J. Arredondo Montero, S. Hernández Martín, L. Ayuso González, C. Bardají Pascual
{"title":"Reacción fibrótica peneana severa secundaria a una sutura no absorbible: reporte de un caso","authors":"J. Arredondo Montero, S. Hernández Martín, L. Ayuso González, C. Bardají Pascual","doi":"10.54847/cp.2023.03.08","DOIUrl":"https://doi.org/10.54847/cp.2023.03.08","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70952325","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}
P. Barila, J. Molino, E. Hidalgo, J. Quintero, J. Juamperez, M. Mercadal-Hally, J. Ortega, I. Bilbao, R. Charco
{"title":"Perforación intestinal tras trasplante hepático pediátrico: factores de riesgo y manejo","authors":"P. Barila, J. Molino, E. Hidalgo, J. Quintero, J. Juamperez, M. Mercadal-Hally, J. Ortega, I. Bilbao, R. Charco","doi":"10.54847/cp.2023.02.05","DOIUrl":"https://doi.org/10.54847/cp.2023.02.05","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70952186","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}
L. Pérez Egido, MA García Casillas, JA Cerdá Berrocal, A. del Cañizo López, J. Ordoñez Pereira, I. Bada Bosch, JC de Agustín Asensio
{"title":"Neumonectomía toracoscópica en un niño de 4 años con el pulmón destruido tras neumonía vírica","authors":"L. Pérez Egido, MA García Casillas, JA Cerdá Berrocal, A. del Cañizo López, J. Ordoñez Pereira, I. Bada Bosch, JC de Agustín Asensio","doi":"10.54847/cp.2023.03.07","DOIUrl":"https://doi.org/10.54847/cp.2023.03.07","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70952317","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}
C M Gálvez Estévez, M P Valdivieso Castro, A Galbarriatu Gutiérrez, I Tuduri Limousin, T M Cardenal Alonso-Allende, L Álvarez Martínez, J L Blanco Bruned
Introduction: There are various alternatives available for renal pelvis drainage following pyeloplasty. One of them is the use of an internal-external diversion stent, which according to our protocol, is knotted 48 hours following surgery, prior to discharge, and removed 7 days later on an outpatient consultation basis, with no sedation or analgesia required.
Objective: To analyze the results of patients under one year of age who underwent open pyeloplasty associated with an outpatient internal-external diversion stent.
Materials and methods: A retrospective, descriptive analysis of 28 patients (31 renal units) undergoing surgery from 2011 to 2021 was carried out. Diagnostic methods, indications, surgical approach, and postoperative progression were assessed.
Results: 28 patients (23 male) prenatally diagnosed with hydronephrosis confirmed by ultrasonography and/or renogram underwent pyeloplasty at a median age of 3 months (15 days-11 months). Pyeloplasty was conducted according to the Anderson-Hynes technique or dismembered pyeloplasty in 28 renal units, and according to the Culp-DeWeerd technique or spiral flap in 3. In all cases, an internal-external diversion stent was used according to our protocol. Mean hospital stay was 3.5 days (2-7 days), with a good postoperative progression. 2 patients had complications (urinary infection requiring intravenous antibiotics, and pyonephrosis requiring re-pyeloplasty).
Conclusions: Using an internal-external diversion stent following pyeloplasty in patients under 1 year of age with ureteropelvic junction obstruction is a simple and safe option that allows for early discharge with outpatient management. It also avoids a second general anesthesia for drainage catheter removal purposes.
