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Abordaje supraumbilical

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12 papers 25 to 100 followers
By Alejandro Peñarrieta Daher Residente de Cirugía Pediatrica en Hospital Infantil de México Federico Gómez
https://www.readbyqxmd.com/read/27484409/a-novel-approach-to-neonatal-abdominal-surgery-via-a-circular-incision-around-the-umbilical-cord
#1
Toshio Sawai, Takeo Yonekura, Katsuji Yamauchi, Takuya Kimura, Keisuke Nose
We present a new, scarless, circular incisional approach around the umbilical cord for neonates with intestinal atresia. This novel approach achieves truly woundless surgery. It is simple, safe, and can be used for an intestinal surgical treatment in neonates.
October 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/15750934/the-versatility-of-the-umbilical-incision-in-the-management-of-hirschsprung-s-disease
#2
Carolien J E Sauer, Jacob C Langer, Paul W Wales
BACKGROUND/PURPOSE: The aim of this report is to describe how the umbilical incision provides a quick and safe alternative to laparoscopy or other abdominal incisions in the management of Hirschsprung's disease (HD). METHODS: An analysis of 24 patients with HD, who were treated using an umbilical incision as part of their operative management between 1999 and 2003, was performed. RESULTS: There were 18 boys and 6 girls (mean age at diagnosis: 16...
February 2005: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/25475803/a-new-paradigm-of-scarless-abdominal-surgery-in-children-transumbilical-minimal-incision-surgery
#3
Yuki Tsuji, Kosaku Maeda, Shigeru Ono, Satohiko Yanagisawa, Katsuhisa Baba, Yoshiko Usui
PURPOSE: This study aimed to evaluate the use of a transumbilical incision for infants and children, as well as neonates, with various intraabdominal conditions. METHODS: A retrospective study of transumbilical incision surgery was performed between June 2007 and June 2013. Patients were divided into two groups: group 1 of neonates and group 2 of infants and children. All operations were performed via an upper circumumbilical incision. RESULTS: Thirty-six patients (22 males, 14 females) were treated via a transumbilical incision, with 20 patients in group 1 and 16 patients in group 2...
November 2014: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/18082726/transumbilical-management-for-neonatal-ovarian-cysts
#4
Jao-Yo Lin, Zen-Fung Lee, Yu-Tang Chang
BACKGROUND/PURPOSE: Since Tan and Bianchi (Br J Surg. 1986;73:399) reported umbilical incision as an access for pyloromyotomy in infantile hypertrophic pyloric stenosis, many pediatric surgeons have used this approach for a number of other procedures. Because of the long pedicle with good mobility and the frequent intraabdominal position of the neonatal ovarian cyst, we attempted to manage it via the transumbilical route. METHODS: All patients were treated under intubation general anesthesia...
December 2007: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/20623293/umbilical-crease-incision-for-duodenal-atresia-achieves-excellent-cosmetic-results
#5
COMPARATIVE STUDY
Yukiko Takahashi, Tatsuro Tajiri, Kouji Masumoto, Yoshiaki Kinoshita, Satoshi Ieiri, Toshiharu Matsuura, Mayumi Higashi, Tomoaki Taguchi
BACKGROUND: The surgical procedure for treating congenital duodenal atresia has normally been performed by an upper abdominal transverse incision. Recently, duodenoduodenostomy has been attempted using an umbilical crease incision to improve the cosmetic results. METHODS: Eighteen cases of duodenal obstruction, including 15 atresia, 2 stenosis, and 1 atresia and stenosis, were treated from June 2001 to August 2009, in which 8 cases were performed via the umbilical crease incision and 10 cases via the conventional transverse incision...
October 2010: Pediatric Surgery International
https://www.readbyqxmd.com/read/24074679/supraumbilical-incision-with-u-u-umbilicoplasty-for-congenital-duodenal-atresia-the-stockholm-experience
#6
Nader Ghaffarpour, Pär-Johan Svensson, Anna Svenningsson, Tomas Wester, Carmen Mesas Burgos
BACKGROUND: Minimizing scars has become a major concern in pediatric surgery. Since Tan and Bianchi introduced the minimally invasive umbilical incision for Ramstedt's pyloromyotomy, their technique has been adopted for a variety of neonatal abdominal conditions. The aim of this study was to evaluate a modification of the skin incision. MATERIAL AND METHODS: We have modified Bianchi's original technique to access the abdomen through the linea alba by introducing a novel U-to-u umbilicoplasty and compare the results with the traditional transverse incision...
