Mid- to long-term outcomes of the 'anatomical approach' to congenital megaprepuce repair.

Introduction: The understanding of the aetiopathogenesis and the long-term outcomes of correctional repair of congenital megaprepuce (CMP) remains unestablished. Different techniques have been described; however, optimum results have been difficult to achieve.

Objective: The aim of our study was to review our experience of the 'anatomical approach' to the correction of CMP.

[Ovarian torsion. long-term follow-up of the black-bluish ovary after laparoscopic detorsion].

Introduction: Ovarian torsion presents low incidence in children and unspecific clinical presentation, therefore the diagnostic delay is rather common. Traditionally, necrotic appearance has been synonymous of oophorectomy, however the current trend defends ovary preservation. We present our experience in conservative management of ovarian torsion.

[Achalasia in children and adolescents, a therapeutic challenge].

Introduction: Treatment of achalasia in children is in permanent discussion. It is a rare disorder without cure, which makes its management challenging.

Methods: Retrospective review of patients under 18 years old treated for achalasia in our Hospital between 2000 and 2012, by either pneumatic dilatation (PD) or Heller myotomy (HM).

[Testicular cancer and cryptorchidism: myth or reality].

Objective: To evaluate the previous history of cryptorchidism in patients with testicular cancer.

Materials And Methods: We carried out a study using 175 patients diagnosed with testicular cancer, in our hospital, from 1999 to 2010. We analyzed the previous history of cryptorchidism and its characteristics, testicular placing, histology and intervention age.

[Implementation of "fast-track" treatment in paediatric complicated appendicitis].

Objective: Acute appendicitis is the most common emergency surgical pathology in childhood and there is no consensus on its management. Fast-track treatment, based on optimizing perioperative care has reduced morbidity and mortality of surgical pathologies, including simple acute appendicitis. The aim of our study was to assess the effects of a fast-track protocol in complicated acute appendicitis.