Publications by authors named "Claudia Mento"
Article Synopsis
- Robot-assisted extravesical ureteral reimplantation (REVUR) is presented as a beneficial alternative to traditional open surgery for children with complex obstructed megaureter (COM), which may require ureteral dismembering or tapering.
- In a study of 16 pediatric patients (mostly boys), REVUR was successfully performed without complications, with a median surgery time of around 220 minutes and a hospital stay of about 3.8 days.
- Post-surgery, all patients experienced symptom relief and improved ultrasound results, with only a small percentage facing minor complications, indicating REVUR's effectiveness and safety for treating obstructive ureteral issues.
Robot-assisted extravesical ureteral reimplantation (REVUR) was described for the first time in 2004. Since then, the surgical approach of vesicoureteral reflux (VUR) has changed dramatically. The benefits of this technique are great when compared to the laparoscopic or traditional open approaches.
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- A 16-year-old girl with Down syndrome experienced frequent vomiting after meals and significant weight loss, leading to further medical evaluation.
- Diagnostic tests indicated she had hypertrophic pyloric stenosis (HPS), a condition affecting the stomach’s outlet.
- After unsuccessful endoscopic treatment, she underwent surgery, significantly improving her symptoms and allowing for normal feeding and weight gain six months later.
Article Synopsis
- * A survey completed by 43 participants, including surgeons and faculty, showed that the FTSM was perceived as a good educational tool, with strong support from both novice and experienced surgeons.
- * The FTSM demonstrated high-fidelity training capabilities that were user-friendly and accessible, but further enhancements are required for continued improvement and efficacy.
This study aimed to report our experience in indocyanine green (ICG) fluorescence-guided surgery (FGS) in pediatric robotics. The data of 55 patients (35 boys and 20 girls), who underwent robotic surgery using ICG fluorescence in three institutions over the last 7 years, were retrospectively reviewed. The following robotic procedures were included: pyeloplasty (n = 21), complex Lich-Gregoir ureteral reimplantation (n = 8), varicocelectomy (n = 7), adnexal pathology resection (n = 8), partial nephrectomy (n = 4), nephrectomy (n = 4), renal cyst removal (n = 2), and excision of prostatic utricle (n = 1).
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- This study compared robotic-assisted varicocelectomy (RAV) and laparoscopic varicocelectomy (LV) in 40 pediatric patients over two years, focusing on techniques and outcomes.
- Results showed that while both methods were effective, LV had a significantly shorter average operative time (20 min) compared to RAV (34.5 min), better cosmetic results, and lower total costs (€1,587.07 vs. €5,650.31).
- The conclusion indicates that while RAV is a safe option, laparoscopic techniques are preferable for treating pediatric varicocele due to their efficiency and cost-effectiveness.
Article Synopsis
- The study focused on pediatric patients with anal fistula treated using video-assisted anal fistula treatment (VAAFT) and assessed the effectiveness of ozonide oil for postoperative wound dressing.
- A total of 33 VAAFT procedures were conducted on 30 children, with a median age of 5.7 years, and the majority of cases were idiopathic in nature.
- Results indicated that VAAFT is a safe and effective treatment, with a median healing time of 28 days and low recurrence rates, although further studies are needed for more comprehensive conclusions.
Article Synopsis
- - The study evaluated the effectiveness of fluorescence-guided surgery (FGS) using the Rubina Lens system in pediatric patients undergoing open surgery for various conditions, showing promising initial results.
- - A total of 25 children (median age 5.8 years) participated, receiving ICG fluorescent visualization during procedures for issues like dermoid cysts, lymphangiomas, and gynecomastia, with no adverse reactions to the dye reported.
- - The results indicated that FGS improved surgical outcomes through better visualization of anatomical structures while maintaining a low complication rate, making it a reliable and safe technique for pediatric surgeries.
Robotic-assisted surgery (RAS) is increasingly adopted in the pediatric population. This retrospective multicenter study aimed to report application of RAS for gynecological indications in pediatric patients. The medical records of all girls with gynecological pathology, operated in 4 different institutions over a 3-year period, were retrospectively collected.
View Article and Find Full Text PDFBackground: Laparoscopic Palomo varicocelectomy using indocyanine green (ICG) fluorescent lymphography (FL) is standardized technique to perform lymphatic sparing and avoid post-operative hydrocele. No data regarding the safety of intratesticular injection of ICG are currently available.
Objective: The study aimed to assess the safety and efficacy of this procedure at mid-term follow-up.
Background: Losing a needle during laparoscopic surgery may be a dramatic moment for the surgeon and potentially have clinical and medico-legal consequences. This case report aims to describe an unusual case of needle loss that occurred during laparoscopic Nissen fundoplication and how to prevent its further occurrence.
Methods: The patient is an 11-year-old boy with a body mass index of 32.
Endoscopic Treatment of Pilonidal Sinus Disease in Children: A Systematic Review.
J Laparoendosc Adv Surg Tech A
May 2023
Pilonidal sinus disease (PSD) is a common inflammatory disease. PSD management in pediatric patients changed dramatically in the last few years especially when concerning the latest minimally invasive techniques. This article aims to identify clinical evidence about the reliability of the different techniques in managing PSD in children.
View Article and Find Full Text PDFPurpose: An alteration of central and peripheral sensitivity to thyroid hormones (THs) seems to be associated with an increased risk of prediabetes in adulthood. Aims of this study was to evaluate the relationship between the sensitivity to THs, the severity of overweight and the glyco-metabolic alterations in prepubertal euthyroid children with obesity.
Methods: Prepubertal subjects with simple obesity and matched controls were recruited from three Italian pediatric endocrinology centers and underwent clinical and biochemical evaluations.
Unlabelled: Quality of life (QOL) outcome is an ideal method for determining the efficacy of a surgical treatment. In children operated for pilonidal sinus disease (PSD), open procedures imply prolonged wound care, significant morbidity, and high recurrence rates. Endoscopic treatment (PEPSIT) overcomes these limitations.
View Article and Find Full Text PDFUnlabelled: The object of the study was to evaluate the immediate efficacy of periodical educational meetings organized in Cardiovascular Rehabilitation Department aimed to improve knowledge about cardiovascular pathology, risk factors and correct life style.
Methods: From October 2008 a multiprofessional group organized educational meetings for patients and their relatives, using two questionnaires to explore patients' level of knowledge, before and after the meeting.
Results: 124 patients (90 males) answered the questionnaire 1, while questionnaire 2 was completed by 93 subjects (70 males).