Publications by authors named "Silvia Bisoffi"
Article Synopsis
- The study investigates the effectiveness of transumbilical laparoscopic-assisted appendectomy (TULAA) in treating both uncomplicated (UA) and complicated appendicitis (CA) among children over a 5-year period.
- Results show a low conversion rate of 3%, with longer operative time and hospital stays for CA cases compared to UA cases, but similar rates of surgical site infections.
- The findings suggest that TULAA is safe, feasible, and cost-effective for managing both types of appendicitis, showing no significant disadvantage compared to conventional laparoscopic surgery.
Article Synopsis
- Congenital vaginal atresia is a rare condition affecting the female reproductive system, which poses challenges for surgical procedures like vaginoplasty due to the risk of vaginal narrowing afterwards.
- A case study involves an 11-year-old girl with Down syndrome who presented with pelvic pain, revealing an imperforate hymen and absence of the lower vagina, leading to a diagnosis of congenital vaginal agenesis.
- To assist post-surgery, an epistaxis catheter was utilized as a makeshift vaginal dilator, providing a viable alternative for maintaining vaginal openness in patients who struggle with traditional dilators.
Robot-Assisted Versus Laparoscopic Approach for Splenectomy in Children: Systematic Review and Meta-Analysis.
J Laparoendosc Adv Surg Tech A
November 2022
To compare the outcomes of pediatric splenectomies for hematologic diseases performed by robot-assisted laparoscopic surgery (RALS) and laparoscopic approach. Web of Science, Scopus, and PubMed databases were systematically searched for publications in English language from January 2000 to March 2020. All the studies dealing with pediatric elective splenectomies performed by RALS were included.
View Article and Find Full Text PDFInguinal Hernia Containing the Uterus in the Pediatric Patient: A Systematic Review.
J Pediatr Adolesc Gynecol
April 2022
Background: Inguinal hernia containing the uterus in pediatric patients with normal karyotype and phenotype is an extremely rare entity, and no consensus is available concerning diagnosis, surgical management, and follow-up.
Methods: A systematic review according to the Synthesis Without Meta-analysis protocol was conducted. Studies including pediatric female patients with inguinal hernia containing the uterus were searched.
Pediatric abdominal surgery is constantly evolving, alongside the advent of new surgical technologies. A combined use of new tools and traditional surgical approaches can be useful in the management of complex cases, allowing less invasive procedures and sometimes even avoiding multiple interventions. This combination of techniques has implications even from the anesthetic point of view, especially in post-operative pain control.
View Article and Find Full Text PDFIntroduction: and importance: Accidental ingestion of foreign bodies (FBs) is common among infants. In case of sharp FBs, the risk of accidental organ damage with potential life-threatening complications constitutes an absolute indication for removal. We present the case of a child, who, following the ingestion of an open safety pin, was successfully treated exclusively with minimally invasive techniques.
View Article and Find Full Text PDFGastrostomy placement is crucial in neurologically impaired (NI) children to ensure an adequate food intake and a safe route for drugs administration and to reduce the risk of primary aspiration. NI patents are more prone to gastroesophageal reflux. The association with fundoplication is deemed to reduce reflux-related respiratory complications.
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