ABSTRACT
Existen múltiples patologías del tracto urinario, ya sea congénitas o adquiridas, que requieren de tratamiento quirúrgico de Nefrectomía total o parcial. En el siguiente estudio longitudinal prospectivo se incluyen 21 nefroureterectomías en pacientes pediátricos con patología del tracto urinario con o sin enfermedad renal crónica y algún tipo de terapia de reemplazo renal, realizados con la técnica de Cirugía Minimamente Invasiva (CMI) abordaje retroperitoneal o retroperitoneoscopía. (AU)
There are several urinary tract diseases, such as congenital or adquired, that require total or partial nephrectomy. This prospective longitudinal study included 21 total nephrectomies in pediatric patients with or without end stage renal disease and some kind of renal replacement therapy. All surgeries were done with retroperitoneal approach using minimally invasive surgery (MIS), retroperitoneoscopy. (AU)
Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Renal Insufficiency, Chronic/surgery , Kidney Diseases/surgery , Nephrectomy/methods , Retroperitoneal Space , Urogenital Abnormalities/surgery , Prospective Studies , Longitudinal Studies , Minimally Invasive Surgical Procedures/methodsABSTRACT
Se reportan 2 casos de quiste de colédoco neonatal sintomáticos, uno de ellos con diagnóstico prenatal, que fueron llevados a tratamiento quirúrgico, realizando la resección de quiste del colédoco, derivación bilioentérica tipo hepático-yeyuno anastomosis en Y de Roux y colocación de drenaje de Penrose. En seguimiento de 20 meses en promedio con adecuada evolución.
We report two cases of symptomatc neonatal choledochal cysts, one of them prenatally diagnosed, who had surgical treatment with choledochal cyst resecton and Roux en Y hepato-jejunal anastomosis and Penrose drain. Follow up at 20 months (average) with good outcomes.
Subject(s)
Humans , Male , Female , Infant, Newborn , Choledochal Cyst/surgery , Choledochal Cyst/diagnosis , Trimethoprim, Sulfamethoxazole Drug Combination/pharmacology , Common Bile Duct/diagnostic imagingABSTRACT
Paciente Femenina de 11 años con el síndrome de Herlyn-Werner-Wunderlich, manejado multdisciplinariamente y resuelto endoscópicamente con una septotomía y dilataciones vaginales.
This case is about a female patent, 11 years old, with Herlyn-Werner-Wunderlich Syndrome, who received multdisciplinary approach and was endoscopically resolved with septotomy and vaginal dilatatons.
Subject(s)
Humans , Female , Child , Urogenital Abnormalities/diagnosis , Vagina/abnormalities , Genitalia, Female/surgery , Kidney/abnormalities , Mullerian Ducts/abnormalities , Uterus/abnormalities , Hematocolpos/diagnosisABSTRACT
Preescolar, Masculino, 3 años 9 meses con antecedente quirúrgico de corrección de hipospadias 1er tiempo hace 2 años y que durante el 2do tiempo de corrección de hipospadias se encuentra incidentalmente una duplicación uretral tipo IB. Se confirma por medio de instilación de azul de metileno por uretra ventral y luego por medio de uretrocistoscopia. Se realiza la resección y cierre de uretra dorsal. Requiere de una dilatación uretral y está pendiente la corrección quirúrgica de una fistula uretrocútanea.
We report the case of a 3 year 9 month old boy who had a failed hypospadia correction two years prior to his second surgery when a IB urethral duplication was incidentally found. There are only 300 case reports of this published. The diagnosis was confirmed by instilling methylene blue through the ventral urethra, by urethero-cystoscopy. Resection and closure of the dorsourethra was performed. He required a urethral dilatation and developed aurethero-cutaneous fistula, which is pending surgical correction.