I. Diéguez, A. Costa, I. Miró, J. A. March Villalba, M. Del Peral, A. Marco Macían, J. J. Vila
INTRODUCTION Pilonidal sinus (PS) is an infectious/inflammatory condition of the sacrococcygeal region, with frequent relapses. There is no clear consensus as to which management technique is best. The most widely used technique is en bloc resection (EBR), but less invasive methods (Gips procedure) are now being developed. OBJECTIVE To compare complications and progression of pediatric patients undergoing PS surgery in our institution using two different surgical techniques. MATERIAL AND METHODS A retrospective study of patients under 16 years of age undergoing PS surgery (EBR/Gips procedure) for the first time from 2014 to 2020 was carried out. Demographic variables, complications in the first month (exudate, wound infection, dehiscence, and bleeding), and result at the end of follow-up were collected. Qualitative variables were expressed as absolute frequency and percentage, whereas quantitative variables were expressed as mean and standard deviation. RESULTS 60 patients underwent surgery. EBR was used in the first group, and the Gips procedure was used in the second group (76.67%, n = 46 vs. 23.33%, n = 14). Both were comparable in terms of sex (32.61% vs. 35.71% male), age (14.04 vs. 13.79 years old), and BMI (26.63 vs. 26.20 kg/m2) at surgery. 6 patients underwent re-intervention (10.87% vs. 7.14%; p = 0.684). Median follow-up time to healing was 6.13 ± 0.98 months vs. 3.31 ± 1.26 months (p < 0.024). The Gips procedure caused no dehiscence, whereas dehiscence rate in EBR was 65.22%. CONCLUSION The Gips procedure is a minimally invasive alternative to EBR. It avoids dehiscence, and time to healing is shorter. Therefore, it should be regarded as the first-line treatment in PS patients.
毛突窦(PS)是骶尾骨区域的一种感染性/炎症性疾病，经常复发。对于哪种管理技术是最好的，目前还没有明确的共识。最广泛使用的技术是整体切除(EBR)，但目前正在开发侵入性较小的方法(Gips手术)。目的比较两种不同手术方式下小儿PS手术的并发症及进展情况。材料与方法回顾性研究2014 - 2020年首次接受PS手术(EBR/Gips手术)的16岁以下患者。收集人口统计学变量、第一个月的并发症(渗出液、伤口感染、裂开、出血)和随访结束时的结果。定性变量用绝对频率和百分比表示，定量变量用均值和标准差表示。结果60例患者接受手术治疗。第一组采用EBR，第二组采用Gips法(76.67%，n = 46 vs. 23.33%， n = 14)。两者在性别(32.61% vs. 35.71%男性)、年龄(14.04 vs. 13.79)和手术时BMI (26.63 vs. 26.20 kg/m2)方面具有可比性。再次干预6例(10.87% vs. 7.14%;P = 0.684)。中位随访时间分别为6.13±0.98个月和3.31±1.26个月(p < 0.024)。Gips手术未引起裂孔，而EBR的裂孔率为65.22%。结论Gips手术是一种可替代EBR的微创手术。它避免了开裂，愈合的时间也更短。因此，应将其作为PS患者的一线治疗。
{"title":"En bloc resection vs. Gips procedure in pilonidal sinus surgery.","authors":"I. Diéguez, A. Costa, I. Miró, J. A. March Villalba, M. Del Peral, A. Marco Macían, J. J. Vila","doi":"10.54847/cp.2022.02.15","DOIUrl":"https://doi.org/10.54847/cp.2022.02.15","url":null,"abstract":"INTRODUCTION\u0000Pilonidal sinus (PS) is an infectious/inflammatory condition of the sacrococcygeal region, with frequent relapses. There is no clear consensus as to which management technique is best. The most widely used technique is en bloc resection (EBR), but less invasive methods (Gips procedure) are now being developed.\u0000\u0000\u0000OBJECTIVE\u0000To compare complications and progression of pediatric patients undergoing PS surgery in our institution using two different surgical techniques.