Usefulness of basic renal function tests in the management of hydronephrosis.

Objective: Nowadays, the algorithms for the study of hydronephrosis in children include voiding cystourethrogram (VCUG) and diuretic renogram (DR) in all patients. Both are invasive, distressing, and associated with radiation risk. However, basic renal function tests (bRFTs) are not included.

Laparoscopic Extravesical Reimplantation in Children with Primary Obstructive Megaureter.

Conservative management of primary obstructive megaureter (POM) appears as the best option in patients with adequate ureteral drainage. Nevertheless, surgical intervention is indicated in cases of recurrent urinary tract Infections (UTIs), deterioration of split renal function, and significant obstruction. The gold standard includes: Ureteral reimplantation with or without tapering by open approach.

Lower esophageal banding in extremely low birth weight infants with esophageal atresia and tracheoesophageal fistula is a life saving practice followed by a successful delayed primary thoracoscopy reconstruction.

In extremely low birth weight (ELBW) infants, i.e. <1000g, with esophageal atresia (EA) and tracheoesophageal fistula (TEF), surgical treatment is a real challenge.

[Laparoscopic extravesical ureteral reimplantation following Lich-Gregoire technique. Medium-term prospective study].

Objectives: To evaluate our results of Laparoscopic extravesical ureteral reimplantation according to Lich-Gregoire technique in the of vesicoureteral reflux treatment.

Material And Methods: Between August 2007 and January 2013, 108 renal units in 80 patients were treated. There were 23 patients with double renal system; in 5 cases were associated with obstruction, and 3 with completely impaired function of the upper pole and ipsilateral ureterocele presence.

[Thoracoscopic treatment of secondary pneumothorax to costal osteochondroma].

Costal osteochondromas are benign, uncommon and usually asymptomatic tumors, but may be associated with severe intrathoracic complications such as pneumothorax, hemothorax, nerve or vascular injury and fractures. We report a 12 year old patient, who presented a right spontaneous pneumothorax, which did not improve with standard treatment. Thoracic CT showed a costal exostosis of 2.

Preliminary study of efficacy of dynamic compression system in the correction of typical pectus carinatum.

Objectives: This preliminary study evaluates, by qualitative score, the efficacy of the dynamic compression system (DCS) with a pressure-measuring device in the treatment of pectus carinatum (PC) as an alternative to surgery.

Methods: A total of 68 patients (infants, adolescents and young adults) presenting with typical PC (64 males and 4 females) were evaluated in our Chest Wall Deformities Unit, between October 2011 and February 2013. The criteria for including subjects were: patients with typical condrogladiolar PC and pressure for initial correction (PIC) ≤ 9 PSI (pound square inch).

[Thoracoscopic treatment in pericardial tamponade].

Pericardial tamponade is a rare medical emergency in children. We describe a 16 years old patient, who presented with pneumonia localized in upper left lobe complicated with lung abscess and ipsilateral pleural effusion, associated with pericardial effusion. The initial treatment was: broad-spectrum antibiotics, left thoracic drenage and pericardiocentesis After 24 hours postoperative, developed circulatory collapse with significant increase in pericardial effusion.

[Testicular tumors: wide spectrum in our short casuistics].

Testicular tumors occur in 0.5 to 2 per 100,000 children. They are 1-2% of all solid tumors before puberty.