Autoestima y calidad de vida en los pacientes con disfunción neurogénica y derivaciones urinarias continentes y/o procedimientos para enemas anterógrados / Self-esteem and quality of life in patients with neurogenic dysfunction and continent urinary diversion and/or procedures for anterograde enemas

Introducción y objetivo La importancia de evaluar la autoestima y la calidad de vida de los pacientes con enfermedades crónicas se ha tornado cada vez más relevante. El estudio describe los resultados de la autoestima y la calidad de vida en pacientes con disfunción neurogénica y derivaciones urinarias continentes y/o procedimientos para enemas anterógrados. Materiales y métodos Estudio observacional transversal, en el que se incluyeron los pacientes con disfunción neurogénica quienes durante su tratamiento requirieron una derivación urinaria continente y/o un conducto para enemas anterógrados. La evaluación de autoestima se hizo con la escala de Rosenberg y la calidad de vida con el cuestionario KIDSCREEN-27. Variables medidas: sociodemográficas, clínicas y económicas. Se aplicó estadística descriptiva. Resultados La edad media de los 9 pacientes fue de 15,6 años. El tiempo promedio transcurrido desde la cirugía hasta la aplicación de los cuestionarios fue de 60,9±37,1 meses. Hubo una percepción de mejoría en 8 de los 9 pacientes y un puntaje de autoestima normal o superior en todos los casos. En la descripción de la actividad física y salud se encontró que 7 de los 9 jóvenes presentaban una percepción de buena salud en general. Se logró una reducción considerable en el uso de pañales luego de la intervención, pasando de consumir 6,2±1,4 pañales diarios a tan solo 1,7±1,3 pañales diarios. Conclusiones A pesar de las secuelas, comorbilidades y procedimientos, los resultados de la autoestima y calidad de vida en los pacientes con disfunción neurogénica son altos (AU)

Introduction and objective The importance of evaluating the self-esteem and quality of life of patients with a chronic disease has become increasingly relevant. The study describes self-esteem and quality of life outcomes in patients with neurogenic dysfunction and continent urinary diversions and/or antegrade enema procedures. Materials and methods Cross-sectional observational study, including patients with neurogenic dysfunction who required a continent urinary diversion and/or an antegrade enema conduit during their treatment. The self-esteem evaluation was done with the Rosenberg scale and the quality of life with the KIDSCREEN-27 questionnaire. Variables measured: socio-demographic, clinical and economic characteristics. Descriptive statistics were applied. Results The mean age of the 9 patients was 15.6 years, the mean time elapsed from surgery to application of the questionnaires was 60.9±37.1 months. With a perception of improvement in 8 of the 9 patients and a normal or higher self-esteem score in all cases. In the description of physical activity and health, it was found that 7 of the 9 young people presented a perception of good health in general. A considerable reduction in the use of diapers was achieved after the intervention, going from consuming 6.2±1.4 diapers per day to only 1.7±1.3 diapers per day. Conclusions Despite the sequelae, comorbidities and procedures, the results of self-esteem and quality of life in patients with neurogenic dysfunction are high (AU)

Self-esteem and quality of life in patients with neurogenic dysfunction and continent urinary diversion and/or procedures for anterograde enemas.

INTRODUCTION AND OBJECTIVE: The importance of evaluating the self-esteem and quality of life of patients with a chronic disease has become increasingly relevant. The study describes self-esteem and quality of life outcomes in patients with neurogenic dysfunction and continent urinary diversions and/or antegrade enema procedures. MATERIALS AND METHODS: Cross-sectional observational study, including patients with neurogenic dysfunction who required a continent urinary diversion and/or an antegrade enema conduit during their treatment. The self-esteem evaluation was done with the Rosenberg scale and the quality of life with the KIDSCREEN-27 questionnaire. VARIABLES MEASURED: socio-demographic, clinical and economic characteristics. Descriptive statistics were applied. RESULTS: The mean age of the 9 patients was 15.6 years, the mean time elapsed from surgery to application of the questionnaires was 60.9 ±â€¯37.1 months. With a perception of improvement in 8 of the 9 patients and a normal or higher self-esteem score in all cases. In the description of physical activity and health, it was found that 7 of the 9 young people presented a perception of good health in general. A considerable reduction in the use of diapers was achieved after the intervention, going from consuming 6.2 ±â€¯1.4 diapers per day to only 1.7 ±â€¯1.3 diapers per day. CONCLUSIONS: Despite the sequelae, comorbidities and procedures, the results of self-esteem and quality of life in patients with neurogenic dysfunction are high.

[Autoamputated ovarian cysts. A clinical case]. / Autoamputación de quiste ovárico. Reporte de caso.

INTRODUCTION: Autoamputation refers to a situation in which a tubo-ovarian remnant is found free-floating in the abdomino-pelvis, which is a complication of fetal ovarian cyst causing ovarian torsion in uterus. There have been only 13 reported cases of ovarian autoamputation involving children under 1 years of age. CLINICAL CASE: We present the case of a 9-month old female with history of abdominal mass in the 26th week of gestation, who was referred to the pediatric surgery department with CT findings in an abdominal tumor and negative physical examination, in laparoscopic examination cystic mass is 6 cm in diameter and no left ovary. The histopathological examination confirmed an ovarian cyst with necrotic and hemorrhagic remaining. COMMENTATION: This case is reported because of the low incidence of pathology, exceptional presentation and the favorable outcome of the patient with implemented laparoscopic management.