Search PubMed⌕ Search

Biomedical subjects

I Cano Novillo

Publications and source records attributed to I Cano Novillo.

At least 19 recordsLinked to original sources
PubMed2002

[Congenital colonic stenosis].

The colon is the least common site of congenital intestinal stenosis and atresia and accounts for 5-15 % of all of these abnormalities. We present the case of a 2-month-old boy who presented vomiting, constipation, weakness, and abdominal distension. Contrast enema and colonoscopy revealed an abrupt change in caliber in the sigmoid colon and, after ruling out other disorders, a diagnosis of colonic stenosis was made. Laparoscopy under total anesthesia was performed and a stenotic area in the sigmoid colon and proximal dilatation were identified. A small incision was made and the stenotic segment was removed. Video-assisted resection and end-to-end anastomosis were performed and the child made and uneventful postoperative recovery. Contrast enema after surgery showed good anastomosis and normal bowel diameter. At the age of 18 months the patient is asymptomatic and his stools are normal. With laparoscopy, visualization of the abdominal cavity was magnified and detailed, the affected intestinal segment was easily identified and other diseases were ruled out. Recovery was rapid and the functional and esthetic results were excellent.

Colon↗
PubMed2002

[Tracheal stenosis: individualized treatment].

INTRODUCTION: Stenosing airway disease is unfrequent in the pediatric age group and includes intraluminal obstructions, extrinsic compressions and malacias. OBJECTIVE: To show our experience in the treatment of congenital and acquired tracheal stenosis (CTS and ATS) and suprastomal tracheal collapse (STC). PATIENTS AND METHODS: Since 1990, 24 patients have been evaluated in our Unit: Ten CTS, 5 ATS and 9 STC. We have studied the following parameters: Sex, age at diagnosis, ethiology, type of lesion, associated anomalies, treatment, postoperative intubation, length of hospital stay, number of bronchoscopies, complications and follow-up. RESULTS: 14 girls and 10 boys are included in this survey. Age at diagnosis ranged from 3 days to 12 years and associated anomalies were present in 75% of cases. We have treated 22 of the 24 patients with the following procedures: Costal cartilage tracheoplasty (6 cases), slide tracheoplasty (2), resection and anastomosis (3), anterior cricoid suspension (8), dilation (2) and laser resection (1). We have achieved good results in 17 patients (77%), bad in 4 (18%) and fair in one. CONCLUSIONS: Due to the variety of stenotic lesions, we think that treatment should be tailored to each particular case and performed by a multidisciplinary pediatric team in order to achieve the best results.

Child↗
PubMed2002

[Treatment of tracheobronchomalacia with expandable metallic stents].

Tracheomalacia is an unfrequent disease that causes tracheal collapse during breathing. It is generally associated to esophageal atresia, but cases of primary tracheomalacia and others secondary to extrinsic compression, have also been described. Spontaneous resolution is generally the rule and only a few cases need surgical treatment. When this therapy fails or is not indicated for any reason, endoluminal tracheobronchial stents may be used. We have treated two patients with four expandable metallic stents: one had severe tracheomalacia associated to esophageal atresia and the other tracheobronchomalacia secondary to cardiomegaly. Results have been good in both cases.

Biocompatible Materials↗
PubMed2000

[Analysis of anti-reflux surgery failure].

Recurrent gastroesophageal reflux following fundoplication is a challenging problem, because it is usually refractory to medical treatment and a second, technically difficult, antireflux operation is required. Different factors that may contribute to surgery failure have been identified in children. We present 8 cases who underwent redofundoplication after failed procedures, from a total number of 96 patients operated on due to gastroesophageal reflux. Four patient's had their initial fundoplication performed at our institution. Six patients were neurologically impaired, six had chronic pulmonary disease, and two had esophageal atresia. The main presenting symptoms were recurrent vomiting (n = 8) and aspiration (n = 4). Gastroesophageal reflux was confirmed by barium swallow and endoscopy. Operative findings showed wrap breakdown in two cases, warp breakdown associated with hiatal hernia in five, wrap breakdown associated with paraesophageal hernia in two cases, and paraesophageal hernia with normal wrap in one. A second Nissen procedure were performed in five cases, whereas a Collis-Nissen gastroplasty was realized in three with a short esophagus. Six patients had a successful outcome remaining symptom free, one has severe disphagia, and one has recurrent vomiting. In our experience, patients with recurrent gastroesophageal reflux disease should undergo an antireflux procedure tailored to specific anatomic or functional abnormalities.

