Intérêt de la technique de Koyanagi dans le traitement de l’hypospadias posterieur chez l’enfant

ConclusionL’urétroplastie selon Koyanagi, est une technique intéressante pour la correction d’hypospadias postérieur surtout en cas de courbure ventrale mais avec un taux de complications assez élevé.SummaryIntroductionThe koyanagi technique because of its satisfying results and less risk of postoperative complications for the patient has generated an increasing interest during recent years.Objectivereport the indications and the results of the koyanagi technique.Subjects and MethodsThis is a descriptive retrospective study of patients admitted in the pediatric surgery's department of the EPS Monastir, Tunisia for proximal hypospadias and operated on according to Koyanagi's technique during the period from 02 january 2006 to 30 june 2013, with subsequent follow-up of at least 02 years.ResultsThe data of total 35 patients were collected. The average age at the first consultation in pediatric surgery was 12.2 months and the age at surgery was 28.8 months with extremes ranging from 12-55 months. The mean operative time was 166.1 min. The average stay at hospital was 7.9 days. Only 4 patients (11.4%) presented immediate complications. Reoperation was indicated for 23 cases and indications were by decreasing order of frequency: dehiscence (34.3%), fistula (11.4%) and dehiscence with persistent penile-scrotal transposition (2.9%). The final clinical evaluation of the surgery found that meatus was distal in the majority of cases (85.7...
Source: African Journal of Urology - Category: Urology & Nephrology Source Type: research

Related Links:

CONCLUSIONS: Emerging in both vision-dependent and vision-independent paradigms, the results support the hypothesis that the post-tilt bias results from a shift in the internal estimate of direction of gravity, while optokinetic nystagmus seems not to be a major contributor. PMID: 32065807 [PubMed - as supplied by publisher]
Source: Journal of Vestibular Research: Equilibrium and Orientation - Category: Neuroscience Tags: J Vestib Res Source Type: research
Conclusions: The Portuguese version of the ZBI-4 screen demonstrates good psychometric properties.Clinical implications: These results show the utility of the Portuguese version of ZBI-4 as a short screen for caregiver burden for use in the community to facilitate rapid screening for this important and complex stressor. PMID: 32065071 [PubMed - as supplied by publisher]
Source: Clinical Gerontologist - Category: Geriatrics Tags: Clin Gerontol Source Type: research
This is a dumb question, but a serious one as well. Do they teach medical students how to start IV's/insert foleys in school/take labs/change a patient? I'm a nurse matriculating in July and am competent in these areas, they even had us start IV's on each other in nursing school. I assumed for some reason that this wouldn't be taught in medical school or if it was it would be very brief because of how much there is that needs to be covered. I say that from the fact that I've never seen a... Do they teach you clinical skills in Medical school?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Medical Students - MD Source Type: forums
ConclusionThis is the largest reported series of outcomes following primary THA/TKA in PDB patients. PDB patients are not at increased risk of surgical complications following primary THA or TKA compared with the general population.Graphical abstractAnteroposterior radiograph of the pelvis of patient with PDB and treated with a cemented total hip arthroplasty.
Source: The Surgeon - Category: Surgery Source Type: research
We report a case of Anaplastic Large Cell Lymphoma mimicking a psoas abscess in a 6-year-old girl which posed significant diagnostic challenges. She presented with a vague two-month history of anaemia, fevers and back and abdominal pain. Axial imaging including MRI suggested a diffuse, inflammatory lesion in the right psoas muscle and she was commenced on an intravenous antibiotic therapy regimen but with little improvement. An open biopsy was performed and histology confirmed Anaplastic Lymphoma Kinase 1 positive ALCL. To our knowledge, this is only the second case of ALCL with the tissues adjacent the psoas muscle as the...
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
We present the case of an 11-year old boy with mosaic trisomy 13 and an end ileostomy (for gut dysmotility) who presented with a catastrophic gastrointestinal haemorrhage during a prolonged Paediatric Intensive Care (PICU) stay recovering from an episode of presumed sepsis. A normal upper GI endoscopy was followed by a laparoscopy which revealed a small bowel adhesion to the anterior abdominal wall which had facilitated the creation of a jejuno-jejunal fistula that had eroded through a mesenteric artery. The child recovered well after a limited laparotomy and segmental small bowel resection.This case highlights an extremel...
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
We describe one such case that was managed by 3D thoracoscopic pneumonectomy and also discuss in detail our review of literature of almost 60 years about this condition.
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
Publication date: Available online 19 February 2020Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Ahmed Albishri, Maged A.H. Shoukeer, Khalid shreef, Hamad Hader, Mohamed H. Mazhar Ashour, Hatem Alsherbiny, Eman Ghazwani, Kholood AlkedassyAbstractWe are reporting three cases of gastrointestinal basidiobolomycosis from Tohama (the southern region of Saudi Arabia) during the period from September 2016 to September 2017. Although the cases had different pathological sites and clinical presentations, all were treated successfully with a single oral antifungal therapy (Itraconazole) with no need for surgical excisi...
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
We present a retroperitoneal IEDC, which was juxtaposed to the inferior vena cava. To the best of our knowledge, this has not been reported before in literature.
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
Publication date: Available online 19 February 2020Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Qais Muraveji, Ajmal SherzadAbstractForeign bodies have wide varieties by object and mechanism of insertion in genitourinary tract. It needs careful investigation and evaluation for diagnosing the type of object and choosing best treatment method for self-inserted foreign bodies through the urethra. The presentation in children differs from a penile stricture up to metallic objects for auto stimulations in adolescents. It is believed that psychiatric disorder and mental defects are causes of this event. In this ca...
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
More News: African Health | Pediatrics | Study | Tunisia Health | Urology & Nephrology