Laparoscopic Nissen fundoplication with fibrin glue: experimental study on pigs.

Nowadays laparoscopy shows a great development in the pediatric age group. Pediatric surgeons are now able to study the possible applications in pediatric surgery of this new and fascinating procedure. A mandatory laparoscopic training to perform any important operation is clearly essential. Only a few cases of Nissen fundoplication have been reported in children. We suggest this experimental study in which we add a technical modification by using fibrin glue to tighten the gastric wrap on the esophagus positioning only two stitches at the extremes of the suture. The results were interesting and we think it an excellent starting point for a future clinical application of this new technique

Extralobar pulmonary sequestration in children: presentation of a case.

The pulmonary sequestration is an anatomical condition with as isle of pulmonary tissue independent from tracheobronchial tree. This tissue has an independent artery originated from aorta. Anatomically we can have two types of sequestration. The first is the condition of an isle of pulmonary tissue included without any separation in the lobe; this condition in named intra-lobar sequestration. On the other hand we have a second condition with an isle of independent pulmonary tissue surrounded with independent pleura; the last one is named extra-lobar sequestration. In the present article the authors describe a case of extralobar sequestration in a two years old girl. The symptoms presented by the girl were hyperpyrexia, tough and recurrent bronchopulmonary infections. The girl underwent surgery removal of sequestration. The authors describe their experience, the importance of symptomatology and the anatomo-pathologic characteristics of this lesions

Cryptorchidism

The term cryptorchidism refers to the condition of abnormal testicular descent (TD). In this situation the testis is â\u80\u9chiddenâ\u80\u9d and it cannot be identified in its normal position that is inside the scrotum. In fact the term â\u80\u9ccryptorchidismâ\u80\u9d literally means â\u80\u9chidden testicleâ\u80\u9d and is often used interchangeably with the term â\u80\u9cundescended testicleâ\u80\u9d. A normal testicular function is guaranteed by its full descent into the scrotum. Undescended testes carry the risk of malignant transformation and loss of fertility. It is thus mandatory to recognize this condition in order to plan the surgical correction

Alimentary Tract Duplications

Enteric duplications are rare development malformations that can occur anywhere along the alimentary tract from the tongue to the anus. To date, there is no unique classification that can explain their extremely variable onset, size, and location. Calder was the first to publish a report of alimentary tract duplications, back in 1773, describing a duodenal duplication. The term “intestinal duplication” was used for the first time by Fitz in 1884 but was not widely used until it became commonly used in 1937, thanks to Ladd and a further classification by Gross in 1953. Several terms had been used before then to describe such anomalies such as giant diverticula, enterogenous cyst, or unusual Meckel’s diverticula. The current nomenclature, as suggested by Ladd and Gross, depends on the anatomic location of the duplication in relation to the normal gastrointestinal tract

Esophageal Atresia and Tracheoesophageal Fistula

Esophageal atresia (EA) with or without tracheo- esophageal fistula (TEF) represents a congenital developmental anomaly. It is the most common congenital malformation of the esophagus char- acterized by an esophageal discontinuity (the upper esophagus terminates in a blind-ending pouch) and a possible tracheoesophageal connec- tio