Pediatria Medica e Chirurgica最新文献_第5页

Congenital hip dysplasia: The importance of early screening and treatment. 先天性髋关节发育不良:早期筛查和治疗的重要性。

Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI: 10.4081/pmc.2022.290

Francesco Marras, Chiara Asti, Corrado Ciatti, Stefano Pescia, Cristian Locci, Francesco Pisanu, Carlo Doria, Gianfilippo Caggiari

{"title":"Congenital hip dysplasia: The importance of early screening and treatment.","authors":"Francesco Marras, Chiara Asti, Corrado Ciatti, Stefano Pescia, Cristian Locci, Francesco Pisanu, Carlo Doria, Gianfilippo Caggiari","doi":"10.4081/pmc.2022.290","DOIUrl":"https://doi.org/10.4081/pmc.2022.290","url":null,"abstract":"Congenital Hip Dysplasia (CHD) is characterized by a hip joint dislocation between the femoral head and the acetabulum, with a multifactorial etiology. This disorder can be an isolated condition or the manifestation of a syndromic condition, and it has been estimated with higher rates than registered, with a predominance in female sex and left side; risk factors are now defined. In Italy, the incidence rate is 3-4%, with significant regional differences: higher in Lombardy and lower in Sicily. Because clinical examination alone is insufficient to diagnose CHD, it is supplemented with ultrasonography and X-ray if necessary. Surveillance, static or dynamic splints, or osteotomies are the only treatment options. The goal of this study was to evaluate our experience in terms of management and conservative treatment of all newborns from January 2018 to May 2022: female sex and left hip were major involved, risk factors were not significant in our case, but results from early diagnosis and treatments, in terms of better outcome, were interesting. After a strict 6-month follow-up period, 89.13% of the patients were classified as grade Ia or Ib according to the Graf classification system. Finally, we emphasize the importance of early universal screening and subsequent diagnosis to allow for early treatment of the disorder, at an age when conservative treatments can yield good results.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"44 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9845536","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

ACL lesions surgical treatment in pediatric patients. Our all-epiphyseal experience. 小儿ACL病变的外科治疗。我们所有的骨骺经验。

Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI: 10.4081/pmc.2022.298

Paolo Trezza, Francesco Uboldi, Antonio Memeo

{"title":"ACL lesions surgical treatment in pediatric patients. Our all-epiphyseal experience.","authors":"Paolo Trezza, Francesco Uboldi, Antonio Memeo","doi":"10.4081/pmc.2022.298","DOIUrl":"https://doi.org/10.4081/pmc.2022.298","url":null,"abstract":"The prevalence of traumatic knee disease in children and young athletes has steadily increased over the past few years. The subjects who have engaged in intense sporting activities since a young age were especially vulnerable to developing an anterior cruciate injury. With the development of new imaging and clinical examination methods, diagnosis has also improved. The need to ensure joint growth without complications and the rising demands for a return to competitive sport are driving the search for an appropriate surgical technique. Today, only a few cases should receive conservative treatment. The main flaw of the extra-articular technique is that it doesn't respect the anatomy and results in excessive rigidity. Even precocious subjects can use the allepyphiseal technique, which allows for the respect of the growth plates. It does not present a particularly high complication rate and permits a full return to sports activities prior to the trauma with an adequate learning curve on the part of the surgeon. However, in more mature subjects with still open physis, the traditional transepiphyseal arthroscopic technique is possible as long as the tunnel is not too large. In any case, it is crucial to provide a thorough and ongoing follow-up until the end of growth as well as individualized rehabilitation.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"44 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9474850","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

Percutaneous Achilles tenotomy using a 18 gauge needle in the treatment of clubfoot with Ponseti method. 18号针经皮跟腱切开术治疗庞塞提法内翻足。

Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI: 10.4081/pmc.2022.295

Silvia Richetta, Antonio Andreacchio, Sergio Monforte

{"title":"Percutaneous Achilles tenotomy using a 18 gauge needle in the treatment of clubfoot with Ponseti method.","authors":"Silvia Richetta, Antonio Andreacchio, Sergio Monforte","doi":"10.4081/pmc.2022.295","DOIUrl":"https://doi.org/10.4081/pmc.2022.295","url":null,"abstract":"Tenotomy is the final step in the corrective phase for the resolution of residual equinus in the Ponseti method of treating clubfoot. There are several methods for obtaining a complete section of the tendon, ranging from mini-open techniques to percutaneous with a scalpel or percutaneous with a large-gauge needle. Since April 2022, Vittore Buzzi Children's Hospital has performed 36 percutaneous tenotomies of the Achilles tendon in 24 patients using the percutaneous large-gauge needle technique. When compared to the traditional percutaneous scalpel tenotomy procedure, the use of this procedure has allowed us to reduce operating room time, where we routinely perform this type of surgery to optimize pain control and patient safety during the procedure. The technique has proven to be simple, safe, and effective in obtaining a complete section of the tendon; there have been no reports of excessive bleeding, pseudoaneurysms, or nerve injury. There were no differences in clinical outcome or recurrences of equinus that required reoperation during the average three-month follow-up from the previously used technique.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"44 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9474851","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

