Laparoscopic approach for gonadectomy in pediatric patients with intersex disorders

Andres Calvo; Maria Escolino; Alessandro Settimi; Agnese Roberti; Maria Grazia Caprio; Ciro Esposito

doi:10.21037/tp.2016.09.06

Laparoscopic approach for gonadectomy in pediatric patients with intersex disorders

Translational Pediatrics ◽

10.21037/tp.2016.09.06 ◽

2017 ◽

Vol 5 (4) ◽

pp. 295-304 ◽

Cited By ~ 1

Author(s):

Andres Calvo ◽

Maria Escolino ◽

Alessandro Settimi ◽

Agnese Roberti ◽

Maria Grazia Caprio ◽

...

Keyword(s):

Pediatric Patients ◽

Laparoscopic Approach ◽

Intersex Disorders

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Sigmoid fixation associated with rectopexy using a laparoscopic approach could prevent relapse of rectal prolapse in pediatric patients with spinal dysraphia

Journal of Pediatric Surgery ◽

10.1016/j.jpedsurg.2008.02.082 ◽

2008 ◽

Vol 43 (8) ◽

pp. 1551-1553 ◽

Cited By ~ 3

Author(s):

Fernando Montes-Tapia ◽

Idalia Cura-Esquivel ◽

Ulises Garza-Luna ◽

Guillermo Martínez-Flores ◽

Gerardo Muñoz-Maldonado ◽

...

Keyword(s):

Rectal Prolapse ◽

Pediatric Patients ◽

Laparoscopic Approach

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IMPACT OF THE APPENDICEAL POSITION ON THE DIAGNOSIS AND TREATMENT OF PEDIATRIC APPENDICITIS

Revista Paulista de Pediatria ◽

10.1590/1984-0462/;2019;37;2;00012 ◽

2019 ◽

Vol 37 (2) ◽

pp. 161-165 ◽

Cited By ~ 1

Author(s):

Belén Aneiros Castro ◽

Indalecio Cano Novillo ◽

Araceli García Vázquez ◽

Pedro Yuste Garcia ◽

Eduardo Ferrero Herrero ◽

...

Keyword(s):

Medical Records ◽

Pediatric Patients ◽

Operative Time ◽

Clinical Symptoms ◽

Intraoperative Complications ◽

Perforated Appendicitis ◽

Laparoscopic Approach ◽

Bonferroni Correction ◽

Chi Square ◽

And Gender

ABSTRACT Objective: To investigate how symptoms vary according to the appendiceal position in pediatric patients and to demonstrate that the laparoscopic approach is safe and effective in any appendiceal location by comparing each location to another. Methods: The medical records of 1,736 children aged 14 or younger who underwent laparoscopic appendectomy over a period of 14 years were analyzed retrospectively. Patients were divided according to the position of the appendiceal tip into four groups: anterior, pelvic, retrocecal and subhepatic. The Kruskal-Wallis and chi-square tests were used with the Bonferroni correction, with a significant p<0.05. Results: The appendiceal location was anterior in 1,366 cases, retrocecal in 248 cases, pelvic in 66 cases and subhepatic in 56 cases. There were no significant differences between the groups in terms of patient age and gender. Abdominal pain was the only symptom with statistically significant differences between the groups. The rate of perforated appendicitis was higher in the subhepatic and pelvic positions. Intraoperative complications and conversions were not statistically significant. Technical difficulties and operative time were higher in subhepatic position. The rate of postoperative complications was similar between the different locations, except for bowel obstruction, which was higher in pelvic appendicitis. Conclusions: The clinical symptoms of appendicitis hardly ever change with the position of the appendix. The laparoscopic approach is safe and effective, regardless the appendiceal location.

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Audiology Service Models in a Family Physician Practice Setting

Perspectives on Audiology ◽

10.1044/poa6.1.24 ◽

2010 ◽

Vol 6 (1) ◽

pp. 24-32 ◽

Cited By ~ 2

Author(s):

Sridhar Krishnamurti

Keyword(s):

Pediatric Patients ◽

Practice Patterns ◽

Healthcare Delivery ◽

Direct Consequence ◽

Direct Access ◽

Practice Setting ◽

Pediatric Populations ◽

Family Practice Physicians ◽

Primary Focus ◽

Balance Problems

This article illustrates the potential of placing audiology services in a family physician’s practice setting to increase referrals of geriatric and pediatric patients to audiologists. The primary focus of family practice physicians is the diagnosis/intervention of critical systemic disorders (e.g., cardiovascular disease, diabetes, cancer). Hence concurrent hearing/balance disorders are likely to be overshadowed in such patients. If audiologists get referrals from these physicians and have direct access to diagnose and manage concurrent hearing/balance problems in these patients, successful audiology practice patterns will emerge, and there will be increased visibility and profitability of audiological services. As a direct consequence, audiological services will move into the mainstream of healthcare delivery, and the profession of audiology will move further towards its goals of early detection and intervention for hearing and balance problems in geriatric and pediatric populations.

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