\u0000\u0000\u0000MATERIAL AND METHODS\u0000A retrospective study of patients under 16 years of age undergoing PS surgery (EBR/Gips procedure) for the first time from 2014 to 2020 was carried out. Demographic variables, complications in the first month (exudate, wound infection, dehiscence, and bleeding), and result at the end of follow-up were collected. Qualitative variables were expressed as absolute frequency and percentage, whereas quantitative variables were expressed as mean and standard deviation.\u0000\u0000\u0000RESULTS\u000060 patients underwent surgery. EBR was used in the first group, and the Gips procedure was used in the second group (76.67%, n = 46 vs. 23.33%, n = 14). Both were comparable in terms of sex (32.61% vs. 35.71% male), age (14.04 vs. 13.79 years old), and BMI (26.63 vs. 26.20 kg/m2) at surgery. 6 patients underwent re-intervention (10.87% vs. 7.14%; p = 0.684). Median follow-up time to healing was 6.13 ± 0.98 months vs. 3.31 ± 1.26 months (p < 0.024). The Gips procedure caused no dehiscence, whereas dehiscence rate in EBR was 65.22%.\u0000\u0000\u0000CONCLUSION\u0000The Gips procedure is a minimally invasive alternative to EBR. It avoids dehiscence, and time to healing is shorter. Therefore, it should be regarded as the first-line treatment in PS patients.","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"78 1","pages":"75-79"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79259051","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}
J. B. Betancourth Alvarenga, S. Santiago Martínez, S. J. Jiménez Gómez, M. B. San Vicente Vela, M. Gaspar Pérez, N. Álvarez García, J. Güizzo, P. Jiménez Arribas, C. Esteva Miró, B. Núñez García
INTRODUCTION Splenic and hepatic pseudoaneurysm (PA) is a rare arteriovenous injury that may occur following abdominal trauma. The most frequent complication of PA is late rupture, which can lead to hemodynamic instability. The objective of this study was to describe our experience in the management of visceral PA. MATERIAL AND METHODS A retrospective study of patients under 15 years of age with blunt abdominal trauma associated with splenic and/or hepatic injury treated from 2012 to 2020 was carried out. PA formation and management were analyzed. All patients underwent CT-scan, which allowed trauma grade to be established, and also control contrast-enhanced ultrasonography (CEUS) in the first week following trauma. If PA was confirmed, angiography ± percutaneous embolization were performed. RESULTS A total of 32 patients with blunt trauma were included. Mean age was 8.7 ± 3.2 years (2-15 years). 68.7% (n = 22) of patients were male. Median trauma grade was grade III (grades II-IV). 33.3% (n = 5/15) of patients developed splenic PA, and 5.8% (n = 1/17) of patients developed hepatic PA, with mean diagnostic time being 3.7 ± 3 (3-8) days. PA formation was associated with higher severity scores, with a mean difference of 15.6 ± 5.3 (95% CI: 4.37:26.14 p < 0.008). All PA cases - except for one, which required urgent splenectomy - were treated with embolization (85.7%) (n = 5/6). CONCLUSION Visceral PA is underdiagnosed, with an incidence higher than reported. Imaging studies (CEUS) are required prior to discharge in the presence of severe trauma. Treatment remains controversial, but we recommend percutaneous embolization, with splenectomy being reserved for unstable patients.
