Management of pediatric pheochromocytoma. A review of the literature

  ABSTRACT Introduction Pheochromocytoma is a tumor originated from the chromaffin tissue of the adrenal medulla or from extra-adrenal paraganglionic tissue. Pheochromocytomasare extremely rare in the pediatric population, accounting for 1% of pediatric hypertension. Material and Methods The Authors conduced a systematic review of the pediatric PCC focusing on the indications and surgical technique. Results […]

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Figure 1 CT scan shows a left adrenal pheochromocytoma

Laparoscopic surgery and hemodynamic changes during adrenalectomy for pheochromcytoma in childhood: management of two cases and literature review

ABSTRACT Pheochromocytoma (PCC) is a catecholamine-secreting tumor arising from chromaffin cells of the adrenal medulla and extra-adrenal sites. Approximately 10% of this rare tumor is found in pediatric age group. Perioperative management of pheochromocytoma is a challenge that requires a multidisciplinary approach for optimal care and successful outcome. Surgical resection remains the mainstay treatment of […]

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Fig. 1 The cannula is kept steady by the 3 mm grasper and pierced by the needle.

Minimally invasive Morgagni-Larrey hernia repair in children: a new and simple trick in suturing technique

  ABSTRACT Background: Literature is littered with descriptions of the minimally invasive repair of  Morgagni-Larrey hernias in children. However, there are few reports about the diaphragmatic defect suture. The aim of this study is to describe a simplified trick to perform a simple and safe suturing technique. Methods: 2 children with left Morgagni-Larrey hernia underwent […]

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Primary laparoscopic excision of benign mature retroperitoneal teratoma

ABSTRACT Introduction: Retroperitoneum is the third most common extragonadal site for occurrence of teratoma in children, after sacrococcygeal region and gonadal sites. Although many authors have previously reported laparoscopic removal of benign retroperitoneal teratoma in adults, the experience in pediatric setting is extremely limited. Material and methods: We report our experience with laparoscopic excision of a […]

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Intra-operative view; isolated tubal torsion.

Laparoscopic treatment of acute abdominal/pelvic pain for gynaecological condition in young female

  ABSTRACT Introduction The aim of this study was to report our experience with acute abdominal/pelvic pain in young female. Materials and Methods We recorded the cases of female patients aged between 3 and 16 years treated at our Institution for acute abdominal/pelvic pain between January 2005 and December 2013. Radiological and surgical findings were […]

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Laparoscopy: left IFTT with necrosis of the tube and normal ipsilateral ovary.

Role of Laparoscopy in the Management of Isolated Fallopian Tube Torsion in Adolescents

  ABSTRACT Background/Purpose Isolated Fallopian tube torsion (IFTT) is a rare cause of acute abdominal pain in female. The preoperative diagnosis is difficult because of a lack of specific clinical and radiological signs. Surgery is often performed when is no longer possible to preserve the integrity of the tube. We report our experience in the […]

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Fig 6:  Laparoscopic-assisted mesocolon dissection performed in a 6 years-old child: the mesenteric dissection proceeds until the distal exteriorization of the colon is possible.

Technical Modification of the Georgeson Procedure for Hirschsprung’s Disease: a 12 Years Experience with the Laparoscopic-Assisted Mesocolon Dissection

  ABSTRACT Introduction: Actually the primary laparoscopic endorectal colon pull-through, reported by Georgeson, is the gold standard in the treatment of Hirschsprung’s disease. In this procedure the dissection of the aganglionic colon is performed laparoscopically. We describe a technical modification of the Georgeson procedure: the laparoscopic-assisted mesocolon dissection. Methods: A retrospective analysis was performed on […]

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Video-Assisted Colorraphy of Iatrogenic Colonic Perforation: a Case Report

ABSTRACT: Iatrogenic colonic perforation is the most severe complication of lower gastrointestinal endoscopy. A prompt diagnosis is necessary in order to identify the site of perforation and to reduce peritonitis due to bacterial seeding. We reported our experience with a 10-month old baby admitted for descending colonic perforation during an endoscopic procedure, in whom an […]

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