Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica最新文献_第3页

Bilateral extensor digitorum brevis manus. 两位数的分机号很短。

Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica Pub Date : 2023-04-01 DOI: 10.54847/cp.2023.02.17

E Fernández Diez, E Marti, J Redondo Sedano, C Castellano Yáñez, A Gómez Sánchez, S M Proaño Landazuri, A Gómez Fraile, M D Delgado Muñoz

引用次数: 0

Towards a standardized initial training program in experimental microsurgery for pediatric surgeons. 为儿科外科医生建立一个标准化的实验显微外科初步培训计划。

Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica Pub Date : 2023-04-01 DOI: 10.54847/cp.2023.02.16

M Velayos, K Estefanía-Fernández, A J Fernández Bautista, C Delgado-Miguel, M C Sarmiento Caldas, L Moratilla Lapeña, J Serradilla, C Largo Aramburu, M V López-Santamaría, F Hernández-Oliveros

{"title":"Towards a standardized initial training program in experimental microsurgery for pediatric surgeons.","authors":"M Velayos, K Estefanía-Fernández, A J Fernández Bautista, C Delgado-Miguel, M C Sarmiento Caldas, L Moratilla Lapeña, J Serradilla, C Largo Aramburu, M V López-Santamaría, F Hernández-Oliveros","doi":"10.54847/cp.2023.02.16","DOIUrl":"https://doi.org/10.54847/cp.2023.02.16","url":null,"abstract":"Objective: To describe a basic training program in microsurgery and to analyze the learning curve through the process, including improvement in operating times and functional outcome.Materials and methods: Our learning program included basic, transitional, and experimental models. The experimental model included tail vein cannulation, intestinal resection and anastomosis, dissection, division and anastomosis of the cava and aorta. Wistar rats (66.7% male; 406.9 ± 38.9 grams) were used. The program adhered to the 3R principle and obtained animal welfare committee approval.Results: Mean tail vein cannulation time was 2.4 ± 1.2 minutes. Mean intestinal resection and jejunocolic anastomosis time was 14.8 ± 2.7 minutes and 10.4 ± 3 minutes, respectively. All anastomoses were functionally valid. Mean vessel dissection time was 22.9 ± 7.7 minutes, aortic artery anastomosis was 17.2 ± 7.1 minutes, and vena cava anastomosis was 25.9 ± 7.3 minutes. 66.7% of vena cava anastomoses were functionally valid vs. 88.9% for the aorta. The time required for all procedures decreased after the third attempt, except for vena cava anastomoses, which remained similar in all 9 procedures.Conclusions: Our model demonstrated that the procedures were suitable for trainer progression in terms of surgical time and functional outcome. Microsurgical training would benefit from standardized programs to optimize results.","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"36 2","pages":"83-89"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9390539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intestinal and multivisceral transplantation. 肠和多脏器移植。

Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica Pub Date : 2023-04-01 DOI: 10.54847/cp.2023.02.11

F Hernández Oliveros, A Alcolea Sánchez, E Ramos Boluda, A Andrés Moreno

引用次数: 0

Conservative treatment of suprahepatic pseudoaneurysm in a pediatric patient. 1例小儿肝上假性动脉瘤的保守治疗。

Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica Pub Date : 2023-04-01 DOI: 10.54847/cp.2023.02.18

C Pérez Costoya, A Gómez Farpón, F Hernández Oliveros, V Soto Verdugo, V Álvarez Muñoz, C M García Bernardo

{"title":"Conservative treatment of suprahepatic pseudoaneurysm in a pediatric patient.","authors":"C Pérez Costoya, A Gómez Farpón, F Hernández Oliveros, V Soto Verdugo, V Álvarez Muñoz, C M García Bernardo","doi":"10.54847/cp.2023.02.18","DOIUrl":"https://doi.org/10.54847/cp.2023.02.18","url":null,"abstract":"Introduction: Suprahepatic and inferior vena cava (IVC) pseudoaneurysms are rare in children. Most cases in adults are treated surgically due to the high risk of rupture.Case report: Seven-year-old girl referred for a thoracic-abdominal trauma of unknown origin. Hemodynamically stable, with a hemoglobin level of 9.1 g/dl. An emergency CT scan was performed, showing a pseudoaneurysm at the confluence of the IVC with the middle and left suprahepatic veins, with active bleeding contained by the hepatic capsule. Given the hemodynamic stability and surgical risk, conservative treatment was decided upon. CT-scan at 24 hours showed cessation of bleeding. A control CT-scan was performed one month, three months, one year, and one and a half years later, showing the lesion had disappeared.Discussion: Conservative treatment of suprahepatic vein pseudoaneurysm/ICV is feasible in the case of hemodynamic stability provided that strict clinical and radiological surveillance is maintained.","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"36 2","pages":"93-96"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9390537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endourological treatment of ectopic ureterocele. Our experience in the last 15 years. 异位输尿管囊肿的腔内治疗。我们过去15年的经验。

Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica Pub Date : 2023-04-01 DOI: 10.54847/cp.2023.02.15

I Bada Bosch, A De Palacio, B Fernández Bautista, J Ordóñez, R Ortiz, L Burgos, A Parente, J M Angulo

{"title":"Endourological treatment of ectopic ureterocele. Our experience in the last 15 years.","authors":"I Bada Bosch, A De Palacio, B Fernández Bautista, J Ordóñez, R Ortiz, L Burgos, A Parente, J M Angulo","doi":"10.54847/cp.2023.02.15","DOIUrl":"https://doi.org/10.54847/cp.2023.02.15","url":null,"abstract":"Objective: To assess the efficacy of the endourological treatment of ectopic ureterocele in children in a large series and with a long-term follow-up.Materials and methods: A retrospective, descriptive study of patients with ectopic ureterocele who had undergone surgery in our institution in the last 15 years was carried out. All patients were treated using an endourological approach, both for ureterocele and postoperative vesicoureteral reflux (VUR).Results: 40 patients were treated -55% with left involvement and 5% with bilateral involvement. Mean age at diagnosis was 4.97 months, with diagnosis being established prenatally in 54.1% of cases. In all patients but one, endourological puncture of the ureterocele was conducted. Mean age at surgery was 6.96 months (0-1.11). Surgery was performed on an outpatient basis in 94.9% of patients. No perioperative complications were recorded. In the last 30 patients, preoperative voiding cystourethrography was not carried out. 72.5% of patients had postoperative VUR (44.8% into the upper pyelon, 10.3% into the lower pyelon, 17.2% into both, 6.9% into the contralateral system, and 20.7% into the bilateral system), but it was resolved with a single endoscopic procedure in 48.1% of cases (65% of patients were healed with two procedures). VUR was not endoscopically resolved in 3 patients who required ureteral re-implantation. 6 patients required heminephrectomy (n=3) or nephrectomy (n=3) as a result of functional impairment and infections.Conclusion: The endourological treatment of ectopic ureterocele is a little aggressive and little invasive technique that allows the obstruction to be resolved on an outpatient basis, which means bladder surgery -if required- can be performed outside the neonatal period.","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"36 2","pages":"78-82"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9390538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intestinal perforation after pediatric liver transplantation: risk factors and management. 儿童肝移植后肠穿孔:危险因素及处理。

Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica Pub Date : 2023-04-01 DOI: 10.54847/cp.2023.02.14

P Barila, J A Molino, E Hidalgo, J Quintero, J Juampérez, M Mercadal-Hally, J Ortega, I Bilbao, R Charco