Chronic Monteggia in pediatric population: A narrative literature review. 儿童慢性蒙氏病:叙述性文献综述。

Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI: 10.4081/pmc.2022.289

Chiara Arrigoni, Nunzio Catena

引用次数: 0

Slipped capital femoral epiphysis: Diagnostic pitfalls and therapeutic options. 股骨骨骺滑动:诊断陷阱和治疗选择。

Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI: 10.4081/pmc.2022.296

Elena Panuccio, Daniele Priano, Valerio Caccavella, Antonio Memeo

{"title":"Slipped capital femoral epiphysis: Diagnostic pitfalls and therapeutic options.","authors":"Elena Panuccio, Daniele Priano, Valerio Caccavella, Antonio Memeo","doi":"10.4081/pmc.2022.296","DOIUrl":"https://doi.org/10.4081/pmc.2022.296","url":null,"abstract":"One of the most prevalent hip pathologies that develops during adolescence is Slipped Capital Femoral Epiphysis (SCFE), and over the past few decades, its incidence has been rising. To ensure an early diagnosis and prompt intervention, orthopedic surgeons should be aware of this entity. Review of recent developments in clinical examination and imaging diagnostic procedures. The presentation includes commonly used imaging methods, slippage measurement techniques, and classification schemes that are pertinent to treatment. An overview of SCFE surgery based on pertinent study findings and knowledge gained from ongoing clinical practice. The gold standard treatment for stable SCFE cases- those in which the continuity of the metaphysis and epiphysis is preserved-is pinning in situ using a single cannulated screw without reduction. However, there are disagreements over the best course of action for stable moderate/severe SCFE. On the best surgical strategy for unstable epiphysiolysis, no universal agreement has been reached. Finding the surgical procedure that will improve the long-term outcomes of a slipped capital femoral epiphysis is the question at hand.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"44 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9845532","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: 1

Intestinal twin-to-twin transplant for short gut: Review of the literature and discussion of a complex case. 短肠的双胞移植:文献回顾和一个复杂病例的讨论。

Pediatria Medica e Chirurgica Pub Date : 2022-10-18 DOI: 10.4081/pmc.2022.287

Sara Ugolini, Riccardo Coletta, Antonino Morabito

引用次数: 0

Role of urinary NGAL and microalbuminuria in the detection of subclinical acute kidney injury in pediatric intensive care unit and diabetic children. 尿NGAL和微量白蛋白尿在儿科重症监护病房和糖尿病儿童亚临床急性肾损伤检测中的作用。

Pediatria Medica e Chirurgica Pub Date : 2022-07-15 DOI: 10.4081/pmc.2022.285

Sally K I Ishak, Fayrouz El Aguizy, Eman H Elsebaie, Meray R L Youssef, Mohamed M Ismail, Fatma H Abdelraouf, Heba A Abdel Ghaffar, Nermine M Riad

{"title":"Role of urinary NGAL and microalbuminuria in the detection of subclinical acute kidney injury in pediatric intensive care unit and diabetic children.","authors":"Sally K I Ishak, Fayrouz El Aguizy, Eman H Elsebaie, Meray R L Youssef, Mohamed M Ismail, Fatma H Abdelraouf, Heba A Abdel Ghaffar, Nermine M Riad","doi":"10.4081/pmc.2022.285","DOIUrl":"https://doi.org/10.4081/pmc.2022.285","url":null,"abstract":"Subclinical Acute Kidney Injury (AKI) describes patients who did not fulfill the classical criteria for AKI diagnosis but showed elevated levels of new biomarkers reflecting tubular injury. One of these biomarkers is Neutrophil Gelatinase-Associated Lipocalin (NGAL). The aim of this study is to investigate the role of urinary NGAL and microalbuminuria as non-invasive biomarkers in the detection of subclinical AKI. Analysis of urinary NGAL and microalbuminuria in 91 subjects [30 pediatric intensive care unit (PICU) patients, 31 diabetic patients and 30 healthy controls] recruited from Cairo University Pediatric Hospital was done. Our study revealed that urinary NGAL was significantly higher in the PICU group followed by the diabetic group and lowest in the controls group (p=0.022). A positive correlation was found between urinary NGAL and microalbuminuria in the PICU group (Rvalue= 0.585, p-value=0.001). In diabetic group, a positive correlation was found between urinary NGAL and fasting blood glucose, 2 hours post prandial and HbA1C (R-value=0.421; pvalue= 0.021; R-value=0.426; p-value=0.019; R-value=0.438; pvalue= 0.018 respectively). Urinary NGAL may be a potential biomarker to detect subclinical AKI before actual functional renal damage leading to early intervention and reduction of mortality.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"44 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40507886","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

Achilles tendon surgery in clubfoot: Are long term sequelae predictable? 内翻足的跟腱手术:长期后遗症可预测吗?

