RESUMO
In the last three decades, fetal ovarian cysts were diagnosed more frequently, due to technological improvement and the increasing use of prenatal screening ultrasound. Nonetheless, treatment uncertainties are still present, either prenatally or postnatally. Recently, significant innovations on diagnosis and treatment have been proposed and a more conservative, minimally invasive approach may be offered to the Pediatrician or the Surgeon who face with this condition during prenatal or neonatal age. (...).
Assuntos
Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Cistos Ovarianos/cirurgia , Cirurgia Vídeoassistida/métodos , Feminino , Humanos , Recém-Nascido , Itália , Cistos Ovarianos/diagnóstico por imagem , Gravidez , Ultrassonografia Pré-Natal/métodosRESUMO
The most appropriate treatment for the infantile Hypertrophic Pyloric Stenosis (HPS) is still debated. The non-surgical conservative treatment with oral or intravenous administration of atropine does not enjoy a widespread appreciation for several factors (...).
Assuntos
Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Estenose Pilórica Hipertrófica/terapia , Administração Intravenosa , Administração Oral , Atropina/administração & dosagem , Humanos , Lactente , Recém-Nascido , Itália , Cirurgia VídeoassistidaRESUMO
Esophageal Atresia (EA) is defined as an interruption in esophageal continuity that results in a proximal tract that ends in a blind pouch in 98% of cases, and a distal tract that in 87% of cases arises via a Fistula from the Trachea (TEF). (...).
Assuntos
Atresia Esofágica/cirurgia , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Atresia Esofágica/diagnóstico , Atresia Esofágica/fisiopatologia , Humanos , Lactente , Itália , Cirurgia Vídeoassistida/métodosRESUMO
Throughout history, the pediatric laparoscopic nephrectomy was first described at the beginning of the Nineties by Erlich and colleagues in a child and by Koyle and colleagues in an unweaned patient. (...).
Assuntos
Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Rim Displásico Multicístico/cirurgia , Nefrectomia/métodos , Humanos , Lactente , Itália , Rim/patologia , Rim/cirurgia , Laparoscopia/métodos , Cirurgia Vídeoassistida/métodosRESUMO
The hydronephrosis, characterized by the dilation of the renal pelvicalyceal system with possible functional damage to the renal parenchyma, is the most common congenital abnormality of the urinary system detected in utero through the prenatal ultrasound screening. (...).
Assuntos
Hidronefrose/cirurgia , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Obstrução Ureteral/cirurgia , Feminino , Humanos , Hidronefrose/patologia , Lactente , Itália , Pelve Renal/patologia , Pelve Renal/cirurgia , Gravidez , Ultrassonografia Pré-Natal/métodos , Obstrução Ureteral/diagnóstico , Obstrução Ureteral/patologia , Cirurgia Vídeoassistida/métodosRESUMO
Not available.
Assuntos
Atresia Esofágica/cirurgia , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Cirurgia Vídeoassistida/métodos , Humanos , LactenteRESUMO
Not available.
Assuntos
Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Obstrução Ureteral/cirurgia , Cirurgia Vídeoassistida/métodos , Humanos , Lactente , Pelve Renal/patologia , Pelve Renal/cirurgia , Obstrução Ureteral/patologiaRESUMO
Not available.
Assuntos
Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Nefrectomia/métodos , Cirurgia Vídeoassistida/métodos , Humanos , Lactente , Rim/patologia , Rim/cirurgiaRESUMO
PURPOSE: We examined sexuality and psychosocial functioning in patients with Mayer-Rokitansky-Kuster-Hauser syndrome who underwent colovaginoplasty. MATERIALS AND METHODS: Patients who underwent colovaginoplasty for Mayer-Rokitansky-Kuster-Hauser syndrome in Italy and Bangladesh were required to meet certain criteria, including age greater than 18 years, college degree/high socioeconomic status, procedure done by the same surgical team and a minimum 6-year followup. Outcomes were evaluated by a retrospective chart review and an English version of the female sexual function index. Psychosocial functioning was measured by an English version of a 36-item survey, including the Rosenberg Self-Esteem Scale, Beck Depression Index and Cohen Test for Life Management ability with results compared to those in 30 healthy control subjects. RESULTS: Of 40 patients who answered the female sexual function index 37% were married and 12% had adopted children while 40% were sexually active, 100% were attracted to males and 7% were on self-dilation. None required pads and 80% used a home douche. Of the patients 92% reported sexual desire and 87% reported sexual arousal. Sexual confidence and satisfaction were reported by approximately 90% of the patients and partner satisfaction was considered adequate by 93%. Most patients reported satisfactory orgasm. Of the women 89% reported adequate lubrication and none reported dyspareunia. Psychosocial functioning was not statistically different between patients and controls. CONCLUSIONS: Based on the scoring system outcome colovaginoplasty seems to be an excellent choice to manage vaginal agenesis and ensure good quality of general and sexual life.