal cavity with superior cosmetic results, especially in obese patients and in cases of ectopic appendicitis
Conservative Treatment of Neonatal Primary Megaureter
No full text-The growing agreement toward the conservative treatment of primary megaureter (PM) is supported by the increasingly frequent reports in the literature of spontaneous resolution of this pathology after few years of attendance. If the PM is asymptomatic without the presence of parenchymatous damage, and the diuretic scintiscan does not show a definite obstruction of the uretero-vesical junction, the conservative treatment should be the choice for the neonatal forms of PM. We report our experience of 14 neonatal PM, conservatively managed out of a total of 22 PM observed between 1990 and 1996. All the patients have been controlled with serial ultrasonography and Tc99 DTPA scintigraphy. Three of them underwent a surgical operation because of persistence or impairment of the clinical and scintigraphic pictures after a 12-18 months' follow-up. Some of the remainders are completely recovered while others are going toward resolution. The conservative treatment of neonatal PM is therefore confirmed to be sure and effective, and in spite of the different attitudes expressed by reliable authors in the up-to-date literature we believe it should be undertaken for the asymptomatic forms in which there is no documented uretero-vesical obstruction
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