Pediatria Medica e Chirurgica Pub Date : 2022-05-03 DOI: 10.4081/pmc.2022.280

L. Pedrotti, B. Bertani, G. Tuvo, R. Mora, L. Marin, Federica De Rosa

{"title":"Achilles tendon surgery in clubfoot: Are long term sequelae predictable?","authors":"L. Pedrotti, B. Bertani, G. Tuvo, R. Mora, L. Marin, Federica De Rosa","doi":"10.4081/pmc.2022.280","DOIUrl":"https://doi.org/10.4081/pmc.2022.280","url":null,"abstract":"Congenital Clubfoot (CCF) treatment involves a surgical procedure on the Achilles tendon most of the time, i.e. tenotomy or, in selected cases, Z-plasty lengthening. Many authors have studied the outcomes of Achilles tenotomy, describing complete clinical and ultrasound tendon fibers integrity restoration 3-6 weeks after surgery. Nevertheless, little is known about the mechanical properties of the operated tendon. Recently, cases of subcutaneous rupture of the Achilles tendon have been described in adolescents who practiced sports and who had undergone Achilles tenotomy for congenital clubfoot in childhood. Authors report two cases of atraumatic Achilles tendon injury (subcutaneous rupture and intratendinous ossification) in adult patients who had been treated for congenital clubfoot in childhood. In both cases, no causes determining the injury were identified; in the medical history there was a Z-plasty lengthening of the Achilles tendon, performed within the first year of life, which could be considered a predisposing factor. The usefulness of long-term monitoring of patients treated for CCF with surgical procedures on the Achilles tendon is therefore hypothesized, in order to promptly identify by symptoms, clinical pictures and ultrasound criteria, tendon suffering that may predispose subcutaneous rupture.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74464534","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

Rectovestibular fistula: Which surgical approach is suitable? A randomized controlled trial. 直肠前庭瘘:哪种手术入路合适?一项随机对照试验。

Pediatria Medica e Chirurgica Pub Date : 2022-04-08 DOI: 10.4081/pmc.2022.278

S. Abdelmohsen, M. Osman, H. Mostafa, M. Fathy, I. Ibrahim, M. Mostafa, A. Eltayeb, Osama Abdullah Abdul Raheem

{"title":"Rectovestibular fistula: Which surgical approach is suitable? A randomized controlled trial.","authors":"S. Abdelmohsen, M. Osman, H. Mostafa, M. Fathy, I. Ibrahim, M. Mostafa, A. Eltayeb, Osama Abdullah Abdul Raheem","doi":"10.4081/pmc.2022.278","DOIUrl":"https://doi.org/10.4081/pmc.2022.278","url":null,"abstract":"The management of a vestibular fistula is a challenge for pediatric surgeons. We compared four different operative techniques in terms of postoperative complications, continence, and cosmetic appearance. This prospective, randomized, comparative study included female children with rectovestibular fistulae who were selected from patients with Anorectal Malformations (ARMs) treated between January 2016 and July 2020. The patients were randomly divided into four groups based on the operative technique: Trans-Sphincter Anorectoplasty (TSARP), Posterior Sagittal Anorectoplasty (PSARP), Classic Anterior Sagittal Anorectoplasty (ASARP), and modified ASARP. The incidence of vestibular fistulae among all patients with ARMs was 13.4%. The total number of patients with vestibular fistula was 112, including eighty-four (75%) with rectovestibular fistulae and twenty-eight (25%) with anovestibular fistulae. Associated congenital anomalies were found in nineteen (22.6%) patients. The percentage of parents satisfied with the cosmetic appearance and continence of their children was the highest after TSARP. PSARP had the lowest incidence regarding vaginal wall injuries. TSARP is the best operative technique for handling rectovestibular fistulae and is suitable for infants and children. In the TSARP technique, the external sphincter muscle can be preserved following complete dissection of the rectum without the need for a midline skin incision. A midline skin incision is required in the modified ASARP technique.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"174 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73357929","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

Surgical management of large scalp infantile hemangioma in 30-month-old infant. 30月龄婴幼儿大头皮血管瘤的外科治疗。

Pediatria Medica e Chirurgica Pub Date : 2022-03-21 DOI: 10.4081/pmc.2022.279

Cosimo Bleve, Maria Luisa Conighi, Enrico Valerio, Mario Cutrone, Giuseppe Iannucci, Alessandro Segna, Salvatore Fabio Chiarenza

引用次数: 2