Suture Materials: Do They Affect Fistula and Stricture Rates in Flap Urethroplasties?

<i>Introduction:</i> The effect of suture materials on urethroplasty complications is debated. Indeed, materials with a delayed absorption might either reduce the incidence of fistulas by ensuring a prolonged approximation of neo-urethral edges or increase the risk of urethral strictures due to a prolonged tissue reaction during suture absorption. We retrospectively evaluated the role of suture materials in the complication rate of urethroplasty procedures performed in our institution over a 10-year period. <i>Patients and Methods:</i> Three hundred and thirty-six boys undergoing a flap procedure (parameatal based, preputial tube, or onlay preputial flap) for hypospa…

Transurethral incision of duplex system ureteroceles in neonates: does it increase the need for secondary surgery in intravesical and ectopic cases?

OBJECTIVE To evaluate the relevance of ureterocele ectopia and associated reflux on the outcome of duplex system ureteroceles (DSU) after neonatal transurethral incision (TUI). PATIENTS AND METHODS The study included 41 neonates with a diagnosis of DSU; the ureterocele was ectopic in 24 (58%). Before TUI, vesico-ureteric reflux (VUR) was present in 13 lower moieties (32%) and seven contralateral ureters (17%). TUI was always performed within the first month of life. The follow-up and management were tailored for each patient from the findings at ultrasonography, voiding cysto-urethrography and renal scintigraphy. Results of intravesical and ectopic DSU were compared using Fisher's exact tes…

sULLE ANGIODISPLASIE VENOSE DEL SISTEMA GIUGULARE ESTERNO NELL'INFANZIA

Gli Autori descrivono un caso di angiodisplasia venosa del collo (il cosiddetto venoma) per contribuire alla clinica e terapia dell'affezione.

Re: reconstruction of the hypospadiac hooded prepuce

IL PATCHING ILEO-ILEALE NELLA PREVENZIONE DELLA SINDROME DA RESEZIONE INTESTINALE MASSIVA, RICERCHE SPERIMENTALI

Gli Autori eseguono un patching ileo-ileale allo scopo di aumentare la superficie di assorbimento intestinale; espongono i risultati ottenuti su 50 ratti albini; descrivono i reperti istologici e istoenzimatici effettuati sulla mucosa neoformata

UNA RARA COMPLICANZA DEL DIVERTICOLO INTRALUMINALE DEL DUODENO

The Authors report a case of intraluminal diverticulum of the duodenum complicated by endodiverticulum litiasis

LA SINDROME DI PRUNE-BELLY: Considerazioni cliniche e terapeutiche

La Sindrome di Prune-Belly si può manifestare con una ampia varietà di quadri clinici,a prognosi variabile anche in rapporto al grado di compromissione renale. Gli Autori presentano uno studio retrospettivo su 6 casi osservati dal 1980 al 1991 e discutono l'importanza di un corretto inquadramento diagnostico e terapeutico

IL REFLUSSO VESCICO-URETERALE NELL'INFANZIA. OSSERVAZIONE SU 101 URETERI

Il Reflusso vescico-ureterale può riconoscere la sua etiopatogenesi in diversi momenti fisiopatologici legati ad una patologia del giunto vescico-ureterale, ad una patologia ostruttiva renale ed all'età. Sono descritti 64 casi pari a 101 ureteri ed i relativi risultati ottenuti dopo il trattamento medico e chirurgico

IL TRICOBEZOARIO IN ETA' PEDIATRICA: DESCRIZIONE DI UN CASO A LOCALIZZAZIONE GASTRICA

Gli Autori riferiscono su di un caso di tricobezoario a localizzazione gastrica, sottolineando l'iter diagnostico e l'importanza della valutazione ecografica ed endoscopica.

CONTRIBUTO CLINICO AI TUMORI RETROPERITONEALI IN ETA' PEDIATRICA

Gli Autori descrivono un caso di neurofibroma retroperitoneale recidivante a partenza dalla capsula renale, occorso alla loro osservazione. Viene descritto l'iter diagnostico-terapeutico

SURGERY OF GERM CELL TUMORS IN PEDIATRIC AGE: Preliminart data od TCG)! series of the New Italian Protocol

The authors report the preliminary data of the case studies of the new National Protocol TGC91 and examine the role of surgery in the treatment of these neoplasms

UNA RARA CAUSA DI ADDOME ACUTO NELL'INFANZIA. L'Epiploite acuta segmentaria

L'Epiploite acuta segmentaria è fra le cause più rare di addome acuto nell'infanzia. Gli Autori ne riportano tre casi.

