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  1. Article ; Online: Testicular volume in adult patients undergoing cryptorchidism surgery in childhood, and impact on paternity.

    Fernández Atuan, R / González Ruiz, Y / Salcedo Arroyo, P / Vargova, P / Bragagnini Rodríguez, P / Ruiz de Temiño, M

    Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica

    2022  Volume 35, Issue 1, Page(s) 25–30

    Abstract: Objective: To determine the impact of orchiopexy on testicular volume. To determine whether age at surgery impacts testicular volume. To determine whether paternity is associated with testicular volume.: Methods: Patients born between 1961 and 1985 ... ...

    Title translation Volumen testicular en pacientes adultos operados de criptorquidia en edad infantil y su efecto sobre la paternidad.
    Abstract Objective: To determine the impact of orchiopexy on testicular volume. To determine whether age at surgery impacts testicular volume. To determine whether paternity is associated with testicular volume.
    Methods: Patients born between 1961 and 1985 who had undergone cryptorchidism surgery at the Pediatric Surgery Department of Miguel Servet University Hospital were included. Testis location and macroscopic appearance data were collected. Control testicular ultrasonographies and paternity surveys were carried out. Initially, the study was descriptive, and subsequently, inferential.
    Results: Ultrasonography was performed in 216 testicular units a mean of 14.9 years following surgery, whereas the paternity survey was conducted among 157 respondents a mean of 41.9 years following surgery. There were significant differences (p = 0.0038) in testicular volume distribution according to epididymal dissociation. There was a linear correlation between older age at surgery and lower testicular volume, but without statistical significance. Significant differences (p < 0.0001) in testicular volume according to groups - operated and non-operated -, as well as between unilateral and bilateral cases, were found. No differences in paternity rates according to testicular volume were noted.
    Conclusion: Operated testes have lower volumes than normally descended testes. Older age at surgery may contribute to lower final volumes. Testes with full epididymal-testicular dissociation have lower total volumes. No relation between testicular volume and paternity rates was found. Further long-term studies are required.
    MeSH term(s) Adult ; Aged ; Child ; Cryptorchidism/diagnostic imaging ; Cryptorchidism/epidemiology ; Cryptorchidism/surgery ; Humans ; Infant ; Male ; Orchiopexy ; Paternity ; Testis/diagnostic imaging ; Ultrasonography
    Language Spanish
    Publishing date 2022-01-01
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 1214833-7
    ISSN 2445-2807 ; 0214-1221
    ISSN (online) 2445-2807
    ISSN 0214-1221
    DOI 10.54847/cp.2022.01.15
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4152: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Dysphagia in patients undergoing esophageal atresia surgery: Assessment using a functional scale.

    Salcedo Arroyo, P / Corona Bellostas, C / Vargova, P / Fernández Atuan, R / Bragagnini Rodríguez, P / García Romero, R / Ros Arnal, I / Romea Montañés, M J / Escartín Villacampa, R

    Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica

    2023  Volume 36, Issue 4, Page(s) 152–158

    Abstract: Introduction: Dysphagia is defined as difficulty swallowing. Up to 84% of patients undergoing esophageal atresia surgery have dysphagia beyond the neonatal period.: Materials and methods: A retrospective study of patients undergoing esophageal ... ...

