BUFFA P.

Operative thoracoscopy is not a new technique in pediatric patients. However, the indications to this approach are not well defined because of the little experience in the technical aspects and of the risks of seeding in case of oncologic procedures. We present a prospective, nonrandomized study, comparing two groups of pediatric patients who...

Background/Purpose: The long-term urologic outcome in a large series of patients with neural tube defects was evaluated. Methods: The following clinical parameters in 398 patients ranging from 1 to 37 years of age-69 with caudal regression syndrome (CRS), 244 with meningomyelocele (MMC), and 85 with spinal lipoma (SL)-were studied: congenital...

Objective: To evaluate the risk of renal damage in a large series of patients affected by spinal dysraphism. Methods: Renal function was studied in 502 spinal dysraphisms treated over the last 25 years in a single center: 283 meningomyelocele (MMC), 90 caudal regression syndrome (CRS) and 129 spinal lipoma (SL) cases. In patients with normal...

Indwelling central venous catheters (CVC) are essential devices in the management of children with oncologic/hematologic diseases or following bone marrow transplantation. The authors report data on the mechanical complications observed in pediatric hematology/oncology patients, collected by a retrospective analysis of clinical records of 482...

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Recently, the increased accuracy of ultrasound examinations has led to the more frequent identification of cholelithiasis. The minimally invasive approach has allowed a broader application of surgical therapy in children. We report on our experience with 43 laparoscopic cholecystectomies in children. Ultrasound examination has been used...

Diffuse lipomatosis is a very rare condition, the nature of which, neoplastic or hamartomatous, has not yet been defined. We report the case of a small child with a right thoracic lesion of neonatal onset and extremely rapid growth, who successfully underwent complete surgical resection. The differential diagnoses and proper surgical treatment...

Posterior urethral valves (PUV) represent an important clinical problem due to their high morbidity. In particular, the frequent association with renal dysplasia, and chronic obstruction with subsequent hydroureteronephrosis are the major causes of progressive renal failure. Early diagnosis and infection control, suitable elective surgery,...

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