Publications by authors named "F Varlet"

Introduction: Total nephrectomies for the treatment of Wilms' tumor (WT) are more and more performed by laparoscopy, although indications for this approach following the UMBRELLA guidelines are currently very restrictive. The purpose of this study was to assess the compliance to the criteria of the UMBRELLA protocol for minimally invasive approach of WT.

Methods: This retrospective multicenter study included children operated on by laparoscopic total nephrectomy for suspected WT before 2020.

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Background: Low-grade vesicoureteral-reflux (VUR) are rather treated by endoscopic injection, whereas open or laparoscopic procedures are mainly performed for high-grade VURs. Management of intermediate grades is controversial and no study focused on grade III to date. This study aims to compare the results of open, laparoscopic, and endoscopic approaches in children with grade III VUR.

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Background: Robot-assisted extravesical ureteral reimplantation (REVUR) is a well established approach for surgical treatment of pediatric vesicoureteral reflux (VUR). However, further evidence is needed to confirm its efficacy even in case of complex anatomy.

Objective: This study aimed to further confirm the evidence that REVUR is safe and effective in both simple and complex ureter anatomy.

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Background: Surgical techniques for treatment of gynecomastia are increasingly less invasive. We described technical standardization of pediatric endoscopic subcutaneous mastectomy (PESMA) with liposuction.

Methods: All adolescents with primary gynecomastia, operated using PESMA with liposuction over the period June 2014-July 2021, were included.

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Article Synopsis
  • Long gap esophageal atresia (EA) presents significant challenges for pediatric surgeons compared to non-long gap EA/tracheo-esophageal fistula (TEF), particularly in terms of patient outcomes at ages 1 and 6.
  • A study analyzed data from patients who underwent EA surgery in France, finding that those with long gap EA experienced more complications, longer hospital stays, and increased reliance on parenteral nutrition during the first year of life.
  • At the 6-year mark, patients with long gap EA had more digestive issues, although they showed less spine deformation, with no major differences in outcomes between initial treatment approaches of delayed primary anastomosis or esophageal replacement.
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