Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica最新文献_第8页

Initial experience with brachytherapy treatment adjuvant to surgical resection of keloid scars in the pediatric population. 近距离放射治疗辅助手术切除小儿瘢痕疙瘩的初步经验。

Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica Pub Date : 2022-10-01 DOI: 10.54847/cp.2022.04.22

S Proaño Landázuri, J Redondo Sedano, E Martí Carrera, L Merino Mateo, A Gómez Sánchez, C Castellano Yáñez, J Pérez-Regadera, A Gómez Fraile, M Delgado Muñoz

{"title":"Initial experience with brachytherapy treatment adjuvant to surgical resection of keloid scars in the pediatric population.","authors":"S Proaño Landázuri, J Redondo Sedano, E Martí Carrera, L Merino Mateo, A Gómez Sánchez, C Castellano Yáñez, J Pérez-Regadera, A Gómez Fraile, M Delgado Muñoz","doi":"10.54847/cp.2022.04.22","DOIUrl":"https://doi.org/10.54847/cp.2022.04.22","url":null,"abstract":"Objectives: The treatment of keloid scars is based on multiple lines of therapy, with varying levels of efficacy(1), and there is currently no single treatment that guarantees cure and prevents recurrence. In the pediatric population, the treatments used are not standardized, and there is insufficient evidence to support efficacy and complications. The objective of this study was to analyze the patients who required brachytherapy as an adjuvant to surgical resection in recurrent keloid scars.Materials and methods: A retrospective analysis of patients diagnosed with keloids and undergoing adjuvant brachytherapy in our institution was carried out, while assessing efficacy and implementation in our treatment protocol for keloid scarring.Results: After various therapeutic lines, 4 patients aged 9-17 years old with recurrent keloid scars around the ear and eligible for adjuvant brachytherapy - administered after surgical resection, in two sessions - were studied and followed up for up to 18-21 months.Conclusions: Despite our limited experience in the use of adjuvant brachytherapy, the results obtained to date support its efficacy, as reported in the literature. We therefore consider its inclusion in the treatment of keloid scars that have recurred after other treatments to be appropriate.","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"35 4","pages":"207-211"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33499537","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

Recertification... finally? 换发新证……最后呢?

Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica Pub Date : 2022-10-01 DOI: 10.54847/cp.2022.04.13

I Eizaguirre Sexmilo

引用次数: 0

Postoperative hyperlipasemia in perforated appendicitis in children. 儿童穿孔性阑尾炎术后高脂血症。

Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica Pub Date : 2022-10-01 DOI: 10.54847/cp.2022.04.15

M Prada Arias, J Gómez Veiras, B Aneiros Castro, P Rodríguez Iglesias, P Fernández Eire, M Montero Sánchez

{"title":"Postoperative hyperlipasemia in perforated appendicitis in children.","authors":"M Prada Arias, J Gómez Veiras, B Aneiros Castro, P Rodríguez Iglesias, P Fernández Eire, M Montero Sánchez","doi":"10.54847/cp.2022.04.15","DOIUrl":"https://doi.org/10.54847/cp.2022.04.15","url":null,"abstract":"Objective: The objective of this study was to assess the hyperlipasemia cases detected in the postoperative period of perforated appendicitis.Materials and methods: A retrospective analysis of the perforated appendicitis cases occurred in our institution over a 7-year period (2013-2019) was carried out. Only cases where preoperative and postoperative serum lipase levels were available were included. The variables collected were statistically assessed by means of a descriptive, univariate analysis.Results: A total of 88 patients were studied. They were divided into 3 groups according to postoperative lipase levels - 57 were allocated to Group 1 (lipase: 70-194.0 U/L, normal range), 20 were allocated to Group 2 (lipase: 195-582 U/L), and 11 were allocated to Group 3 (lipase: > 582 U/L, which triples normal levels). Statistically significant differences were found in the following variables: sex, postoperative abscess, postoperative subocclusion/intestinal occlusion, preoperative lipase levels, days of parenteral nutrition, days of ICU stay, and days of hospital stay. Postoperative lipase had a moderate correlation with preoperative lipase, and none of the cases met acute pancreatitis diagnostic criteria.Conclusions: Hyperlipasemia in the postoperative period of perforated appendicitis is not associated with developing clinical pancreatitis, but it is associated with worse progression in terms of increased complications, such as subocclusion/intestinal occlusion and intra-abdominal abscess, and longer ICU stay, hospital stay, and parenteral nutrition. There is a moderate correlation between preoperative and postoperative lipase, which means they could both prove useful as prognostic markers.","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"35 4","pages":"160-164"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33520981","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