Modified-Mathieu's technique: a variation of the classic procedure for hypospadias surgical repair

Distal penile curvature associated with anterior hypospadias can be corrected by urethral plate mobilization. The authors present 11 cases, in which this procedure was performed modifying the classic Mathieu's technique in the surgical treatment of coronal and distal shaft hypospadias associated with chordee. Performing this modified-Mathieu's technique, excellent results, both functional and cosmetic, are obtained without any complication.

ETIOPATOGENESI DELL'ATRESIA INTESTINALE. Ricerche Sperimentali condotte sull'Embrione di pollo

Gli Autoyi hanno eseguito una serie di ricerche sperimentali su embrioni di Gallus Domesticus allo scopo di verificare alcune cause di atresia inyestinale

TUMORI ANDROGENIZZANTI DEL CORTICO-SURRENE IN ETA' PEDIATRICA: Descrizione di un caso

Gli Autori descrivono un caso di tumore virilizzante del corticosurrene in un bambino da loro osservato. Vine descritto l'iter diagnostico-terapeutico.

IL TRICOBEZOARIO IN ETA' PEDIATRICA: Descrizione di un caso a localizzazione gastrica

The Authors report a case of gastric thricobezoar in paediatric age wuth its diagnostic program. Thr role of ultrasonografic and endoscopic methods are evaluated.

SULL'IMPIEGO SPERIMENTALE DI UN COLLANTE BIOLOGICO NELLA CHIRURGIA DEGLI ORGANI PARENCHIMATOSI

Gli Autori hanno condotto uno studio sull'uso di un derivato del Cianoacrilato nella riparazione di lesioni del parenchima epatico e splenico indotte sperimentalmente su ratti albini del ceppo Winster

A NEW METHOD OF MEASURING INTRAOPERATING BLOOD IOSSES IN NEONATAL SURGERY

At the Institut od Pediatric Surgery and the Institut of Electrotechinique of the UNiversity of Palermo was realized a method based iìon the blood capacity, because of its ionic fractions, on the change of the condictivity of a medium having know and constant electric peculiarity.

Sulle complicanze della chirurgia laparoscopica nei primi 5 anni della learning curve

A giant fetal urinoma in a neonate without detectable obstructive uropathy

UNLABELLED Fetal urinoma is an uncommon finding in prenatal investigations. Most previous reports have, almost in every case, referred to the presence of an obstructive uropathy and thus to very high pressure in the upper urinary tract during fetal life. In this paper we present a prenatally detected fetal giant urinoma occurring in the absence of an apparent obstructive uropathy but associated with an ipsilateral vesico-ureteral reflux. CASE REPORT A 5-day-old boy, born after a caesarean section in the 37th week of gestation, but without any perinatal distress, came under our observation because of the evidence of a right upper quadrant abdominal mass. This mass had already been detected p…

IL TERATOMA ED IL CHIRURGO PEDIATRA. Considerazioni sull'approccio e valutazioni dalla Casistica Nazionale "TCG 91".

Germ Cell Tumors (GCT) are rare in childhood, accounting for 2-4% of all solid neoplasms. Teratoma is the most frequent histological type (50%) of GCT and the most important neonatal tumors.. Authors analyze the results of the first Italian Multicentric Cooperative Study on GCTs in childhood (TCG 91). The role of surgical radical excision of the mass with thw coccyx in sacrococcygeal forms is streassed.

Utilità dell'ecografia nei pazienti con stipsi cronica idiopatica

CONTRIBUTO CLINICO AL GRANULOMA EOSINOFILO DELLE OSSA IN ETA' PEDIATRICA

GLI aUTORI ESAMINANO IL QUADRO CLINICO ED ANATOMO-PATOLOGICO DEL GRANULOMA EOSINOFILO DELLE OSSA E DESCRIVONO QUATTRO CASI OSSERVATI IN ETA' PEDIATRICA

Needle perforation of the bowel in childhood

Accidental ingestion of foreign bodies occurs frequently in childhood. The majority of them are passed spontaneously, and conservative management generally is recommended for foreign bodies in the stomach and duodenum. However, in some cases, operative intervention should be considered to prevent undesirable complications, such as intestinal perforation. Two cases of intestinal perforation owing to accidental ingestion of a needle are reported. J Pediatr Surg

MICROANASTOMOSI ARTERIOSE CON POLYGLACTIN 910 IN RATTI IN ACCRESCIMENTO

A preliminary issue on effective results of polyglactin 910 as microvascular anastomosis is reported. Tissue reaction to suture material seems to be minor than to prolene or other not absorbible material

ATTUALI ORIENTAMENTI NELLA DIAGNOSTICA DELLA MALATTIA DI HIRSCHSPRUNG

Gli Autori analizzano l'ier diagnostico nella malattia di Hirschsprung sulla base del quadro clinico e dell'età del paziente

Efficacia del blocco penieno nell'ipospadia

IN TEMA DI ACALASIA NELL'INFANZIA

Sulla base di due casi di acalasia giunti alla loro osservazione gli Autori puntualizzano gli attuali aspetti clinici e terapeutici dell'affezione con particolare riguardo all'età pediatrica.

