European Journal of Pediatric Surgery Reports最新文献_第10页

Laparoscopic Partial Splenectomy Assisted by Fluorescence in a 13-Year-Old Girl. 荧光辅助下的13岁女孩腹腔镜脾部分切除术。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2020-01-01 Epub Date: 2020-10-21 DOI: 10.1055/s-0040-1716894

Isabel Bada-Bosch, David Peláez Mata, Manuel de la Torre, Javier Ordóñez, María Dolores Blanco, Juan de Agustin

{"title":"Laparoscopic Partial Splenectomy Assisted by Fluorescence in a 13-Year-Old Girl.","authors":"Isabel Bada-Bosch, David Peláez Mata, Manuel de la Torre, Javier Ordóñez, María Dolores Blanco, Juan de Agustin","doi":"10.1055/s-0040-1716894","DOIUrl":"https://doi.org/10.1055/s-0040-1716894","url":null,"abstract":"Partial splenectomy allows preserving immune function in benign splenic lesions such as epidermoid cysts. Determining the plane of resection and perfusion of the spleen remnant can be difficult, especially in centrally located lesions. We present a 13-year-old girl with a symptomatic splenic cyst of 6 cm in diameter located next to the splenic hilum. Laparoscopic partial splenectomy was performed through a 10-mm umbilical approach and three accessory 5-mm ports. Intraoperative intravenous injection of indocyanine green (ICG) at 0.2 mg/kg guided the careful dissection of the splenic hilum and checked the spleen perfusion once the upper arterial branch was clamped. The subsequent wash-out of the ICG allowed inspection of the peripheral vascular return of the splenic remnant through polar veins. Surgery was uneventful with minimal blood loss. Follow-up ultrasound scan revealed a well-perfused small splenic remnant with no signs of recurrence. Laparoscopic partial splenectomy is feasible in benign splenic tumors, especially in those cases of peripheral location. Fluorescence facilitates the safe dissection of the splenic hilum, the visualization of the transection plane of the spleen and the perfusion of the remnant in cases of anatomically and technically complicated partial splenectomies.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"8 1","pages":"e81-e85"},"PeriodicalIF":0.6,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1716894","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38527199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Devastating Outcomes of Traditional Enemas: Unusual Indications for Well-Known Operations. 传统灌肠的毁灭性后果:知名手术的不寻常适应症。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2020-01-01 Epub Date: 2020-02-08 DOI: 10.1055/s-0039-1700957

Cleopatra Mshumpela, Giulia Brisighelli, Chris Westgarth-Taylor

{"title":"Devastating Outcomes of Traditional Enemas: Unusual Indications for Well-Known Operations.","authors":"Cleopatra Mshumpela, Giulia Brisighelli, Chris Westgarth-Taylor","doi":"10.1055/s-0039-1700957","DOIUrl":"https://doi.org/10.1055/s-0039-1700957","url":null,"abstract":"Background Despite serious health risks having been described, traditional enemas are still often used in African traditional medicine. We aim to report two cases of complications secondary to traditional enemas, to illustrate how severe the injuries can be, and to describe the use of a Swenson type endoanal pull-through and a posterior sagittal anorectoplasty (PSARP) as surgical options. Case Description A 2-year-old girl presented with a necrotic rectum after a traditional enema administration. At admission, she required a laparotomy, colostomy fashioning, and extensive debridement of her rectum and perineum. She subsequently had a pull-through of the descending colon using a PSARP approach, a covering loop ileostomy, and a Malone Antegrade Continence Enema. The ileostomy was reversed at the age of 3 years of age and she is now clean with rectal washouts. The second case was a one- and a half-year-old boy with full-thickness burns to the perineum and rectum secondary to a hot-water enema. A colostomy was initially brought out and pulled through 7 months post the initial surgery. He is now growing well and is fully continent to stools. Conclusions The potential complications associated with the practice of administering at-home enemas can be quite devastating. A transanal pull-through and a PSARP have been proven to be successful techniques in patients who have suffered rectal burns due to traditional enemas.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"8 1","pages":"e3-e6"},"PeriodicalIF":0.6,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-1700957","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37630904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Pyloric Mucosal Diaphragm Associated with Hypertrophic Pyloric Stenosis: An Unusual Combination in a Male Neonate. 幽门粘膜膈与肥厚性幽门狭窄相关:男性新生儿的不寻常组合。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2020-01-01 Epub Date: 2020-08-07 DOI: 10.1055/s-0040-1713809