Child↗
PubMed1997

[Caustic ingestion: health impact of a social disease].

PATIENTS AND METHODS: A total of 137 children less than 14 years of age were studied for caustic ingestion in the period 1987-1994. Seventy-five percent of the children affected were less than 3 years old. All ingestions but one, were accidental. The incidence rate of caustic ingestion did not decrease significantly during the period studied. RESULTS: Early esophagogastroscopy was the method of choice for the classification of caustic burns. Esophago-gastric damage occurred in 62 cases (45.3%), and was most frequently related to strong bases included in cleaners used in industry. Ingestion of household cleaners is associated with a good prognosis. The development of esophageal stricture was closely related to the severity of the initial injury. This occurred in 24 patients (17.5%). Prolonged hospital stay was necessary in order to treat adequately these patients. This means an elevated cost, estimated at 1,036,496 pesetas per patient, to the Health Care System. CONCLUSIONS: To minimize the frequency of this kind of childhood accident, an information campaign directed especially to parents is recommended. Furthermore, strict control concerning the commercialization and storage of these products is mandatory.

Adolescent↗
PubMed1994

[Fournier's gangrene secondary to anorectal trauma].

Fournier's Gangrene (FG) is a rapidly progressive necrotizing fasciitis affecting the male scrotum and perineum, highly uncommon in paediatric patients. Initially considered as an idiopathic disease, it is frequently found associated to debilitating diseases or in immunocompromised patients. Prognosis is more favourable in children than in adults and is dependent of an early diagnosis and a rapid institution of the appropriate medical and surgical therapy.

Adolescent↗
PubMed1992

[Clinical profile, course and outcome of gastroesophageal reflux in 10 infants under active medical treatment].

We have studied the clinical profile, cause and outcome of 105 infants with the diagnosis of gastroesophageal reflux. In most cases, pharmacological treatment managed to control the symptoms in 9 out of 10 infants followed in our series. Complications were described in 26.2%, of which esophagitis and chronic respiratory disease were the most common. Corrective surgery of the reflux was indicated in those cases in which pharmacological treatment was not successful. This managed to control the reflux in 90% of all cases. Morbidity was scarce. In all, 75% of the infants were considered to be medically cured within 15.5 months from the time that they were diagnosed and within 18.5 months after the appearance of the first symptoms.

Esophagitis, Peptic↗
PubMed1992

[Cysts of the thyroglossal duct: analysis of diagnostic errors and causes of recurrence].

Thyroglossal-duct cysts usually present as an anterior midline neck mass, ranking first in this location in the pediatric age. We have carried out a retrospective revision of 52 pediatric patients with a preoperative diagnosis of thyroglossal-duct cyst. All of them were treated in our surgical unit between 1982 and 1989. The male to female ratio of cases was 34:18 with symptoms appearing at an average age of 4 years. The most frequent clinical presentation was that of a cystic mass without any inflammatory signs (65%), located in the mid-line at the hyoid level (75%). In this paper we analyze the existing possibilities as regards to the clinical presentation, location and characteristics of this type of cervical swellings, as well as the most frequent causes of misdiagnosis. We also make a comparison between the results we have obtained with the different surgical techniques used. We conclude that it is necessary to perform a radical surgical treatment of the thyroglossal-duct remnants, which includes removal of the middle third of the hyoid bone and excision of the thyroglossal duct as far as the foramen cecum.

Adolescent↗
PubMed1991

[Results of the treatment of Hirschsprung's disease using Duhamel technique and mechanical sutures].

The original Duhamel procedure for the treatment of Hirschsprung's disease (HD) has undergone several important modifications over the years. The use of mechanical suture in recent years has added significant advantages to this surgical procedure. Sixteen patients with HD were operated on according to this surgical technique, from 1985 to 1990. We analyse clinical, radiological and surgical aspects. We concentrate on early and late postoperative complications and the results achieved after a maximum follow-up of 4.5 years.

Female↗
PubMed1991

[Surgical treatment of myasthenia gravis in children using transsternal thymectomy].

Myasthenia gravis is an inmunological disease infrecuent during childhood. In recent years, thymectomy has gained increasing acceptance as the most effective treatment for acheiving sustained improvement in patients affected of myasthenia gravis. We report our experience in five children treated by trassternal radical thymectomy in the last five years. This patients were clinically staged following Osserman's classification as stage IIB (three cases) and stage III (two cases). All of them are in complete remission after a mean postoperative period of thirty three months. We add a review of the literature comparing the differents surgical approaches for thymectomy and its results in children.

Adolescent↗