Pilot study for low-cost model validation in laparoscopic pediatric pyeloplasty simulation. 腹腔镜儿童肾盂成形术模拟低成本模型验证的试点研究。

Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica Pub Date : 2022-07-01 DOI: 10.54847/cp.2022.03.18

L Cabarcas Maciá, F Marmolejo Franco, A Siu Uribe, C Palomares Garzón, R Rojo Díez

{"title":"Pilot study for low-cost model validation in laparoscopic pediatric pyeloplasty simulation.","authors":"L Cabarcas Maciá, F Marmolejo Franco, A Siu Uribe, C Palomares Garzón, R Rojo Díez","doi":"10.54847/cp.2022.03.18","DOIUrl":"https://doi.org/10.54847/cp.2022.03.18","url":null,"abstract":"Objective: To describe the creation of an original 3D-printed liquid latex model designed for laparoscopic pyeloplasty (LP) simulation in infants, and to assess its usefulness.Materials and methods: A 3D model of a dilated pelvis and a ureter with ureteropelvic junction obstruction (UPJO) was designed. It was covered in liquid latex, which allowed flexible models to be achieved in order to conduct pyeloplasty in a pelvitrainer. The total price of each model was 6 euros. A nearly-experimental, non-randomized, blind study was carried out, while measuring operating times and OSATS (Objective Structured Assessment of Technical Skills) scores. Following simulation completion, a survey based on Likert scale was conducted to assess overall appearance, texture, usefulness, and probability of recommending the model for regular training.Results: 8 pediatric surgeons spent a median of 71.5 minutes (range: 50-86), and rated the model with a median 20.1/30 (range: 17-24) OSATS score. The model received a 4.25 (range: 3-5) score in terms of overall appearance, a 4.37 (range: 3-5) score in terms of texture, a 4.5 (range: 4-5) score in terms of usefulness, and a 4.6 (range: 4-5) score in terms of probability of recommending the model for regular training.Conclusions: Our liquid latex model for laparoscopic pyeloplasty simulation is feasible, with favorable preliminary results. Its usefulness in laparoscopic pyeloplasty training is promising.","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"35 3","pages":"141-145"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40476725","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: 2

Have acute appendicitis complications increased in children as a result of SARS-CoV-2? 儿童急性阑尾炎并发症是否会因SARS-CoV-2而增加?

Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica Pub Date : 2022-07-01 DOI: 10.54847/cp.2022.03.16

M G Toro Rodríguez, M Dore Reyes, I Martínez Castaño, P Deltell Colomer, C de la Sen Maldonado, V Díaz Díaz, A Encinas Goenechea, J Gonzálvez Piñera