SU DI UN CASO DI NEFROMA MESOBLASTICO DEL NEONATO

Gli Autori descrivono un caso di Nefroma Mesoblastico del neonato evidenziando i problemi di diagnostica differenziale e di approccio terapeutico.

IL LEMBO LIBERO di MUCOSA VESCICALE NELLA CORREZIONE DELL'IPOSPADIA

Gli Autori descrivono l'utilizzo della muscosa vescicale nel trattamento dell'ipospadia

Valutazione della motilità esofagea in età pediatrica attraverso la pH-impedenzometria 24h.

SUL TRATTAMENTO CONSERVATIVO DELLE LESIONI ESOFAGEE DA CAUSTICI

Gli Autori descrivono una tecnica sul trattamento conservativo delle stenosi esofagee da caustici effettuata su tre bambini

Laparoscopic Treatment of Deferential Reflux in Pediatric Varicocele Based on Preoperative Color Doppler Ultrasound Assessment

UNA RARA COMPLICANZA DELLA DERIVAZIONE VENTRICOLO-PERITONEALE. La Perforazione del Colon

Gli Autori descrivono un caso di perforazione del colon, cisti peritoneale e peritonite saccata in una paziente portatrice di Shunt Ventricolo-Peritoneale.

Focus on paediatric and adolescent varicocoele: a single institution experience

Summary The aim of this study was to report our long-term diagnostic and surgical outcome during the last 18 years, in paediatric and adolescent management of varicocoele. The present retrospective study enrols 374 patients observed at our institution between 1994 and 2011. Patients were divided into three groups: Group A includes 142 youngsters and adolescents treated with open surgery for left varicocoele, in which a pre-operative CDUS was not performed; Group B includes 65 patients treated with open surgery in which a pre-operative CDUS evaluation was carried out, to assess varicocoele haemodynamic pattern and testicular volume. Group C includes 167 patients treated by laparoscopy and wi…

Re: End Cutaneous Ureterostomy for the Management of Severe Hydronephrosis

SULL'IMPIEGO SPERIMENTALE DI UN COLLANTE BIOLOGICO NELLE ANASTOMOSI INTESTINALI NEL RATTO IN ACCRESCIMENTO

The problems that arise in the preparation of the anastomoses of channelicular organs have not found a unique solution. In fact, when it is necessary to proceed to the synthesis of very small gauge hollow organs as in the accreting subjects (infants) the risk of formation of a stenosis is always present despite the various techniques practiced. In recent years several experimental researches have been carried out in order to verify the validity of biological adhesives in intestinal anastomoses in rapidly growing animals. For this purpose we have chosen the rat whose rapidity of somatic growth permits an evaluation in times contained

Comprehensive laparoscopic approach to pediatric varicocele based on preoperative color Doppler ultrasound assessment

Abstract: Background This study aimed to assess whether laparoscopic treatment for any kind of varicocele is possible after preoperative identification of refluxing veins by color Doppler ultrasound (CDUS). Methods At the authors'' institution, 98 patients with a median age of 11.3 years (range, 7.1-16 years) were evaluated for a left varicocele. Preoperatively, all the patients underwent ultrasound scan assessment of testicular volume and CDUS to rule out reflux into the internal spermatic vein (ISV), deferential vein, or cremasteric vein. In all the patients, laparoscopic division of the spermatic artery and veins was performed as close as possible to the internal inguinal ring. The other…

SULLA VALUTAZIONE DI ALCUNE TECNICHE DIAGNOSTICHE NEL MEGACOLON AGANGLIARE

Gli Autori analizzano l'iter diagnostico nel Megacolon Agamgliare

Un caso di due gemelle monocoriali con una differente doppia atresia intestinale

APPENDICECTOMIA VIDEOASSISTITA IN ETA' PEDIATRICA. NOSTRA ESPERIENZA.

Urethrocutaneous fistula repair after hypospadias surgery

OBJECTIVE To evaluate and compare the success rates of simple and layered repairs of urethrocutaneous fistulae after hypospadias repair. PATIENTS AND METHODS The charts of 72 children who developed fistulae after hypospadias repair were reviewed; 39 had a simple closure of the fistula, whereas 32 had a 'pants over vest' repair, in all cases after excluding an impairment of urine outflow. RESULTS The success rate at the first attempt was 74% for simple closure and 94% for the layered repair; at the second attempt it was 80% and 100%, the difference being statistically significant for both repairs. CONCLUSIONS Although probably far from an optimal technique for repairing urethrocutaneous fist…