Publications by authors named "L Ripatti"
Article Synopsis
- Voiding cystourethrography (VCUG) is widely used to diagnose vesicoureteral reflux (VUR) but has high radiation exposure; direct radionuclide cystography (DRC) was created to address this issue.
- A study involving 156 children assessed the effectiveness of DRC compared to VCUG and found that DRC identified VUR in 35.3% of patients, while VCUG found it in 61.5%.
- Despite DRC being intended as a lower-radiation option, it actually resulted in higher radiation exposure and additional costs, raising questions about its use in screening for VUR.
We aimed to investigate the national trends in the incidence and management of slipped capital femoral epiphysis (SCFE) and to report the need for reoperations. We included all <19-year-old patients hospitalised for SCFE in 2004-2014 in mainland Finland (n=159). Data from the Finnish Care Register for Health Care, Statistics Finland, and Turku University Hospital patient charts were analyse for the incidence of SCFE in 2004-2012, the length of stay, and the type of surgery with respect to age, gender, study year, and season.
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- - Vesicoureteral reflux (VUR) is a condition in 1-2% of children that can lead to serious kidney issues, and the treatment focuses on preventing urinary tract infections and long-term complications, necessitating personalized management strategies.
- - A review of literature on Positional Instillation of Contrast Cystography (PIC) reveals it detects VUR in 73% of cases with negative voiding cystographies, identifying significant rates of both low-grade (81%) and high-grade (19%) VUR, along with a 41% incidence of occult contralateral VUR.
- - Despite positive results in diagnosing VUR with PIC, caution is advised due to the need for more thorough studies to validate these findings
Objectives: To study the effect of epilepsy on the risk of injury in children.
Methods: All first-born singleton children (n = 133055) born in 2001 - 2006 in Finland were included. Data was collected from national registers up to the first hospital-treated injury during the five years following the onset of epilepsy.
Article Synopsis
- The study evaluated the effectiveness and complications of endoscopic high-pressure balloon dilatation (HPBD) in treating primary obstructive megaureter (POM) in children, particularly those under one year old.
- A systematic review of 13 studies showed that HPBD significantly reduced ureteral and renal pelvis diameters, demonstrating a success rate of 71% after one procedure and 79% after two.
- Although a 33% complication rate was noted, no severe complications occurred, suggesting HPBD is a safe first-line treatment for symptomatic POM, with a need for further research on infants and long-term outcomes.