{"title":"Have acute appendicitis complications increased in children as a result of SARS-CoV-2?","authors":"M G Toro Rodríguez, M Dore Reyes, I Martínez Castaño, P Deltell Colomer, C de la Sen Maldonado, V Díaz Díaz, A Encinas Goenechea, J Gonzálvez Piñera","doi":"10.54847/cp.2022.03.16","DOIUrl":"https://doi.org/10.54847/cp.2022.03.16","url":null,"abstract":"Introduction: The impact of the SARS-CoV-2 pandemic on healthcare has already been described, since it has caused an increase in diagnostic delay and morbidity. Our objective was to assess its influence on the development of complications in children with acute appendicitis.Materials and methods: A retrospective cohort study was carried out. It included acute appendicitis patients under 15 years of age treated from January 1, 2019 to December 31, 2020. They were classified according to diagnosis date as before the pandemic (B) (January 2019-February 2020) and during the pandemic (D) (March 2020-December 2020). According to operative findings, they were classified as complicated appendicitis (perforated/abscess/plastron/peritonitis) and non-complicated appendicitis (catarrhal/phlegmonous/gangrenous). Demographic data, progression time, and postoperative complications were analyzed.Results: A total of 309 patients were included, 193 (62.5%) in Group B, and 116 (37.5%) in Group D, with an age of 9.2 ± 0.4 and 9.4 ± 0.6 years, respectively (CI = 95%). Diagnostic time was 1.35 and 1.43 days (p>0.05) in Groups B and D, respectively, with ≥ 3 days representing 15.5% of cases in Group B, and 16.4% of cases in Group D (p = 0.84). The proportion of complicated appendicitis was 23.3% in Group B vs. 21.6% in Group D (p>0.05). Postoperative complications were observed in 11.4% of patients in Group B, and in 13.8% of patients in Group D (p>0.05), with intra-abdominal abscess being the most frequent complication in both groups (54.5% of the total complications in Group B vs. 65.5% in Group D; p>0.05).Conclusions: The management of acute appendicitis and its complications in pediatric patients has not been impacted by the SARS-CoV-2 pandemic or the safety measures enforced.","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"35 3","pages":"131-134"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40590658","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: 4

Perineal groove: an old, little known entity. 会阴沟:一个古老的，鲜为人知的实体。

Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica Pub Date : 2022-07-01 DOI: 10.54847/cp.2022.03.19

J C Moreno Alfonso, M Velayos, A Andrés Moreno, A Vilanova Sánchez, S Hernández Martín, M López Santamaría

{"title":"Perineal groove: an old, little known entity.","authors":"J C Moreno Alfonso, M Velayos, A Andrés Moreno, A Vilanova Sánchez, S Hernández Martín, M López Santamaría","doi":"10.54847/cp.2022.03.19","DOIUrl":"https://doi.org/10.54847/cp.2022.03.19","url":null,"abstract":"Introduction: Perineal groove is an infrequent midline malformation. It is a humid, mucosal, non-keratinized groove located at the perineal midline, extending from the vulvar fourchette to the anterior anal border. It is rare and usually asymptomatic, and it heals spontaneously in most cases. It is frequently mistaken for other malformations, which means correctly identifying it is essential to avoid iatrogenesis.Clinical case: We present the case of a female newborn with an asymptomatic lesion at the perineal midline consistent with anorectal malformation. Following assessment by the Pediatric Surgery Department, she was diagnosed with perineal groove.Discussion: Perineal groove is a little known malformation among healthcare professionals as it is infrequent and there are not many publications in the literature about it. This case demonstrates how important it is to keep this abnormality in mind to avoid erroneous diagnoses, unnecessary treatments, and family stress.","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"35 3","pages":"146-148"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40476726","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

Lumbar paravertebral tumor in a newborn: congenital lipomatous nevus. 1例新生儿腰椎椎旁肿瘤:先天性脂肪瘤痣。

Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica Pub Date : 2022-07-01 DOI: 10.54847/cp.2022.03.20

V Alonso Arroyo, M Castro Rey, A Pino Vázquez, M S González Fuente

引用次数: 0

Pediatric thyroidectomy in a "low volume" institution without protocolization: results and future horizons. 儿童甲状腺切除术在“小容量”机构没有协议:结果和未来的视野。

Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica Pub Date : 2022-07-01 DOI: 10.54847/cp.2022.03.15

J C Moreno Alfonso, A Molina Caballero, A Pérez Martínez, R Ros Briones, S Berrade Zubiri, C Goñi Orayen