{"title":"Use of internal-external diversion stent in open pyeloplasty in patients under one year of age.","authors":"C M Gálvez Estévez, M P Valdivieso Castro, A Galbarriatu Gutiérrez, I Tuduri Limousin, T M Cardenal Alonso-Allende, L Álvarez Martínez, J L Blanco Bruned","doi":"10.54847/cp.2023.01.17","DOIUrl":"https://doi.org/10.54847/cp.2023.01.17","url":null,"abstract":"<p><strong>Introduction: </strong>There are various alternatives available for renal pelvis drainage following pyeloplasty. One of them is the use of an internal-external diversion stent, which according to our protocol, is knotted 48 hours following surgery, prior to discharge, and removed 7 days later on an outpatient consultation basis, with no sedation or analgesia required.</p><p><strong>Objective: </strong>To analyze the results of patients under one year of age who underwent open pyeloplasty associated with an outpatient internal-external diversion stent.</p><p><strong>Materials and methods: </strong>A retrospective, descriptive analysis of 28 patients (31 renal units) undergoing surgery from 2011 to 2021 was carried out. Diagnostic methods, indications, surgical approach, and postoperative progression were assessed.</p><p><strong>Results: </strong>28 patients (23 male) prenatally diagnosed with hydronephrosis confirmed by ultrasonography and/or renogram underwent pyeloplasty at a median age of 3 months (15 days-11 months). Pyeloplasty was conducted according to the Anderson-Hynes technique or dismembered pyeloplasty in 28 renal units, and according to the Culp-DeWeerd technique or spiral flap in 3. In all cases, an internal-external diversion stent was used according to our protocol. Mean hospital stay was 3.5 days (2-7 days), with a good postoperative progression. 2 patients had complications (urinary infection requiring intravenous antibiotics, and pyonephrosis requiring re-pyeloplasty).</p><p><strong>Conclusions: </strong>Using an internal-external diversion stent following pyeloplasty in patients under 1 year of age with ureteropelvic junction obstruction is a simple and safe option that allows for early discharge with outpatient management. It also avoids a second general anesthesia for drainage catheter removal purposes.</p>","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"36 1","pages":"28-32"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10521024","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}
{"title":"Who was Schoemaker?","authors":"Ó Girón Vallejo","doi":"10.54847/cp.2023.01.11","DOIUrl":"https://doi.org/10.54847/cp.2023.01.11","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"36 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10701128","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}
S De La Puente, R Espinosa Góngora, H Souto Romero, C Rico Espiñeira, A L Luis Huertas, C Garcés Visier, P Ramos Rodríguez, D Muñoz Hernández, M L Espinoza Vega, J A Acedo Ruiz, P Maruszewski, C Riñón, P Morató Robert, L Palomino, M Velasco, A Martín Vega, J L Alonso Calderón
Aim of the study: To describe perianal Crohn's disease behavior and the role of biological therapy in a sample of pediatric patients.
Methods: A retrospective study of pediatric patients with Crohn's disease (CD) treated in our institution from 2017 to 2021, with a minimum follow up period of 6 months, was conducted. Patients were divided whether they had perianal disease (PD) or not. Baseline characteristics, extension of disease, growth failure rate, aggressive pattern rate, use of biological therapy and need for surgery, among other variables, were compared between both groups. Clinical and/or radiological improvement in the last 6 months of follow up was considered good control of PD.
Results: Seventy eight pediatric patients with CD were included. Median age at diagnosis was 10.5 years, and median follow up time was 3.8 years. 64.1% patients were male. Of all, 15 (19.2%) had perianal disease, of which 10 had fistulizing findings and 5 had non fistulizing findings. PD was presented at diagnosis in 8 patients, and the rest developed it in a median time of 1 year from diagnosis. PD was associated with growth failure (p = 0.003), use of biological therapies (p = 0.005), and need for second line of biologics (p = 0.005). Most patients (12/15, 80%) had good control of PD with the treatment received.
Conclusions: CD patients with PD seem to need a more aggressive treatment, with biological therapies playing a key role for its handling nowadays. These patients require close nutritional evaluation that ensures proper development and growth.
