1,721,196 research outputs found
Necrotizing enterocolitis in infants: risk factors and clinical outcomes. The role of peritoneal drainage in Bell’s Stage 2
No full textL'enterocolite necrotizzante è un emergenza sia neonatale che chirurgica; lo scopo di questo studio
prospettico è di valutare il ruolo del drenaggio addominale preventivo in stadio 2 di nec con lo
scopo di ridurre il numero di pazienti che progrediscono verso lo stadio 3 (perforazione intestinale).
Materiali e metodi.
Prospettivamente abbiamo osservato 56 pazienti trattati con l'apposzione del drenaggio o con il
classico wait and see. sono stati creati criteri di inclusione ed esclusione. Abbiamo trattato con
drenaggio solo i pazienti con consenso dei genitori.
L'apposizone di drenaggio è stata eseguita con anestesia locale
risultati: dopo aver studiato i dati è emerso che il drenaggio preventivo è un metodo efficace e
sicuro per non far progredire clinicamente la nec. Ulteriori importanti dati vengono discussi.
Conclusioni.
Il drenaggio peritoneale è sicuro e potrebbe essere utilizzato come primo step per il trattamento della necNecrotizing enterocolitis is an emergency in neonatology and pediatric surgery. the aim of this prospective study was to evaluate the role of preventive abdominal drain in stage II nec in order to avoid clinical progression to stage III (intestinal perforation)
Materials and methods: we prospectively treated 56 patients for NEC at stage II with two different management: peritoneal drain or wait and see, patients were selecteted with inclusion and exclusion criteria, we treat patients after parents consent. each patients underwent peritoneal drain under local anesthesia. data were collected for statistical analysis.
results: after reviewing the medical charts our study showed that peritoneal drain in safe and effective to avoid the clinical progression to stage III.other important clinical aspect were described.
Conclusions:
peritoneal drain is safe and could be used as first treatment for stage II NEC to avoid clinical progression to stage II
Varicocele in adolescents: new findings and certainties among volume, hormones and semen analysis. Open perspectives
No full textVaricocele and varicocelectomy, and the clinical indications to treat it in pediatric age are still under discussion. Through the study of a recent work on the association between varicocele, hormones, and semen analysis, we comment on new results related to the management of varicocele in pediatric age In this new study, it has been reported that there is a correlation between abnormal semen analysis and FSH value, an association between abnormal semen analysis and other hormonal values (i.e. inhibin B) and an association between abnormal semen analysis and testicular volume. If these data are confirmed it is possible to suggest new diagnostic and therapeutic strategies in the treatment of pediatric varicocele
Scarless laparoscopic varicocelectomy using percutaneous intruments
No full textVaricocele is one of the most frequent andrological diseases in adolescents; laparoscopic varicocelectomy is a good option. The aim of this study is to investigate, report and evaluate surgical outcomes of laparoscopic technique in pediatric age using percutaneous instruments
Commentary on: 15-Year varicocelectomy outcomes in pediatric age: Beware of genitofemoral nerve injury
No full textlaparoscopic varicocelectomy is associated with nerve injuries in some reports; this paper reported the anatomy of inguinal channel and the percentage of nerve injur
Varicocele and varicocelectomy: Which news from the past?
No full textTo the Editor, In 1952, after many centuries, the varicocele was treated to resolve infertility. From Celsus to modern surgical techniques, over the centuries, many surgeons have proposed numerous treatment options, some very traumatic others more "physiological" [...]
Hormonal evaluation in adolescents with varicocele
No full textIntroductionVaricocele is one of the most frequent disease affecting the fertility potential;Objectivethe aim of this study is to assess the correlation between clinical and radiological grade of varicocele and hormonal values.Study designThe data about adolescents with left unilateral varicocele aged between 13 and 16 years, with Tanner stage V, followed at the Authors' Institution between September 2016 and September 2019 were investigated; inclusion and exclusion criteria were created. Patients underwent standard visit, Ultrasound, Doppler velocimetry and hormonal tests (at T0 and T1). Those patients with testicular hypotrophy underwent surgery.ResultsDuring the study period, 75 subjects with left uni- lateral varicocele were enrolled; 8 patients were excluded.A total of 67 patients were then studied. Among these patients, 37 had testicular hypotrophy, while the others had normal testicular volume. There was no correlation between grade of varicocele and testicular hypotrophy (p = 0.12); among those patients with testicular hypotrophy, there was a statistical correlation with the grade of spermatic vein reflux (grade 4 vs grades 1-2-3) (p = 0.03). Focusing on hormonal values, there was a statistical significant difference between FSH levels, clinical grades of varicocele and grade of spermatic vein reflux: FSH levels were higher in patients with clinical grade 3 varicocele respect to patients with grade 1-2 varicocele and, in particular, patients with grade 3 varicocele, testicular hypotrophy and grade 4 spermatic vein reflux (14 patients) had higher FSH level respect to others (p = 0.02). After surgery there was a significant FSH reduction.ConclusionsOur results demonstrate that higher grade of spermatic vein reflux is associated with testicular hypotrophy and higher FSH levels.[GRAPHICS]
Fertility Preservation in Pediatric Age: Future Perspective among Andrological Diseases
No full textMale infertility is a condition that has always been less studied and known than female infertility. Male infertility is increasingly present and increasingly diagnosed. Although several causes are known, to date about 40% of the causes are considered idiopathic. The worldwide denasality can only be slowed if awareness campaigns are implemented on all the diseases that can alter fertile potential, especially in young adolescents. Male infertility is, in addition, associated with several medical conditions. In particular, the association between infertility and testicular cancer, cardiovascular disease, autoimmune diseases, and genetic diseases is well known. For this reason, fertility preservation should not be proposed or be only oncological in nature, as there are several diagnosable pediatric pathologies that are associated with altered fertile potential to whose patients we could offer a gamete preservation pathway. In this paper we propose our experience on fertility preservation in pediatric andrological diseases
Editorial Comment from Dr Zampieri to Nationwide survey to evaluate the prevalence of varicoceles in South Korean middle school boys: a population based study
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