{"title":"Pediatric thyroidectomy in a \"low volume\" institution without protocolization: results and future horizons.","authors":"J C Moreno Alfonso, A Molina Caballero, A Pérez Martínez, R Ros Briones, S Berrade Zubiri, C Goñi Orayen","doi":"10.54847/cp.2022.03.15","DOIUrl":"https://doi.org/10.54847/cp.2022.03.15","url":null,"abstract":"Objective: Pediatric thyroidectomy is an infrequent, complex surgery, with high risk of complications. Complication rates and oncological results of non-protocolized thyroidectomy in a secondary pediatric hospital were compared with those from reference institutions.Materials and methods: A retrospective study of patients under 15 years old undergoing thyroidectomy ± cervical lymphadenectomy by low volume pediatric surgeons (<30 cervical endocrine surgeries annually) in a pediatric hospital from January 2010 to January 2020 was carried out.Results: 11 patients undergoing 12 surgeries (mean age: 9.8 years; 63% female) were analyzed. Thyroid nodules were the main surgical indication (50%), and prevalence of genetic mutations was 45%. 1 patient had transient hypocalcemia, and there were 2 cases of transient recurrent laryngeal nerve neuropraxia (16.6%). No permanent complications were noted. 66.6% of pathological reports showed malignancy. Mean hospital stay was 2.35 days (range: 1.25-5), with an overall complication rate of 25%, similar to that reported by high-volume institutions. After a mean follow-up of 4 years, tumor recurrence has not been observed in any patient.Conclusions: In our view, an experienced pediatric surgeon specialized in pediatric and neonatal general surgery - even if below the high volume threshold - acquires the skills required in pediatric thyroid surgery without an increase in morbidity and mortality. Perioperative management should be agreed and protocolized by the various specialists involved to improve results.","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"35 3","pages":"125-130"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40590657","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: 2

Endoscopic management of recurrent tracheoesophageal fistula with trichloroacetic acid in pediatric patients. 内镜下三氯乙酸治疗小儿复发性气管食管瘘。

Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica Pub Date : 2022-07-01 DOI: 10.54847/cp.2022.03.13

R J Valero Mamani, J Penchyna Grub, G Blanco Rodríguez, G Teyssier Morales, M Peña García

{"title":"Endoscopic management of recurrent tracheoesophageal fistula with trichloroacetic acid in pediatric patients.","authors":"R J Valero Mamani, J Penchyna Grub, G Blanco Rodríguez, G Teyssier Morales, M Peña García","doi":"10.54847/cp.2022.03.13","DOIUrl":"https://doi.org/10.54847/cp.2022.03.13","url":null,"abstract":"Introduction: Surgical repair of recurrent tracheoesophageal fistula has a high risk of complications. Therefore, various endoscopic techniques have been used to avoid complications.Objective: To understand the usefulness of trichloroacetic acid endoscopic application for the treatment of recurrent tracheoesophageal fistula.Materials and methods: An observational, descriptive, retrospective, case-series-based study was carried out in a tertiary pediatric hospital. Records of patients with recurrent tracheoesophageal fistula from 2015 to 2021 were reviewed. All patients within this period underwent brushing and trichloroacetic acid application.Results: Mean time of recurrent tracheoesophageal fistula occurrence was 4.8 months (range: 1-19.2). Two patients had a small fistula (less than 4 mm), three patients had a medium fistula (4 mm), and two patients had a large fistula (more than 4 mm). Mean sessions for fistula closure were 2.2 (range: 1-4). Mean time between procedures was 22 days (range: 14-30). Mean follow-up since fistula closure confirmation was 33 months (range: 9-72), during which no recurrences were noted.Conclusion: Endoscopic management of recurrent transesophageal fistula with trichloroacetic acid is a safe and effective procedure. Brushing and trichloroacetic acid combined improve success rates. Fistulas over 4 mm in diameter require more procedures. However, a larger patient cohort and a longer follow-up period are needed to confirm this.","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"35 3","pages":"113-117"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40590655","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: 3

Advances in the treatment of burned children. 烧伤儿童治疗的进展。

Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica Pub Date : 2022-07-01 DOI: 10.54847/cp.2022.03.12

M Miguel Ferrero, M Díaz González

引用次数: 0