ABSTRACT
BACKGROUND: During sigmoid or rectal cancer surgery, dissection of lymph-nodes at the origin of inferior mesenteric artery is mandatory. Nevertheless, ligation of the origin of IMA should compromise blood supply to left colon and affect anastomosis. The aim of this retrospective evaluation is to compare high IMA ligation and low IMA ligation with preservation of LCA and skeletonization of the origin of IMA during laparoscopic colorectal resection. METHODS: All 120 patients included were affected by clinically M-0 sigmoid or rectal cancer. A laparoscopic colorectal resection with low or high ligature of IMA was performed. Low ligation was carried out with lymphadenectomy of the arterial root. Patients were divided in 2 groups according to type of treatment: Group A, high IMA ligation (N=65), Group B, low ligation with lymphadenectomy of IMA root (N=55). RESULTS: Preoperatively 59 patients had stage I, 42 patients had stage II and 19 patients had stage III tumor. A mean of 20.3 +/- 4.5 lymph nodes were removed in group A patients and 18.9 +/- 9.1 in group B patients, and this difference was not statistically significant. Operative time, intraoperative and postoperative complication rates were not different between the two group. CONCLUSIONS: Low IMA ligation combined with lymph-node dissection at its origin is safe and effective, not time consuming and not associated to increased risk of complications and nerve damage. This technique can be considered as alternative to standard high IMA ligation in selected patients.
Subject(s)
Laparoscopy/methods , Lymph Node Excision/methods , Rectal Neoplasms/surgery , Sigmoid Neoplasms/surgery , Aged , Dissection , Female , Humans , Ligation , Lymph Nodes/pathology , Male , Mesenteric Artery, Inferior , Middle Aged , Operative Time , Postoperative Complications/epidemiology , Rectum/surgery , Retrospective StudiesABSTRACT
The Authors describe a case of mature cystic teratoma found in a little girl 9 + 8/12 years old and removed in laparoscopic way. Various specialists' contribution shows up for the resolution of the case.
Subject(s)
Abdominal Pain/etiology , Female , Humans , Infant, Newborn , Patient Care TeamABSTRACT
The authors report their experience about cleft lip and palate.
Subject(s)
Cleft Lip , Cleft Palate , Maxilla/abnormalities , Child , Child, Preschool , Cleft Lip/diagnosis , Cleft Lip/embryology , Cleft Lip/epidemiology , Cleft Lip/etiology , Cleft Lip/therapy , Cleft Palate/diagnosis , Cleft Palate/embryology , Cleft Palate/epidemiology , Cleft Palate/etiology , Cleft Palate/therapy , Combined Modality Therapy , Humans , Infant , Infant, Newborn , Maxilla/surgery , Orthodontics, CorrectiveABSTRACT
The Authors describe one case of Goldenhar's syndrome. They concentrate on the etiopathogenetic hypothesis and they believe it helps the gradual healing in time.
Subject(s)
Goldenhar Syndrome , Child, Preschool , Diagnosis, Differential , Goldenhar Syndrome/diagnosis , Humans , MaleABSTRACT
The authors describe a case day Guillain-Barré syndrome admitted in pediatrics hospital department for asthenia. Approximately an hour after admission, the patient showed dysphagia and respiratory insufficiency and was diagnosed a Guillain-Barré syndrome, successfully treated.
Subject(s)
Polyradiculoneuropathy/diagnosis , Child , Emergencies , Female , Humans , Polyradiculoneuropathy/therapySubject(s)
Kidney Diseases/diagnostic imaging , Adult , Diseases in Twins/diagnosis , Female , Humans , Infant, Newborn , Male , Pregnancy , Pregnancy, Multiple , Ultrasonography, PrenatalABSTRACT
The authors describe a case of hereditary angioedema in a female child of four years. Treatment with C1 human-immuno-inactivator. Good success of therapy.
Subject(s)
Angioedema/genetics , Angioedema/diagnosis , Angioedema/drug therapy , Child, Preschool , Complement C1 Inactivator Proteins/therapeutic use , Complement System Proteins/analysis , Female , Humans , RecurrenceABSTRACT
The Authors report a case of difficult diagnosis, clinically characterised by long-term persistent fever. Clinical and laboratory tests led to a first conclusion of a tubercular infection; later of a perisplenic hematoma and the persistence of high inflammatory indices directed to a different diagnosis.
Subject(s)
Fever of Unknown Origin/etiology , Child , Chronic Disease , Humans , Inflammation/complications , MaleABSTRACT
The authors outline the relationship between environment and children health care. They describe the environmental situations able to produce damages to the children's health.
Subject(s)
Child Welfare , Environmental Health , Accidents, Traffic , Child , Child Nutrition Disorders/etiology , Environmental Pollution/adverse effects , Humans , Italy , Stress, Psychological/etiologyABSTRACT
By examining 8244 clinical records, in a period of 12 years of paediatric activity, the authors point out the connection between dental caries and rheumatic fever. They suggest fluoride supplementation since the early age, in countries where the fluoride is lack in drink able-water.
Subject(s)
Dental Caries/diagnosis , Hospital Departments , Pediatrics , Rheumatic Fever/diagnosis , Adolescent , Child , Child, Preschool , Dental Caries/epidemiology , Dental Caries/prevention & control , Fluoridation , Humans , Incidence , Italy/epidemiology , Rheumatic Fever/epidemiologyABSTRACT
After a short review of the normal embryonal development of lower limbs the authors describe a case of polydactyly associated with a 2nd-grade hypospadias observed in a 4-month-age patient. The authors, after the surgical treatment of both defects, have made the follow-up of the patient until six year age.
