Ginocchio valgo punto per punto: quello che deve sapere il pediatra

2021 ◽  
Vol 40 (5) ◽  
pp. 303-307
Author(s):  
Maria Rita L. Genovese ◽  
Francesca Vittoria ◽  
Raffaele Grasso ◽  
Egidio Barbi ◽  
Marco Carbone
Keyword(s):  
Standard Treatment ◽  
Invasive Procedure ◽  
Spontaneous Resolution ◽  
Knee Valgus ◽  
Minimally Invasive Procedure ◽  
Tibiofemoral Angle ◽  
Know How ◽  
Intermalleolar Distance ◽  
Paediatric Orthopaedic ◽  
Residual Growth

Knee valgus is one of the most frequent paediatric orthopaedic problems based on the evaluation by the paediatricians. Most cases are physiological variants that resolve spontaneously with growth, however pathological cases require surgical treatment. Therefore, the paediatrician must know how to distinguish between the two entities from the beginning, sending the child to the specialist when necessary, thus respecting the correct timing for treatment. The most frequent condition is idiopathic knee valgus, which occurs when the physiological variant persists after the age of 8 without spontaneous resolution. Children who always need specialist evaluation are those who on physical examination show a tibiofemoral angle greater than 15° with an intermalleolar distance of about 10 cm that persists beyond 10 years of age. The gold standard treatment in these children is growth-guided hemiepiphysiodesis, namely a simple and minimally invasive procedure that reshapes the altered angle of the knees through the application of the 8-plate. The correction is based on the presence of residual growth of the physical cartilages, therefore it should not be performed too late, but not before 10 years of age.

scholarly journals Laparoscopic repair of retro-caval ureter: report of two cases

2021 ◽  
Vol 43 (5) ◽  
pp. 477-481
Author(s):  
Alireza Farshi ◽  
Denial Jafarlou
Keyword(s):  
Minimally Invasive ◽  
Ct Scan ◽  
Laparoscopic Repair ◽  
Standard Treatment ◽  
Invasive Procedure ◽  
Congenital Disorder ◽  
Laparoscopic Technique ◽  
Minimally Invasive Procedure ◽  
Retrocaval Ureter ◽  
Rare Congenital Disorder

Retrocaval ureter is a rare congenital disorder and surgery is necessary when the patient is symptomatic or having significant functional obstructions. The two cases referred to our center with severe hydronephrosis on their right sides. In both cases further evaluation with CT scan showed the diagnosis of retrocaval ureter. The retrocaval segment of the both ureters were isolated and after the excision of the narrow segments, end to end anastomosis have been done with transperitoneal laparoscopic technique. The laparoscopic ureteroureterostomy is a safe, effective and minimally invasive procedure and should be considered as a standard treatment for retrocaval ureter.

scholarly journals Definite Ocular Sarcoidosis Using Endobronchial Ultrasonography with Transbronchial Needle Aspiration

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Sukhuma Warrasak ◽  
Sawang Saenghirunvattana ◽  
Ataya Euswas ◽  
Santa Methasiri ◽  
Surapon Worapongpaiboon ◽  
...  
Keyword(s):  
Invasive Procedure ◽  
Pulmonary Involvement ◽  
Needle Aspiration ◽  
Endobronchial Ultrasound ◽  
Alternative Procedure ◽  
Minimally Invasive Procedure ◽  
Ultrasound Guided ◽  
Transbronchial Needle Aspiration ◽  
Ocular Sarcoidosis ◽  
Endobronchial Ultrasonography

Purpose. To introduce a minimally invasive procedure, endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA), to obtain a pathologic evidence of a definite ocular sarcoidosis in a patient who initially presented with presumed ocular sarcoidosis with pulmonary involvement.Methods. An EBUS-TBNA procedure was performed at perihilar lymph nodes, subcarina, and right paratrachea of the patient and specimen obtained was sent for histocytopathological studies.Result. Histocytopathological findings revealed aggregates of epithelioid histiocytes forming a noncaseous granuloma, a hallmark of sarcoidosis.Conclusion. EBUS-TBNA should be considered an alternative procedure to provide cytohistopathology proven diagnosis of definite ocular sarcoidosis.

