Asunto(s)
Laparoscopía/estadística & datos numéricos , Estenosis Pilórica/cirugía , Píloro/cirugía , Recolección de Datos/métodos , Femenino , Humanos , Lactante , Recién Nacido , Italia/epidemiología , Laparoscopía/métodos , Masculino , Morbilidad/tendencias , Estenosis Pilórica/epidemiología , Estudios Retrospectivos , Resultado del TratamientoRESUMEN
Thyroglossal duct remnant localized to the suprasternal notch is an exceedingly rare condition. We report on a novel case occurring in an 8-year-old girl who presented with acute onset of a suprasternal abscess. After incision and drainage, a Sistrunk procedure was successfully carried out using 2 stepladder incisions. This approach combined optimal surgical exposure and satisfactory cosmesis.
Asunto(s)
Absceso/cirugía , Quiste Tirogloso/cirugía , Absceso/tratamiento farmacológico , Absceso/etiología , Antibacterianos/uso terapéutico , Niño , Terapia Combinada , Fístula Cutánea/etiología , Fístula Cutánea/cirugía , Estética , Femenino , Humanos , Hueso Hioides/cirugía , Quiste Tirogloso/complicaciones , Quiste Tirogloso/diagnóstico por imagen , Ultrasonografía , Síndrome de Waardenburg/complicacionesRESUMEN
OBJECTIVE: To investigate the relationship between renal function and vesicoureteral reflux before and after valve ablation in patients with posterior urethral valves. In these patients, back pressure may not be the only cause of renal damage. MATERIAL AND METHODS: We conducted a retrospective review of 37 patients with valves consecutively treated between 1970 and 2002. Data were available for 31 patients, 19 of whom presented reflux at presentation. Grade of reflux was ascertained by voiding cystourethrography. Overall renal function was measured by serum creatinine, and split renal function was estimated by dimercaptosuccinic acid scan available for all patients but two. RESULTS: Before relief of obstruction, there was no correlation between split renal function and grade of reflux into 25 kidneys of the 17 patients (r = -.13; 95% CI, -.50 to .27; P = .51). High-grade reflux (grade IV-V) affected 6 of the 11 renal units, with split renal function >40% vs 11 of the 14 units with split renal function <40% (P = .38). After successful valve ablation, reflux resolved in all the 11 units with split renal function >40% vs 4 of the 14 units with split renal function <40% (P = .0005). CONCLUSION: The good renal function of more than half of the renal units with high-grade reflux at presentation, and the persistence of reflux mainly in nonfunctioning or poorly functioning kidneys after valve ablation, support the concept that in some patients with valves, reflux and renal damage are associated anomalies.