{"title":"Pediatric perianal Crohn's disease behavior in the era of biologic therapy.","authors":"S De La Puente, R Espinosa Góngora, H Souto Romero, C Rico Espiñeira, A L Luis Huertas, C Garcés Visier, P Ramos Rodríguez, D Muñoz Hernández, M L Espinoza Vega, J A Acedo Ruiz, P Maruszewski, C Riñón, P Morató Robert, L Palomino, M Velasco, A Martín Vega, J L Alonso Calderón","doi":"10.54847/cp.2023.01.16","DOIUrl":"https://doi.org/10.54847/cp.2023.01.16","url":null,"abstract":"<p><strong>Aim of the study: </strong>To describe perianal Crohn's disease behavior and the role of biological therapy in a sample of pediatric patients.</p><p><strong>Methods: </strong>A retrospective study of pediatric patients with Crohn's disease (CD) treated in our institution from 2017 to 2021, with a minimum follow up period of 6 months, was conducted. Patients were divided whether they had perianal disease (PD) or not. Baseline characteristics, extension of disease, growth failure rate, aggressive pattern rate, use of biological therapy and need for surgery, among other variables, were compared between both groups. Clinical and/or radiological improvement in the last 6 months of follow up was considered good control of PD.</p><p><strong>Results: </strong>Seventy eight pediatric patients with CD were included. Median age at diagnosis was 10.5 years, and median follow up time was 3.8 years. 64.1% patients were male. Of all, 15 (19.2%) had perianal disease, of which 10 had fistulizing findings and 5 had non fistulizing findings. PD was presented at diagnosis in 8 patients, and the rest developed it in a median time of 1 year from diagnosis. PD was associated with growth failure (p = 0.003), use of biological therapies (p = 0.005), and need for second line of biologics (p = 0.005). Most patients (12/15, 80%) had good control of PD with the treatment received.</p><p><strong>Conclusions: </strong>CD patients with PD seem to need a more aggressive treatment, with biological therapies playing a key role for its handling nowadays. These patients require close nutritional evaluation that ensures proper development and growth.</p>","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"36 1","pages":"22-27"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9084282","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}
M. Velayos, J. Serradilla, K. Estefanía-Fernández, AJ Muñoz-Serrano, C. Ramírez Amorós, MC San Basilio Berenguer, A. Vilanova-Sánchez, MV López-Santamaría, F. Hernandez-Oliveros
{"title":"Teratoma de aparición secuencial en edad pediátrica: ¿casualidad o causalidad?","authors":"M. Velayos, J. Serradilla, K. Estefanía-Fernández, AJ Muñoz-Serrano, C. Ramírez Amorós, MC San Basilio Berenguer, A. Vilanova-Sánchez, MV López-Santamaría, F. Hernandez-Oliveros","doi":"10.54847/cp.2023.01.9","DOIUrl":"https://doi.org/10.54847/cp.2023.01.9","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43999280","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}
M. Prado Arias, J. Gómez Veiras, P. Rodríguez Iglesias, B. Aneiros Castro, P. Fernández Eire, M. Montero Sánchez
{"title":"Tratamiento del pectus excavatum con campana de succión durante la pubertad","authors":"M. Prado Arias, J. Gómez Veiras, P. Rodríguez Iglesias, B. Aneiros Castro, P. Fernández Eire, M. Montero Sánchez","doi":"10.54847/cp.2023.03.03","DOIUrl":"https://doi.org/10.54847/cp.2023.03.03","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70952205","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}
C. Pérez Costoya, A. Gómez Farpón, EM Enríquez Zarabozo, C. Granell Suarez, N. Vega Mata, S. Amat Valero, V. Álvarez Muñoz
{"title":"Análisis de una guía clínica para el tratamiento y alta precoz en apendicitis aguda complicada","authors":"C. Pérez Costoya, A. Gómez Farpón, EM Enríquez Zarabozo, C. Granell Suarez, N. Vega Mata, S. Amat Valero, V. Álvarez Muñoz","doi":"10.54847/cp.2023.03.04","DOIUrl":"https://doi.org/10.54847/cp.2023.03.04","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70952219","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}
S. de la Puente, ML Espinoza, I. Carrillo, C. Rico, H. Souto, J. Acedo, C. Riñón, C. Garcés, P. Ramos, D. Muñoz, B. Zamora, R. Espinosa, A. Huertas, I. Rozas, M. González, A. Martín, J. Alonso
{"title":"Cistitis hemorrágica tras trasplante alogénico de progenitores hematopoyéticos: experiencia en un centro oncológico pediátrico","authors":"S. de la Puente, ML Espinoza, I. Carrillo, C. Rico, H. Souto, J. Acedo, C. Riñón, C. Garcés, P. Ramos, D. Muñoz, B. Zamora, R. Espinosa, A. Huertas, I. Rozas, M. González, A. Martín, J. Alonso","doi":"10.54847/cp.2023.03.05","DOIUrl":"https://doi.org/10.54847/cp.2023.03.05","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70952267","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}
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