{"title":"Management of splenic and/or hepatic pseudoaneurysm following abdominal trauma in pediatric patients.","authors":"J. B. Betancourth Alvarenga, S. Santiago Martínez, S. J. Jiménez Gómez, M. B. San Vicente Vela, M. Gaspar Pérez, N. Álvarez García, J. Güizzo, P. Jiménez Arribas, C. Esteva Miró, B. Núñez García","doi":"10.54847/cp.2022.02.16","DOIUrl":"https://doi.org/10.54847/cp.2022.02.16","url":null,"abstract":"INTRODUCTION\u0000Splenic and hepatic pseudoaneurysm (PA) is a rare arteriovenous injury that may occur following abdominal trauma. The most frequent complication of PA is late rupture, which can lead to hemodynamic instability. The objective of this study was to describe our experience in the management of visceral PA.\u0000\u0000\u0000MATERIAL AND METHODS\u0000A retrospective study of patients under 15 years of age with blunt abdominal trauma associated with splenic and/or hepatic injury treated from 2012 to 2020 was carried out. PA formation and management were analyzed. All patients underwent CT-scan, which allowed trauma grade to be established, and also control contrast-enhanced ultrasonography (CEUS) in the first week following trauma. If PA was confirmed, angiography ± percutaneous embolization were performed.\u0000\u0000\u0000RESULTS\u0000A total of 32 patients with blunt trauma were included. Mean age was 8.7 ± 3.2 years (2-15 years). 68.7% (n = 22) of patients were male. Median trauma grade was grade III (grades II-IV). 33.3% (n = 5/15) of patients developed splenic PA, and 5.8% (n = 1/17) of patients developed hepatic PA, with mean diagnostic time being 3.7 ± 3 (3-8) days. PA formation was associated with higher severity scores, with a mean difference of 15.6 ± 5.3 (95% CI: 4.37:26.14 p < 0.008). All PA cases - except for one, which required urgent splenectomy - were treated with embolization (85.7%) (n = 5/6).\u0000\u0000\u0000CONCLUSION\u0000Visceral PA is underdiagnosed, with an incidence higher than reported. Imaging studies (CEUS) are required prior to discharge in the presence of severe trauma. Treatment remains controversial, but we recommend percutaneous embolization, with splenectomy being reserved for unstable patients.","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"30 1","pages":"80-84"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78861518","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}
D. Crehuet Gramatyka, A. Domènech Tàrrega, C. Driller, L. Mangas Álvarez, M. J. Estebán Ricós, J. M. Martínez Rodrigo, A. Mínguez Gómez, A. Costa Roig, M. Del Peral Samaniego, J. V. Vila Carbó
INTRODUCTION Transjugular intrahepatic portosystemic shunt (TIPS) was designed to treat complications of portal hypertension (PH). The objective of this study was to analyze the results of the TIPS performed in pediatric patients in our institution as a previous step to liver transplantation (LT). MATERIAL AND METHODS A retrospective, descriptive study of pediatric patients with liver cirrhosis undergoing TIPS prior to LT from 2015 to 2020 was carried out. RESULTS TIPS was performed in 10 patients. The reason for TIPS was hard-to-control ascites in 7 patients (70%), upper gastrointestinal bleeding due to esophageal varices in 1 patient (10%), and portal hypoplasia in 2 cases (20%). No intraoperative complications were recorded. Stent patency was achieved in all cases. TIPS patency until LT was observed in 6 patients (60%). Indirect signs of patency were noted in 1 patient (10%). 2 patients (20%) required re-intervention, with patency being achieved in the second attempt. And finally, no patency was observed after 3 attempts in 1 patient (10%). A decrease in portocaval gradient (p = 0.001) and an increase in portal velocity (p = 0.006) were observed. No platelet count changes were found. A slight, non-significant increase in ammonia was noted. CONCLUSION TIPS is a safe and effective procedure to reduce complications of hard-to-control PH in pediatric patients. It allows general condition to be optimized, deterioration to be avoided, and portal vein narrowing to be alleviated in cirrhosis patients as a previous step to LT.