September 2013: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/21683201/a-comparison-of-circumumbilical-and-transverse-abdominal-incisions-for-neonatal-abdominal-surgery
#7
COMPARATIVE STUDY
Megha Suri, Jacob C Langer
PURPOSE: Although neonatal bowel surgery traditionally involves a transverse abdominal incision, several authors have reported that the circumumbilical incision is effective and cosmetically appealing. We report the first study comparing the circumumbilical incision to the transverse abdominal incision for a variety of neonatal abdominal operations. METHODS: Retrospective cohort analysis comparing the circumumbilical incision to the transverse abdominal incision for neonates who underwent surgical repair of malrotation, duodenal atresia/web, or intestinal atresia/web was performed between 1999 and 2009...
June 2011: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/19083006/versatility-of-the-circumumbilical-incision-in-neonatal-surgery
#8
Fiona J Murphy, A Mohee, Basem Khalil, Anupam Lall, Antonino Morabito, Adrian Bianchi
BACKGROUND: Following the advent of laparoscopic surgery, cosmesis has become an important factor in surgical decision making. The circumumbilical incision combines the advantages of an open approach with an aesthetically pleasing scar on the abdomen. The aim of this paper is to examine the results of this incision in neonatal laparotomy. METHODS: All neonates who underwent a supraumbilical circumferential skin incision for an exploratory laparotomy in the period 1997-2007 were reviewed...
February 2009: Pediatric Surgery International
https://www.readbyqxmd.com/read/18704452/transumbilical-approach-for-neonatal-surgical-diseases-woundless-operation
#9
Tatsuro Tajiri, Satoshi Ieiri, Yoshiaki Kinoshita, Kouji Masumoto, Yuko Nishimoto, Tomoaki Taguchi
PURPOSE: The transumbilical approach by means of a circumumbilical incision has up until recently been the main method for performing a pyloromyotomy. This study aims to assess the clinical usefulness of the transumbilical approach for neonates with a variety of surgical intraabdominal diseases in order to achieve minimally invasive surgery with excellent cosmetic results. METHODS: In 14 neonates with surgical diseases (3 hypertrophic pyloric stenoses, 3 ileal atresias, 2 jejunal atresias, 1 duodenal stenosis, 1 duodenal atresia, 2 ovarian cysts, 1 malrotation, and 1 segmental dilatation of ileum), treatment using a transumbilical approach by means of a half circumumbilical incision was performed at our institution...
October 2008: Pediatric Surgery International
https://www.readbyqxmd.com/read/18639709/transumbilical-pyloromyotomy-with-umbilicoplasty-provides-ease-of-access-and-excellent-cosmetic-results
#10
David Lazar, Bindi Naik, Megan E Fitch, Jed G Nuchtern, Mary L Brandt
BACKGROUND/PURPOSE: Cosmesis is considered one of the key reasons to perform pyloromyotomies through the umbilicus. We describe the results of pyloromyotomy using a supraumbilical incision with umbilicoplasty that allows ease of mobilization of the pylorus and excellent cosmetic results. METHODS: The charts of all patients undergoing transumbilical pyloromyotomy with umbilicoplasty from 2002 to 2006 were retrospectively reviewed. Demographic data as well as operative time, details of surgical technique, and outcome were collected and analyzed...
July 2008: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/17706497/minimal-access-approach-to-jejunal-atresia
#11
Behrouz Banieghbal, Peter G Beale
AIM: Jejunal atresia (JA) is a common cause of intestinal obstruction in the newborn. It is corrected by small bowel tapering/excision and end-to-end enteroenterostomy, performed through a transverse laparotomy incision. It has excellent result with minimal morbidity and mortality. This incision can be reduced to a circumumbilical type as has been described for hypertrophic pyloric stenosis. MATERIALS: Sixteen neonates, aged 1 to 8 days, underwent JA repair via this approach over a 3-year period...
August 2007: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/12484587/circumumbilical-incision-for-ramstedt-s-pyloromyotomy
#12
A W Lambert, M O'Brien, R Surana, K Hutton, S N Huddart
No abstract text is available yet for this article.
November 2002: Annals of the Royal College of Surgeons of England
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