Eugenie Chariot, Anna Poupalou, Julie Estievenart, Martine Dassonville, Erwin Vanderveken, Henri Steyaert

引用次数: 1

Combined Pre- and Postnatal Minimally Invasive Approach to Complicated Pulmonary Sequestrations. 复杂肺隔离的产前产后联合微创治疗。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2020-01-01 Epub Date: 2020-09-18 DOI: 10.1055/s-0040-1713901

Martina Ichino, Francesco Macchini, Anna Morandi, Nicola Persico, Isabella Fabietti, Andrea Zanini, Ernesto Leva

{"title":"Combined Pre- and Postnatal Minimally Invasive Approach to Complicated Pulmonary Sequestrations.","authors":"Martina Ichino, Francesco Macchini, Anna Morandi, Nicola Persico, Isabella Fabietti, Andrea Zanini, Ernesto Leva","doi":"10.1055/s-0040-1713901","DOIUrl":"https://doi.org/10.1055/s-0040-1713901","url":null,"abstract":"Abstract Pulmonary sequestration (PS) is mostly asymptomatic but there is a proportion of fetuses that develop hydrops, leading to fetal or neonatal death. Fetal treatments are available, but postnatal management of the residual lesions is not uniformly defined. We present two cases of combined pre- and postnatal minimally invasive approach to complicated extra-lobar PS. Patient 1 presented with complicated PS at 31 weeks of gestation. Ultrasound-guided laser coagulation of the anomalous artery was successful. The patient was born asymptomatic at 38 weeks. Neonatal magnetic resonance imaging (MRI) showed a residual mass, confirmed by computed tomography (CT) at 6 months. No systemic artery was described, but perfusion was present. We decided for thoracoscopic resection. A residual artery was identified and sealed. Patient 2 presented with complicated PS at 25 weeks of gestation, underwent laser coagulation of the anomalous artery and was born asymptomatic at 38 weeks. Neonatal MRI showed persistence of the lesion, confirmed by CT scan at 4 months. We proceeded with thoracoscopic resection. A residual vessel was ligated. The patients 1 and 2 are now 24 and 21 months old, respectively, and healthy. Prenatal treatment of complicated PS is a life-saving procedure. Postnatal thoracoscopic resection of the residual lesion is feasible and safe; we believe it is the best course of treatment to grant the complete excision of the malformation.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"8 1","pages":"e62-e67"},"PeriodicalIF":0.6,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1713901","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38408233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

A Hirschsprung Pull-through, "with a Twist". Hirschsprung pull through，“with A Twist”。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2020-01-01 Epub Date: 2021-01-09 DOI: 10.1055/s-0040-1717128

Hira Ahmad, Devin R Halleran, Raquel Quintanilla, Alessandra C Gasior, Richard J Wood, Marc A Levitt

引用次数: 3

An Unusual Case of Syringohydromyelia Presenting with Neurogenic Bladder 以神经源性膀胱为表现的脊髓脊髓水肿1例

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2019-01-01 DOI: 10.1055/s-0039-1697925

A. Geljić, S. Abdovic, Fran Štampalija, Lana Lončar, B. A. Tripalo, M. Cuk

{"title":"An Unusual Case of Syringohydromyelia Presenting with Neurogenic Bladder","authors":"A. Geljić, S. Abdovic, Fran Štampalija, Lana Lončar, B. A. Tripalo, M. Cuk","doi":"10.1055/s-0039-1697925","DOIUrl":"https://doi.org/10.1055/s-0039-1697925","url":null,"abstract":"Abstract We report the case of a 4-year-old boy who first presented with acute pyelonephritis at the age of 6 months. Diagnostic workup revealed high-grade bilateral vesicourethral reflux (VUR). At the age of 18 months, a bulking agent was used to treat bilateral VUR. Since the VUR persisted, an open bilateral Lich-Gregoir procedure was done at the age of 3 years. Immediately after surgery, he developed acute urinary retention with hydronephrosis that resolved with the placement of dwelling urinary catheter. After removal of the catheter urinary retention relapsed so placement of suprapubic urinary catheter was indicated since he did not have sensory loss. He was started with tamsulosin (α − 1-blocker) and prophylactic antibiotics. Urodynamics were performed and suggested bladder outlet obstruction. On the basis of previous urethroscopy and the absence of neurological sequelae, the differential diagnosis of Hinman syndrome was made. After removal of the suprapubic catheter, clean intermittent catheterization was started and α-blocker continued. However, magnetic resonance imaging of the brain and the spinal cord revealed syringohydromyelia extending from thoracic spine (Th5) to conus medullaris with 6 to 7 mm in diameter. Electromyoneurogram was normal. After a follow-up of 3 years, the hydronephrosis has resolved. The patient is on clean intermittent catherization and has no urinary tract infections.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"7 1","pages":"e79 - e82"},"PeriodicalIF":0.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-1697925","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42536417","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

