María Rosario Pérez-Torres Lobato, M. Molina Mata, ML Llempen López, I. Fernandez-Pineda, RM Cabello Laureano, J. Rodríguez Martorell
{"title":"Cirugía guiada por tromboelastometría en neuroblastma complicado con coagulación intravascular diseminada","authors":"María Rosario Pérez-Torres Lobato, M. Molina Mata, ML Llempen López, I. Fernandez-Pineda, RM Cabello Laureano, J. Rodríguez Martorell","doi":"10.54847/cp.2023.01.10","DOIUrl":"https://doi.org/10.54847/cp.2023.01.10","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70951864","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}
C. Fernández Oliveira, C. Martínez Roca, M. G. Gómez Tellado, MP Salvador Garrido, M. Outeda Macías, I. Martín Herranz
{"title":"Tratamiento con sirolimus oral o tópico en anomalías vasculares complejas en pediatría. Experiencia en un hospital terciario","authors":"C. Fernández Oliveira, C. Martínez Roca, M. G. Gómez Tellado, MP Salvador Garrido, M. Outeda Macías, I. Martín Herranz","doi":"10.54847/cp.2023.02.03","DOIUrl":"https://doi.org/10.54847/cp.2023.02.03","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70951968","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}
M R Pérez-Torres Lobato, M Molina Mata, M L Llempen López, I Fernández-Pineda, R M Cabello Laureano, J Rodríguez Martorell
{"title":"Thromboelastometry-guided surgery in neuroblastoma complicated with disseminated intravascular coagulation.","authors":"M R Pérez-Torres Lobato, M Molina Mata, M L Llempen López, I Fernández-Pineda, R M Cabello Laureano, J Rodríguez Martorell","doi":"10.54847/cp.2023.01.20","DOIUrl":"https://doi.org/10.54847/cp.2023.01.20","url":null,"abstract":"<p><strong>Background: </strong>Disseminated intravascular coagulation (DIC) is a rare oncological emergency. We report a pediatric neuroblastoma complicated with DIC which required thromboelastometry-guided surgery.</p><p><strong>Observation: </strong>A 6-year-old female diagnosed with intermediate risk adrenal neuroblastoma developed tumor-related DIC after chemotherapy first cycle. She remained stable without clinical bleeding and emergent tumor resection guided by intraoperative-thromboelastometry was decided. DIC resolved early after surgery and complete remission was achieved.</p><p><strong>Conclusion: </strong>Treatment of the underlying condition is critical to manage DIC. Thromboelastometry can guide goal-directed therapy, including surgery in pediatric patients. However, larger studies are needed to examine its applicability in different clinical settings, such as cancer related DIC.</p>","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"36 1","pages":"44-47"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10511668","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}
M Velayos, J Serradilla, K Estefanía-Fernández, A J Muñoz-Serrano, C Ramírez Amorós, M C San Basilio Berenguer, A Vilanova-Sánchez, M V López-Santamaría, F Hernández-Oliveros
{"title":"Sequential teratoma in pediatric patients: causation or coincidence?","authors":"M Velayos, J Serradilla, K Estefanía-Fernández, A J Muñoz-Serrano, C Ramírez Amorós, M C San Basilio Berenguer, A Vilanova-Sánchez, M V López-Santamaría, F Hernández-Oliveros","doi":"10.54847/cp.2023.01.19","DOIUrl":"https://doi.org/10.54847/cp.2023.01.19","url":null,"abstract":"<p><p>We describe the unusual case of a female patient with a history of two mature teratomas non-correlated in terms of location and occurrence. A 12-year-old girl presented at our consultation as a result of a growing tumor in the hypogastric region, with no further clinical signs. She had undergone surgery neonatally due to a mature cystic sacrococcygeal teratoma, which was fully removed. No clinical sequelae were noted and no additional treatment was required over a 10-year follow-up. Radiological examination showed a large 20 × 12 × 18 cm cystic mass extending from the pelvic region to the lower hemiabdomen, associated with two similar small formations adjacent to the right ovary. Tumor markers were negative, and a laparoscopic right salpingoophorectomy was carried out, with an excellent postoperative progression. Pathological examination revealed it was, again, a mature cystic teratoma. The genetic study ruled out causation in this respect.</p>","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"36 1","pages":"40-43"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10521020","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}
R. Méndez-Gallart, M. García-Palacios, P. Rodríguez-Barca, E. Estévez-Martínez, A. Bautista-Casasnovas