{"title":"Evaluation of transjugular intrahepatic portosystemic shunt (TIPS) as a previous step to liver transplantation in pediatric patients.","authors":"D. Crehuet Gramatyka, A. Domènech Tàrrega, C. Driller, L. Mangas Álvarez, M. J. Estebán Ricós, J. M. Martínez Rodrigo, A. Mínguez Gómez, A. Costa Roig, M. Del Peral Samaniego, J. V. Vila Carbó","doi":"10.54847/cp.2022.02.12","DOIUrl":"https://doi.org/10.54847/cp.2022.02.12","url":null,"abstract":"INTRODUCTION\u0000Transjugular intrahepatic portosystemic shunt (TIPS) was designed to treat complications of portal hypertension (PH). The objective of this study was to analyze the results of the TIPS performed in pediatric patients in our institution as a previous step to liver transplantation (LT).\u0000\u0000\u0000MATERIAL AND METHODS\u0000A retrospective, descriptive study of pediatric patients with liver cirrhosis undergoing TIPS prior to LT from 2015 to 2020 was carried out.\u0000\u0000\u0000RESULTS\u0000TIPS was performed in 10 patients. The reason for TIPS was hard-to-control ascites in 7 patients (70%), upper gastrointestinal bleeding due to esophageal varices in 1 patient (10%), and portal hypoplasia in 2 cases (20%). No intraoperative complications were recorded. Stent patency was achieved in all cases. TIPS patency until LT was observed in 6 patients (60%). Indirect signs of patency were noted in 1 patient (10%). 2 patients (20%) required re-intervention, with patency being achieved in the second attempt. And finally, no patency was observed after 3 attempts in 1 patient (10%). A decrease in portocaval gradient (p = 0.001) and an increase in portal velocity (p = 0.006) were observed. No platelet count changes were found. A slight, non-significant increase in ammonia was noted.\u0000\u0000\u0000CONCLUSION\u0000TIPS is a safe and effective procedure to reduce complications of hard-to-control PH in pediatric patients. It allows general condition to be optimized, deterioration to be avoided, and portal vein narrowing to be alleviated in cirrhosis patients as a previous step to LT.","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"20 1","pages":"57-62"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85944945","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. Salcedo Arroyo, C. Domínguez García, M. R. Delgado Alvira, J. Pisón Chacón, Y. González Ruiz, M. González Herrero, P. Bragagnini Rodríguez, M. V. Cobos Hernández
INTRODUCTION Urethrorrhagia is an infrequent sign in childhood. It should be distinguished from hematuria, since they have a different etiology. CLINICAL CASE 11-year-old male patient with significant urethrorrhagia. Urinary sediment analysis: red blood cells++. Pelvic ultrasonography: fusiform anechoic image in the corpus spongiosum of the penile root. Retrograde urethrogram: normal anterior urethra, extraluminal contrast passage in the ventral aspect of the bulbar urethra. Cystoscopy: no pathological findings in the urethra or the bladder. Control retrograde urethrogram: cystic dilatation of Cowper's gland duct; Maizels' type 3 perforated syringocele. DISCUSSION Cowper's syringocele is a rare pathology. It can occur at any stage of childhood in the form of urinary infection, obstructive voiding symptoms, or urethrorrhagia. Urethrogram is key for diagnostic purposes, since most Cowper's syringoceles are detected following urethrogram or cystoscopy. Cases with functional repercussions for the urinary system require surgical treatment. Otherwise, a wait-and-see approach is feasible.