Pullthrough Operation for Hirschsprung's Disease: Importance of a Circumferential (Donut) Biopsy at the Level of the Anastomosis 先天性巨结肠的拔出术：吻合口层面环形（环形）活检的重要性

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2019-01-01 DOI: 10.1055/s-0039-1693494

Susan Jehangir, S. Soundappan, Micheal Krivanek, S. Arbuckle, N. Graf

引用次数: 1

Laparoscopic Distal Pancreatectomy of a Solid Pseudopapillary Tumor (SPT) Achieves Long-Term Oncologic Safety and Multiorgan Preservation 腹腔镜下实性假乳头状肿瘤远端胰腺切除术可实现长期肿瘤安全性和多器官保存

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2019-01-01 DOI: 10.1055/s-0039-1693999

Ahmed Elhaddad, P. Gasparella, C. Castellani, G. Singer, E. Sorantin, Klara Zach, H. Till

{"title":"Laparoscopic Distal Pancreatectomy of a Solid Pseudopapillary Tumor (SPT) Achieves Long-Term Oncologic Safety and Multiorgan Preservation","authors":"Ahmed Elhaddad, P. Gasparella, C. Castellani, G. Singer, E. Sorantin, Klara Zach, H. Till","doi":"10.1055/s-0039-1693999","DOIUrl":"https://doi.org/10.1055/s-0039-1693999","url":null,"abstract":"Abstract The oncological safety of a laparoscopic approach for solid pseudopapillary tumors (SPTs) of the pancreas remains a matter of debate. We present the long-term follow-up of an adolescent girl with an SPT in the pancreatic tail. A multimodality workup including magnetic resonance imaging (MRI) revealed a complex, spherical mass of 4.4 cm × 3.6 cm × 4 cm most likely located in the pancreatic tail. All routine laboratory investigations and tumor markers were within normal limits (alpha fetoprotein [AFP], cancer antigen 125 [CA125], CA 19–9, carcinoembryonic antigen [CEA], adrenocorticotropic hormone [ACTH]). Diagnostic laparoscopy was performed to verify the origin of the tumor in the pancreatic tail. In a three-port technique the tumor was mobilized of the splenic vessels until a distal pancreatectomy could be completed. Histopathological examination confirmed the complete resection of a low-grade malignant SPT. The postoperative course was unremarkable. Regular pediatric oncological follow-up examinations for 3 years, including MRI every 6 months, ruled out recurrence and confirmed preservation of splenic and pancreatic functions. While data about the technical feasibility of a laparoscopic approach to pancreatic SPT are already available, this pediatric case report adds a long-term oncological and functional success to the available literature.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"7 1","pages":"e58 - e62"},"PeriodicalIF":0.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-1693999","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41813210","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

Intravesical Oxybutynin for Urgent Bladder Rescue in a Newborn with Posterior Urethral Valves 膀胱内注射氧丁炔用于后尿道瓣膜新生儿紧急膀胱抢救

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2019-01-01 DOI: 10.1055/s-0039-3399565

A. M. Molina Caballero, A. Pérez Martínez, C. Goñi Orayen, G. Sierra Colomina, A. Lavilla Oiz, Y. Armendariz Cuevas

引用次数: 0

Testicular-Epididymal Dissociation: Vas and Vessels May "Lead up the Garden Path". 睾丸-附睾分离:输精管和血管可能“通向花园小径”。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2019-01-01 Epub Date: 2019-12-13 DOI: 10.1055/s-0039-1688485

Eleni Papageorgiou, Alberto Mantovani, Elena Monti, Caroline Brain, Naima Smeulders, Abraham Cherian

引用次数: 1