{"title":"Quince años de experiencia en el tratamiento laparoscópico del varicocele pediátrico con un solo puerto de trabajo y tecnología Ligasure","authors":"R. Méndez-Gallart, M. García-Palacios, P. Rodríguez-Barca, E. Estévez-Martínez, A. Bautista-Casasnovas","doi":"10.54847/cp.2023.01.8","DOIUrl":"https://doi.org/10.54847/cp.2023.01.8","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45615374","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}
AM Andrés Moreno, E. Ramos Boluda, F. Hernández Oliveros
{"title":"Actualización en fallo intestinal pediátrico","authors":"AM Andrés Moreno, E. Ramos Boluda, F. Hernández Oliveros","doi":"10.54847/cp.2023.03.01","DOIUrl":"https://doi.org/10.54847/cp.2023.03.01","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70952131","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}
F. Hernández Oliveros, A. Alcolea Sánchez, E. Ramos Boluda, A. A. Andrés Moreno
{"title":"Trasplante intestinal y multivisceral","authors":"F. Hernández Oliveros, A. Alcolea Sánchez, E. Ramos Boluda, A. A. Andrés Moreno","doi":"10.54847/cp.2023.02.02","DOIUrl":"https://doi.org/10.54847/cp.2023.02.02","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70951934","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}
I. Basa Bosch, A. de Palacios, B. Fernández Bautista, J. Ordoñez, R. Ortiz, L. Burgos, A. Parente, J. Angulo
{"title":"Tratamiento endourológico del ureterocele ectópico. Experiencia en los últimos 15 años","authors":"I. Basa Bosch, A. de Palacios, B. Fernández Bautista, J. Ordoñez, R. Ortiz, L. Burgos, A. Parente, J. Angulo","doi":"10.54847/cp.2023.02.06","DOIUrl":"https://doi.org/10.54847/cp.2023.02.06","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70952196","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}
I Diéguez Hernández-Vaquero, M E Carazo Palacios, R Flores Rodríguez, A Costa-Roig, E M López Blanco, J J Vila Carbó
{"title":"Analysis of esthetic assessment scales in two surgical approaches for hypertrophic pyloric stenosis.","authors":"I Diéguez Hernández-Vaquero, M E Carazo Palacios, R Flores Rodríguez, A Costa-Roig, E M López Blanco, J J Vila Carbó","doi":"10.54847/cp.2023.01.14","DOIUrl":"https://doi.org/10.54847/cp.2023.01.14","url":null,"abstract":"<p><strong>Introduction: </strong>Hypertrophic pyloric stenosis (HPS) is a frequent pathology in neonates, with extramucosal pyloromyotomy being a healing surgery. It may be performed through a transverse subcostal incision (TSI) or a transumbilical incision (TUI).</p><p><strong>Objective: </strong>To compare complications, operating times, hospital stay, and esthetic results between both techniques.</p><p><strong>Materials and methods: </strong>A retrospective, descriptive study of patients undergoing HPS surgery between January 2010 and January 2020 was carried out. Qualitative variables (sex and complications) were expressed as absolute frequency and percentage, whereas quantitative variables (age at surgery, operating time, hospital stay, and scar esthetic assessment scales: MVSS [Modified Vancouver Scar Scale] and P-SAS [Patient Scar Assessment Scale]) were expressed as median and interquartile range.</p><p><strong>Results: </strong>107 patients were analyzed: TSI (60.7%, n = 65) vs. TUI (39.3%, n = 42). Male patients: 89.2%, n = 58 vs. 83.3%, n = 35; age (days): 31 (24.5-39.5) vs. 34.5 (29.5-47.25); operating time (minutes): 41 (33.75-60) vs. 46 (38.5-60); and hospital stay (days): 2 (2-4) vs. 3 (2-3). Clavien-Dindo grade II complications were more frequent in the TUI Group (1.54%, n = 1 vs. 23.81%, n = 10; p <0.001), with most of them being wound infections. The opinion regarding the scar according to the MVSS scale was better in the TUI Group (1.5 [0-4] vs. 0 [0-2]; p = 0.022). No significant differences were found in the P-SAS scale (10 (6-18) vs. 6 (6-9); p = 0.060).</p><p><strong>Conclusions: </strong>TUI is preferred from an esthetic point of view, and even though surgical wound infections are more frequent, it is not associated with longer operating times, longer hospital stay, or severe complications.</p>","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"36 1","pages":"12-16"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10511667","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}
I. Diéguez Hernández-Vaquero, ME Carazo Palacios, F. Flores Rodríguez, A. Costa-Roig, EM López Blanco, IJ Vila Carbó
{"title":"Evaluación de escalas de valoración estética en dos abordajes quirúrgicos para la estenosis hipertrófica de píloro","authors":"I. Diéguez Hernández-Vaquero, ME Carazo Palacios, F. Flores Rodríguez, A. Costa-Roig, EM López Blanco, IJ Vila Carbó","doi":"10.54847/cp.2023.01.4","DOIUrl":"https://doi.org/10.54847/cp.2023.01.4","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43510324","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}