{"title":"Intestinal perforation after pediatric liver transplantation: risk factors and management.","authors":"P Barila, J A Molino, E Hidalgo, J Quintero, J Juampérez, M Mercadal-Hally, J Ortega, I Bilbao, R Charco","doi":"10.54847/cp.2023.02.14","DOIUrl":"https://doi.org/10.54847/cp.2023.02.14","url":null,"abstract":"Background: Intestinal perforation (IP) after pediatric liver transplant (PLT) is an uncommon complication with high mortality reported. The aim of this study is to identify the risk factors and management of this complication.Materials and methods: Retrospective study of IP after PLT from January 2014 to October 2020.Results: Four intestinal perforations were indentificated in 102 PLT (3,9%). Three patients with BA and one neonate with hemochromatosis (HC) presented this complication. The mean weight of patients with IP was 6.3± 2.5kg (3.1-9) and 19.9 ± 15.4kg for the rest (p< 0.05). All IP with BA had a previous laparotomy. Two living donors and two left lateral reduced liver were implanted. The diagnosis of intestinal perforation was done on day 11 ± 3.3 (8-15 days). Diagnosis was suspected with clinical and biological signs of perforation, CT scan confirmed the diagnosis in patiens with BA and by direct visualization through the mesh for temporary closure in the patient with hemocromatosis. Urgent laparotomy was performed. We identified three colonic perforations, all of them in BA patients and all repaired with direct suture. The patient with HC presented multiple perforations secondary to necrotizing enterocolitis requiring an ileostomy and finally died due to multiorgan failure.Conclusion: Intestinal perforation after PLT is an infrequent complication. Age, weight, previous laparotomy and BA could be risk factors for IP in PLT. Urgent laparotomy after diagnosis should be performed in order to reduce mortality. Isolated IP with adequate treatment might not affect long term outcomes after pediatric liver transplantation.","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"36 2","pages":"73-77"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9390533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

In memoriam: Kamel Matar Sattuf (April 3, 1966 - January 4, 2023). 纪念:Kamel Matar Sattuf(1966年4月3日- 2023年1月4日)。

Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica Pub Date : 2023-04-01 DOI: 10.54847/cp.2023.02.10

R Fernández Valadés

引用次数: 0

The odyssey of pediatric surgery research. Can an international perspective provide new solutions? 儿科外科研究的奥德赛。国际视野能提供新的解决方案吗?

Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica Pub Date : 2023-01-01 DOI: 10.54847/cp.2023.01.12

J Jiménez Gómez, B Núñez García, N Álvarez García

引用次数: 0

Adequate timing of diagnostic tests for gastroesophageal reflux in children with esophageal atresia. 食管闭锁患儿胃食管反流诊断试验的适当时机

Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica Pub Date : 2023-01-01 DOI: 10.54847/cp.2023.01.13

M Couselo, V Ibáñez, P Ortolá, E Carazo, E Valdés, J J Vila

{"title":"Adequate timing of diagnostic tests for gastroesophageal reflux in children with esophageal atresia.","authors":"M Couselo, V Ibáñez, P Ortolá, E Carazo, E Valdés, J J Vila","doi":"10.54847/cp.2023.01.13","DOIUrl":"https://doi.org/10.54847/cp.2023.01.13","url":null,"abstract":"Objective: Recent guidelines made recommendations for the management of gastroesophageal reflux in patients with esophageal atresia (EA). However, the timing for some diagnostic tests remained somehow unclear. This investigation studied the tests for gastroesophageal reflux in children aged one year old and children aged two or three.Materials and methods: Patients with EA who underwent Multichannel Intraluminal Impedance-pH monitoring (MII-pH) and endoscopy-histology were studied retrospectively. Patients aged one when the test was performed were the YO group and patients aged two or three years old formed the OL group. Substantially impaired MII-pH was defined as total number of reflux episodes >105 or >85 (depending on age), or reflux index >10%. Substantially impaired endoscopy was defined as erosive esophagitis or Barrett's esophagus. Substantially impaired histology was defined as moderate-severe esophagitis or Barrett's esophagus. Conventional parameters and substantially impaired values of the tests were compared.Results: Twenty-four patients were studied. Twenty-three MII-pH were performed (12 in YO and 11 in OL): percentages of abnormal conventional parameters of MII-pH were not significantly different in both groups. Twenty endoscopies with biopsies were performed (7 in YO and 13 in OL): percentages of esophagitis were not significantly different. Interestingly, 26.9% of all the tests performed in YO were substantially impaired vs. 10.8% of all the tests in OL (χ2 = 2.7; p = 0.1).Conclusion: Considering the percentage of alarming results of diagnostic tests in the YO group it would be advisable that patients with EA undergo MII-pH and endoscopy-histology at one year of age.","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"36 1","pages":"5-11"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10521023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Momento adecuado para las pruebas diagnósticas de reflujo esofágico en pacientes con atresia de esófago 食道闭锁患者食管反流诊断试验的适当时间

Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica Pub Date : 2023-01-01 DOI: 10.54847/cp.2023.01.3

M. Couselo, V. Ibáñez, P. Ortolá, E. Carazo, E. Valdés, J. Vila

引用次数: 0