1,721,181 research outputs found
Detrattore epatico di Nathanson nella chirurgia laparoscopica del reflusso gastroesofageo
No full textThoracoscopic excision of pediatric thymic cysts
No full textIntroduction: Thymic cysts are rare lesions that may be congenital or acquired, and should be considered in the
differential diagnosis in pediatric neck-thoracic masses. They are most of the time asymptomatic, presenting as
slow-growing, painless masses. Evolution is generally benign, however surgical excision is considered the first
choice for treatment, and could be performed via open technique (sternotomy) or with minimally invasive
technique (thoracoscopy). Both techniques are safe and present little risk of postoperative recurrence, although
thoracoscopic approach presents some advantages in terms of reduced postoperative pain, reduced surgical time
and reduced length of hospital stay.
Case series: A retrospective review of medical records of all patients admitted to our center in the last 5 years for
surgical treatment for thymic cysts was performed. We recorded and evaluated clinical data, surgical data and
follow-up data. In the reference period 3 patients were admitted with thymic cysts at our center. They all underwent complete minimally invasive excision by video assisted thoracoscopic surgery (VATS). Histopathological
analysis revealed in 2 cases multilocular thymic cysts and in 1 case cystic thymic teratoma. Mean follow-up was
21 months. In the follow-up period any patients developed sympthoms, complications or relapses.
Conclusion: According to our experience, thoracoscopic approach to thymic cyst is feasible, safe and allows a
radical treatment of lesion offering excellent cosmetic results
Esophageal impedance baseline in infants with bronchopulmonary dysplasia: A pilot study
No full textBackground: Bronchopulmonary dysplasia (BPD) may induce gastroesophageal reflux (GER). Esophageal impedance baseline values (BI) reflect mucosal inflammation. Our aim was to evaluate BI levels in preterm infants with BPD compared with those without BPD and to identify BI predictors.
Methods: This is a retrospective pilot study including infants born <32 weeks' gestational age (GA) who underwent esophageal multichannel intraluminal impedance (MII)-pH. Univariate/multivariate analysis were performed to compare data between BPD and non-BPD infants and to identify BI predictors. A subgroup analysis was performed in infants born <29 weeks' GA, at highest risk for BPD.
Results: Ninety-seven patients (median GA 285/7 weeks, mean postnatal age 49 days, 29 with BPD), were studied. BPD infants had significantly lower birth weight compared with non-BPD infants (750 vs. 1275 g), were more immature (274/7 vs. 290/7 weeks GA), were older at MII-pH (79 vs. 38 days) and received less fluids during MII-pH (147 vs. 161 ml/kg/day). The same findings were found in the group of 53 infants born <29 weeks. BPD versus non-BPD infants had significantly lower BI (2050 vs. 2574 ohm, p = 0.007) (<1000 ohm in five BPD infants vs. one non-BPD) whereas the other MII-pH parameters were not significantly different. Multiple regression analysis found that increasing chronological age was positively associated with BI (B = 9.3, p = 0.013) whereas BPD was associated with lower BI (B = -793.4, p < 0.001).
Conclusions: BPD versus non-BPD infants had significantly lower BI despite similar MII-pH data. BPD and chronological age predicted BI, whereas only BPD predicted BI in the most immature infants
Treatment of post-traumatic parotid gland fistula in children
Full text linkPost-traumatic fistula of the parotid gland is rare especially in children and the treatment is not established: surgery, drugs or conservative treatment. The authors present the case of a 3-year-old child with cutaneous-parotid fistula following penetrating trauma of the face. A conservative treatment with compression dressings was used and one month later a complete closure of the fistula was obtained. In this case a conservative approach should be considered because the part of the fistulized gland goes into atrophy and allows the closure of the fistula
La stipsi cronica in età pediatrica. risultati di un protocollo diagnostico-terapeutico
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