    Title translation Disfagia en pacientes intervenidos de atresia de esófago: valoración con una escala funcional.
    Abstract Introduction: Dysphagia is defined as difficulty swallowing. Up to 84% of patients undergoing esophageal atresia surgery have dysphagia beyond the neonatal period.
    Materials and methods: A retrospective study of patients undergoing esophageal atresia surgery from 2005 to 2021 was carried out. The Functional Oral Intake Scale (FOIS) was used to assess dysphagia in 4 age groups (< 1 year old, 1-4 years old, 5-11 years old, and > 11 years old). FOIS scores < 7 or symptoms of choking, impaction, or food aversion were regarded as dysphagia.
    Results: 63 patients were analyzed. 74% (47/63) had dysphagia during follow-up. Prevalence was 50% in patients < 1 year old (FOIS mean 4.32), 77% in patients aged 1-4 (FOIS mean 5.61), 45% in patients aged 5-11 (FOIS mean 5.87), and 38% in patients > 11 years old (FOIS mean 6.8). The most frequent causes of dysphagia were stenosis, which occurred in 38% of the patients (n=24), and gastroesophageal reflux (n=18), which was present in 28% of the patients. Both conditions were associated with significantly lower mean FOIS scores (p< 0.05) in the patients under 11 years of age. Differences (p< 0.05) were found in the dysphagia-associated perinatal factors in the various age groups, with longer ventilation assistance times, parenteral nutrition, and hospital stays.
    Conclusions: Dysphagia is an extremely frequent symptom at any given age in patients undergoing esophageal atresia surgery. A standardized, cross-disciplinary follow-up is key to improve quality of life.
    MeSH term(s) Infant, Newborn ; Humans ; Child ; Infant ; Child, Preschool ; Deglutition Disorders/epidemiology ; Deglutition Disorders/etiology ; Deglutition Disorders/diagnosis ; Esophageal Atresia/surgery ; Esophageal Atresia/complications ; Retrospective Studies ; Quality of Life
    Language Spanish
    Publishing date 2023-10-01
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 1214833-7
    ISSN 2445-2807 ; 0214-1221
    ISSN (online) 2445-2807
    ISSN 0214-1221
    DOI 10.54847/cp.2023.04.10
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4152: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article: Segmental absence of intestinal musculature in newborn: Case report.

    Vargova, Paulina / Abecia Martinez, Emilio Ignacio / Escartín Villacampa, Ricardo / Ruiz de Temiño Bravo, Mercedes / Del Valle Sanchez, Elena / Bragagnini Rodriguez, Paolo

    International journal of surgery case reports

    2023  Volume 108, Page(s) 108424

    Abstract: Introduction and importance: Segmental absence of the muscularis propria intestinalis (SAIM) is a rare pathology characterized by a partial or complete absence of the intestinal musculature. Diagnosis requires histological confirmation, and treatment ... ...

    Abstract Introduction and importance: Segmental absence of the muscularis propria intestinalis (SAIM) is a rare pathology characterized by a partial or complete absence of the intestinal musculature. Diagnosis requires histological confirmation, and treatment includes urgent laparotomy, resection of affected areas, and end-to-end anastomosis or creation of stomas. The work has been reported in line with the SCARE guideline criteria.
    Case report: We present the case of a 31-week preterm newborn with prenatal diagnosis of polyhydramnios and non-immune fetal ascites. Radiological tests confirmed meconium peritonitis, and laparotomy was indicated. The patient had a torpid postoperative course requiring multiple surgeries due to intestinal occlusion and leakage of the anastomosis. Finally, he was discharged with good oral tolerance and bowel function. The anatomopathological examination reported the congenital absence of intestinal muscle with segmental and multifocal distribution.
    Clinical discussion: Most neonatal cases share similar clinical features, and if SAIM is suspected during surgery, the suspicious areas should be resected to prevent future complications. The prognosis depends on the extent of the lesion, possibility of resecting affected segments, and concomitant pathologies.
    Conclusion: In conclusion, this study aims to describe SAIM based on a clinical case and review of the literature. SAIM is a rare pathology that requires prompt diagnosis and treatment to prevent complications. Surgeons should consider resecting suspicious areas during surgery to prevent future complications.
    Language English
    Publishing date 2023-06-20
    Publishing country Netherlands
    Document type Case Reports
    ISSN 2210-2612
    ISSN 2210-2612
    DOI 10.1016/j.ijscr.2023.108424
    Database MEDical Literature Analysis and Retrieval System OnLINE

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