Pediatria Medica e Chirurgica最新文献_第9页

Guidelines of the Italian Society of Videosurgery in Infancy for the minimally invasive treatment of the esophageal atresia. 意大利婴幼儿视频外科学会食管闭锁微创治疗指南。

Pediatria Medica e Chirurgica Pub Date : 2019-12-19 DOI: 10.4081/pmc.2019.230

Salvatore Fabio Chiarenza, Maria Luisa Conighi, Ciro Esposito, Maria Escolino, Fabio Beretta, Maurizio Cheli, Vincenzo Di Benedetto, Maria Grazia Scuderi, Giovanni Casadio, Maurizio Marzaro, Leon Francesco Fascetti, Andrea Conforti, Pietro Bagolan, Claudio Vella, Cosimo Bleve, Daniela Codric, Paolo Caione

引用次数: 0

Guidelines of the Italian Society of Videosurgery in Infancy for the minimally invasive treatment of pediatric nephrectomy and partial nephrectomy. 意大利婴幼儿电视外科学会微创治疗小儿肾切除术和部分肾切除术指南。

Pediatria Medica e Chirurgica Pub Date : 2019-12-19 DOI: 10.4081/pmc.2019.231

Salvatore Fabio Chiarenza, Cosimo Bleve, Ciro Esposito, Maria Escolino, Fabio Beretta, Maurizio Cheli, Vincenzo Di Benedetto, Maria Grazia Scuderi, Giovanni Casadio, Maurizio Marzaro, Leon Francesco Fascetti, Pietro Bagolan, Caludio Vella, Maria Luisa Conighi, Daniela Codric, Simona Nappo, Paolo Caione

引用次数: 0

Guidelines of the Italian Society of Videosurgery in Infancy for the minimally invasive treatment of the ureteropelvic-junction obstruction. 意大利婴幼儿电视外科学会微创治疗输尿管肾盂连接处梗阻的指南。

Pediatria Medica e Chirurgica Pub Date : 2019-12-19 DOI: 10.4081/pmc.2019.232

Salvatore Fabio Chiarenza, Cosimo Bleve, Ciro Esposito, Maria Escolino, Fabio Beretta, Maurizio Cheli, Vincenzo Di Benedetto, Maria Grazia Scuderi, Giovanni Casadio, Maurizio Marzaro, Leon Francesco Facetti, Pietro Bagolan, Claudio Vella, Maria Luisa Conighi, Daniela Codric, Simona Nappo, Paolo Caione

引用次数: 0

A rare cause of acute scrotum in a child: torsion of an epididymal cyst. Case report and review of the literature. 儿童急性阴囊的罕见病因:附睾囊肿扭转。病例报告及文献复习。

Pediatria Medica e Chirurgica Pub Date : 2019-06-21 DOI: 10.4081/pmc.2019.210

Mario Messina, Giulia Fusi, Francesco Ferrara, Edoardo Bindi, Chiara Pellegrino, Francesco Molinaro, Rossella Angotti

引用次数: 7

The influence of type of delivery, skin-to-skin contact and maternal nationality on breastfeeding rates at hospital discharge in a baby-friendly hospital in Italy. 意大利一家爱婴医院分娩类型、皮肤接触和母亲国籍对出院时母乳喂养率的影响

Pediatria Medica e Chirurgica Pub Date : 2019-05-22 DOI: 10.4081/pmc.2019.207

Mauro Cinquetti, Anna Maria Colombari, Emanuela Battisti, Pierpaolo Marchetti, Giorgio Piacentini

{"title":"The influence of type of delivery, skin-to-skin contact and maternal nationality on breastfeeding rates at hospital discharge in a baby-friendly hospital in Italy.","authors":"Mauro Cinquetti, Anna Maria Colombari, Emanuela Battisti, Pierpaolo Marchetti, Giorgio Piacentini","doi":"10.4081/pmc.2019.207","DOIUrl":"https://doi.org/10.4081/pmc.2019.207","url":null,"abstract":"The aim of this epidemiological study is to evaluate how type of delivery, skin-to-skin contact and maternal nationality influence breastfeeding practices of newborns at discharge in a large population of babies born in the Baby-Friendly Hospital of San Bonifacio, Verona, Italy. Data were collected for all healthy newborns consecutively born over a period of three years, regarding type of delivery, feeding at hospital discharge, skin-to-skin procedure, and for a smaller group maternal nationality was recorded as well. The rate of exclusive breastfeeding in a group of 6017 newborns was 82.1%, higher among babies born by vaginal delivery than in those born by cesarean section (84.9% vs 65%; P<0.001). It was higher in those who had skin-to-skin contact than in those who did not, in both vaginal delivery (85.3% vs 69.2%; P<0.001) and cesarean section (67.7% vs 55.1%; P=0.009). Also, it was found to be higher in babies born to immigrant mothers than in those born to Italian mothers (89.9% vs 79.5%). Vaginal delivery, skin-to-skin contact and maternal foreign nationality have a positive association with breastfeeding at hospital discharge.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4081/pmc.2019.207","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36998779","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: 12