{"title":"What urethrogram sees and a surgeon does not.","authors":"P. Salcedo Arroyo, C. Domínguez García, M. R. Delgado Alvira, J. Pisón Chacón, Y. González Ruiz, M. González Herrero, P. Bragagnini Rodríguez, M. V. Cobos Hernández","doi":"10.54847/cp.2022.02.18","DOIUrl":"https://doi.org/10.54847/cp.2022.02.18","url":null,"abstract":"INTRODUCTION\u0000Urethrorrhagia is an infrequent sign in childhood. It should be distinguished from hematuria, since they have a different etiology.\u0000\u0000\u0000CLINICAL CASE\u000011-year-old male patient with significant urethrorrhagia. Urinary sediment analysis: red blood cells++. Pelvic ultrasonography: fusiform anechoic image in the corpus spongiosum of the penile root. Retrograde urethrogram: normal anterior urethra, extraluminal contrast passage in the ventral aspect of the bulbar urethra. Cystoscopy: no pathological findings in the urethra or the bladder. Control retrograde urethrogram: cystic dilatation of Cowper's gland duct; Maizels' type 3 perforated syringocele.\u0000\u0000\u0000DISCUSSION\u0000Cowper's syringocele is a rare pathology. It can occur at any stage of childhood in the form of urinary infection, obstructive voiding symptoms, or urethrorrhagia. Urethrogram is key for diagnostic purposes, since most Cowper's syringoceles are detected following urethrogram or cystoscopy. Cases with functional repercussions for the urinary system require surgical treatment. Otherwise, a wait-and-see approach is feasible.","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"17 1","pages":"91-93"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77821995","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}
R. Hernández-Rodríguez, M. J. Rosell Echevarría, F.D. Ravelo Díaz, V. Villamil, E.L. Pérez Etchepare Figueroa
{"title":"Resultados a medio-largo plazo del tratamiento monopuerto SuPerLap de la hernia inguinal","authors":"R. Hernández-Rodríguez, M. J. Rosell Echevarría, F.D. Ravelo Díaz, V. Villamil, E.L. Pérez Etchepare Figueroa","doi":"10.54847/cp.2022.01.03","DOIUrl":"https://doi.org/10.54847/cp.2022.01.03","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48603223","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}
E.J. Redondo Pertuz, C. González Rührnschopf, P. D´Alessandro, M. Boglione, A. Reusmann, M. Barrenechea
{"title":"Gastrosquisis: cierre diferido con incisiones de descarga. Reporte de caso","authors":"E.J. Redondo Pertuz, C. González Rührnschopf, P. D´Alessandro, M. Boglione, A. Reusmann, M. Barrenechea","doi":"10.54847/cp.2022.01.08","DOIUrl":"https://doi.org/10.54847/cp.2022.01.08","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43902366","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}
R. Fernández Atuan, Y. González Ruiz, P. Salcedo Arroyo, P. Vargova, P. Bragagnini Rodríguez, M. Ruiz de Temiño
{"title":"Valoración testicular en pacientes adultos operados de criptorquidia en edad infantil y su efecto sobre la paternidad","authors":"R. Fernández Atuan, Y. González Ruiz, P. Salcedo Arroyo, P. Vargova, P. Bragagnini Rodríguez, M. Ruiz de Temiño","doi":"10.54847/cp.2022.01.05","DOIUrl":"https://doi.org/10.54847/cp.2022.01.05","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45661744","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}
G. Grande Morello, J. Margarit Mallot, S. Fuentes Carretero
{"title":"Duplicación intestinal aislada respecto al tracto digestivo: una entidad a tener en cuenta","authors":"G. Grande Morello, J. Margarit Mallot, S. Fuentes Carretero","doi":"10.54847/cp.2022.01.07","DOIUrl":"https://doi.org/10.54847/cp.2022.01.07","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":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41566681","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}
V. Ibáñez Pradas, M. Cortés Cerisuelo, E. Montalvá Orón
{"title":"Trasplante hepático pediátrico","authors":"V. Ibáñez Pradas, M. Cortés Cerisuelo, E. Montalvá Orón","doi":"10.54847/cp.2022.01.01","DOIUrl":"https://doi.org/10.54847/cp.2022.01.01","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48919564","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. de la Sen Maldonado, N. Albertos Mira-Marcellí, V. Díaz Díaz, M.G. Toro Rodríguez, J. González Piñera
{"title":"Impacto de la pandemia en el manejo de la hernia inguinal en lactantes","authors":"C. de la Sen Maldonado, N. Albertos Mira-Marcellí, V. Díaz Díaz, M.G. Toro Rodríguez, J. González Piñera","doi":"10.54847/cp.2022.01.02","DOIUrl":"https://doi.org/10.54847/cp.2022.01.02","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42159248","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：