S34 TENSION-FREE VAGINAL TAPE: ONE OF THE MINIMALLY INVASIVE PROCEDURE IN SUI

2010 ◽  
Vol 9 (6) ◽  
pp. 567
Author(s):  
X. Quni ◽  
I. Haxhiu ◽  
H. Aliu ◽  
N. Baftiu ◽  
M. Toska ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Invasive Procedure ◽  
Minimally Invasive Procedure ◽  
Tension Free ◽  
Tension Free Vaginal Tape

scholarly journals Common operation, uncommon complication. Bleeding from superior haemorrhoidal artery after minimally invasive procedure for hemorrhoids – a case report

2019 ◽  
Vol 39 (1) ◽  
pp. 70-73 ◽  
Author(s):  
Janavikula Sankaran Rajkumar ◽  
Aluru Jayakrishna Reddy ◽  
Ravikumar Radhakrishnan ◽  
Anirudh Rajkumar ◽  
Syed Akbar ◽  
...  
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Invasive Procedure ◽  
Minimally Invasive Procedure ◽  
Common Operation ◽  
Uncommon Complication

scholarly journals EMBOLIZATION OF RENAL ANGIOMYOLIPOMA: CASE SERIES

2015 ◽  
Vol 1 (2) ◽  
Author(s):  
Ghania Masood ◽  
Iffat Rehman ◽  
Saquib Khawar ◽  
Khurram A Mufti ◽  
Imran K. Niazi
Keyword(s):  
Minimally Invasive ◽  
Key Words ◽  
Case Series ◽  
Invasive Procedure ◽  
Standard Of Care ◽  
Renal Angiomyolipoma ◽  
Minimally Invasive Procedure ◽  
Benign Lesions ◽  
Current Standard ◽  
Spontaneous Haemorrhage

Renal angiomyolipomas (AML) are benign lesions usually left alone. However, lesions larger than 4 cm carry the risk of spontaneous haemorrhage and need treatment. Angiography and embolisation are the current standard of care particularly in patients with high operative risks. Angio-embolisation is a safe, minimally invasive procedure preserving maximum renal parenchyma, with the added advantage of preventing peri-procedural morbidity. Two cases of AML are presented in this case series. Key words: Angiomyolipoma, embolisation, renal 

scholarly journals External fixator for the treatment of narrowed pelvic canal in a cat

2021 ◽  
Author(s):  
S Pinna ◽  
C Tassani ◽  
M Rossini ◽  
F Lanzi
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Clinical Examination ◽  
External Fixator ◽  
Invasive Procedure ◽  
Sacral Fracture ◽  
Minimally Invasive Procedure ◽  
Canal Stenosis ◽  
Applied Tension ◽  
History Of

The aim of this study was to report the outcome of the use of an external fixator to treat a pelvic canal stenosis in a 5-month-old female cat. The cat was referred with a history of 3 weeks of intermittent signs of constipation refractory to the medical management, occurring after surgical treatment for a bilateral sacroiliac luxation and sacral fracture. The clinical examination revealed instability of the pelvis and a radiograph showed a pelvic canal stenosis and megacolon. External fixator was the method of choice to be used in this case. The manually applied tension on an external fixator resulted in a widening of the pelvic canal. At 45 days after surgery, there were no signs of constipation, and the radiological examination showed progressive bone healing. At 18 months post-op, the cat had no abnormalities both on the clinical examination and on the radiography. In conclusion, the use of an external fixator led to the widening of the pelvic canal using a minimally invasive procedure. To the authors’ knowledge, this case report represents the first surgical description and clinical outcome of the widening of the pelvic canal in cats using an external skeletal fixator.

scholarly journals Platelet-Rich Plasma Myringoplasty: A New Office Procedure for the Repair of Small Tympanic Membrane Perforations

2017 ◽  
Vol 96 (8) ◽  
pp. 312-326 ◽  
Author(s):  
Mohammad Waheed El-Anwar ◽  
Ismail Elnashar ◽  
Yaser Ahmad Foad
Keyword(s):  
Tympanic Membrane ◽  
Platelet Rich Plasma ◽  
Invasive Procedure ◽  
Minimally Invasive Procedure ◽  
Office Procedure ◽  
Taste Disturbance ◽  
Tympanic Membrane Perforations ◽  
Single Piece ◽  
Study Population ◽  
A Prospective Study

We conducted a prospective study to assess the effectiveness of a platelet-rich plasma hourglass graft in the repair of small tympanic membrane perforations as an office-based procedure. Our study population was made up of 25 patients—10 men and 15 women, aged 19 to 45 years (mean: 30.4 ± 7.2)—who each underwent repair of one eardrum. After administration of topical anesthesia, a single piece of platelet-rich plasma approximately double the size of the perforation was obtained from each patient's intravenous blood sample. After the margin of the perforation was freshened, the platelet-rich plasma was placed in an hourglass configuration, with equal portions lying medial and lateral to the perforation. Successful perforation repair was achieved in 21 of the 25 ears (84%). No patient developed an infection, hearing impairment, tinnitus, vertigo, bleeding, taste disturbance, or hyperkeratosis. We conclude that office-based platelet-rich plasma myringoplasty is a safe and effective minimally invasive procedure that is suitable for repairing small tympanic membrane perforations.

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