The APpendicitis PEdiatric (APPE) score: a new diagnostic tool in suspected pediatric acute appendicitis. 小儿阑尾炎(APPE)评分:疑似小儿急性阑尾炎的新诊断工具。

Pediatria Medica e Chirurgica Pub Date : 2019-04-02 DOI: 10.4081/pmc.2019.209

Mario Lima, Dora Persichetti-Proietti, Neil Di Salvo, Claudio Antonellini, Michele Libri, Beatrice Randi, Michela Maffi, Tommaso Gargano, Giovanni Ruggeri, Vincenzo Davide Catania

{"title":"The APpendicitis PEdiatric (APPE) score: a new diagnostic tool in suspected pediatric acute appendicitis.","authors":"Mario Lima, Dora Persichetti-Proietti, Neil Di Salvo, Claudio Antonellini, Michele Libri, Beatrice Randi, Michela Maffi, Tommaso Gargano, Giovanni Ruggeri, Vincenzo Davide Catania","doi":"10.4081/pmc.2019.209","DOIUrl":"https://doi.org/10.4081/pmc.2019.209","url":null,"abstract":"Our aim was to develop an APpendictis-PEdiatric score (APPE score) in quantifying risk of acute appendicitis based on combination of clinical and laboratory markers. 1025 patients were classified in: acute appendicitis (AA) and non-appendicitis. Demographic/clinical features, and laboratory were collected. They were compared for quantitative-variables and categorical-variables. Significant predictors (P=<0,05) were included in logistic regression model. Based on regression-coefficients, a diagnostic score was tested by calculating the area under the ROC curve. Two cut-offs were established to define classes of risk of AA. 9 variables were identified as potentially predictors for AA. Those underwent logistic regression and a score was assigned, for maximum 21-points. The score showed an area under the curve: 0.831 and a linear proportion with the state of appendicular inflammation (R20.85). Patients with a score ≤8 were at low risk of AA (sensitivity 94%); those with a score ≥15 were at high risk for AA (specificity 93%). Those between 8 and 15 were defined at intermediate risk class. APPE-score guides clinicians in classifying patients with suspected-AA according to clinical and laboratory findings in order to improve their management.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4081/pmc.2019.209","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37131969","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: 6

Toward sutureless laparoscopic inguinal hernia repair in children? 儿童无缝线腹腔镜腹股沟疝修补术?

Pediatria Medica e Chirurgica Pub Date : 2019-03-19 DOI: 10.4081/pmc.2019.167

Antonio Marte, Laura De Rosa, Lucia Pintozzi, Vincenzo Esposito

{"title":"Toward sutureless laparoscopic inguinal hernia repair in children?","authors":"Antonio Marte, Laura De Rosa, Lucia Pintozzi, Vincenzo Esposito","doi":"10.4081/pmc.2019.167","DOIUrl":"https://doi.org/10.4081/pmc.2019.167","url":null,"abstract":"We report our experience with a sutureless technique for laparoscopic inguinal hernia repair in children. Twenty-eight children, 12 girls and 16 boys, aged 3 months to 7 years, underwent sutureless laparoscopic inguinal hernia repair. In girls, we utilized simple cauterization of the internal inguinal ring with a single trocar technique. In boys denudation of the peritoneum was obtained utilizing a three-trocar technique. The peritoneum around the internal inguinal ring was peeled off and detached from the vas and the vessels, and then wrapped around the grasper, resulting in a large area of denudation. No perioperative complications were observed. No recurrences nor testicular damage were noted after a mean follow-up of 18 months (range 6-35 months). The mean operative time was 12 min (range 7-20 min) for girls and 19 min (range 15-30 min) for boys. A 6-year-old girl exhibited a lymphocele. The sutureless technique appears to be easy, safe, and effective, provided that the patients are carefully selected. In boys, special attention needs to be paid to preservation of the vas and the testicular vessels.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4081/pmc.2019.167","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37252783","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: 6

Paediatric surgery in the robotic era: early experience and comparative analysis. 机器人时代的儿科外科:早期经验与比较分析。

Pediatria Medica e Chirurgica Pub Date : 2019-01-18 DOI: 10.4081/pmc.2019.204

Mario Lima, Eduje Thomas, Neil Di Salvo, Tommaso Gargano, Giovanni Ruggeri

{"title":"Paediatric surgery in the robotic era: early experience and comparative analysis.","authors":"Mario Lima, Eduje Thomas, Neil Di Salvo, Tommaso Gargano, Giovanni Ruggeri","doi":"10.4081/pmc.2019.204","DOIUrl":"https://doi.org/10.4081/pmc.2019.204","url":null,"abstract":"The aim of this study is to present our preliminary experience in robotics and a comparative analysis with conventional Minimally- Invasive Surgery (MIS). Cases operated by da Vinci Xi® System from February 2016 to October 2017 are reviewed retrospectively through demographics, diagnosis-procedure and short-term outcome parameters. A comparison with a matching conventional MIS population was also conducted. 40 robotic procedures were carried out and 112 (out of 3705) non-robotic procedures met inclusion criteria for comparison. Among robotic patients we observed: an average age of 143.5 months, weight of 42.9 Kg, operative and anaesthesia induction time respectively of 116.8 and 34.8 minutes. Furthermore, we observed a 6.1-day length of stay, 2.5% conversion rate and no complications. From the comparison between the groups, no statistical difference emerged in the length of stay, in conversion rates or in complications. A statistical significance was observed in terms of operative time in favour of non-Robotic- System. Our experience has meant to introduce the System in our surgical environment, comparing to the conventional MIS (an already established approach routinely performed at our center). Results have shown comparable safety and feasibility.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4081/pmc.2019.204","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36876115","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

Hypoceruloplasminemia: an unusual biochemical finding in a girl with Hashimoto's thyroiditis and severe hypothyroidism. 低蓝纤溶酶血症:一个不寻常的生化发现在女孩桥本甲状腺炎和严重甲状腺功能减退。

Pediatria Medica e Chirurgica Pub Date : 2018-12-05 DOI: 10.4081/pmc.2018.179

Mariella Valenzise, Federica Porcaro, Giuseppina Zirilli, Filippo De Luca, Maurizio Cinquegrani, Tommaso Aversa

{"title":"Hypoceruloplasminemia: an unusual biochemical finding in a girl with Hashimoto's thyroiditis and severe hypothyroidism.","authors":"Mariella Valenzise, Federica Porcaro, Giuseppina Zirilli, Filippo De Luca, Maurizio Cinquegrani, Tommaso Aversa","doi":"10.4081/pmc.2018.179","DOIUrl":"https://doi.org/10.4081/pmc.2018.179","url":null,"abstract":"Clinical picture of Hashimoto's thyroiditis (HT) may significantly vary in pediatric age, ranging from euthyroidism to subclinical hypothyroidism or hyperthyroidism; only rarely HT presentation may be characterized by a severe hypothyroidism also in pediatric age. Here we describe a 3-year-old Caucasian girl who was admitted to our Clinic due to pericardial effusion, muscle weakness and weight gain. At clinical examination, she presented with bradycardia, pale and round face, pseudohypertrophy of calf muscles and no pitting edema of the limbs. Routine blood investigations showed high serum aspartate and alanine aminotransferase levels, low serum ceruloplasmin without clinical signs of Wilson's disease, dyslipidemia. Thyroid function tests revealed a picture of severe hypothyroidism associated with HT. After the replacement treatment with L-T4, thyroid-stimulating hormone serum levels gradually decreased, with concomitant resolution of pericardial effusion and normalization of ceruloplasmin levels.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"40 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4081/pmc.2018.179","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36749265","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

The isolated tubal torsion: an insidious pediatric and adolescent pelvic urgency. 孤立的输卵管扭转:一个阴险的儿童和青少年盆腔急症。

Pediatria Medica e Chirurgica Pub Date : 2018-12-04 DOI: 10.4081/pmc.2018.206

Carmine Noviello, Mercedes Romano, Alfonso Papparella, Andrea Ciavattini, Ascanio Martino, Giovanni Cobellis

{"title":"The isolated tubal torsion: an insidious pediatric and adolescent pelvic urgency.","authors":"Carmine Noviello, Mercedes Romano, Alfonso Papparella, Andrea Ciavattini, Ascanio Martino, Giovanni Cobellis","doi":"10.4081/pmc.2018.206","DOIUrl":"https://doi.org/10.4081/pmc.2018.206","url":null,"abstract":"Isolated tubal torsion (ITT) is a rare cause of acute abdominal pain. Preoperative diagnosis is difficult because of a lack of specific signs. Surgery is recommended to preserve the integrity of the tube. Seven patients of median age of 13 years (range 9 to 15) came to our observation for worsening abdominal pain, nausea and vomiting. On admission, all girls had blood tests and ultrasound. Laparoscopy was performed for diagnosis in all cases. The girls had one-month and one-year ultrasound and clinic follow up. In all cases diagnosis was delayed, median 66 hours after the onset of symptoms and laparoscopy showed necrosis of the Fallopian tube. In five girls a laparoscopic salpingectomy was performed. In the other two, an open salpingectomy was necessary because of pelvic adhesions. Histology showed a hemorrhagic infarction of the Fallopian tubes. At follow up all patients were asymptomatic with normal ovaries, but one ovarian cyst. In the differential diagnosis of acute abdominal pain in children or female adolescents the possibility of ITT should be considered for a conservative treatment. Laparoscopy allows for definitive diagnosis and treatment.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"40 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4081/pmc.2018.206","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36749261","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: 9