Treatment of post-traumatic parotid gland fistula in children

Post-traumatic fistula of the parotid gland is rare especially in children and the treatment is not established: surgery, drugs or conservative treatment. The authors present the case of a 3-year-old child with cutaneous-parotid fistula following penetrating trauma of the face. A conservative treatment with compression dressings was used and one month later a complete closure of the fistula was obtained. In this case a conservative approach should be considered because the part of the fistulized gland goes into atrophy and allows the closure of the fistula

Laparoscopic fowler-stephens orchidopexy for intra-abdominal cryptorchid testis: A single institution experience

Fowler-Stephens Laparoscopic Orchiopexy (FSLO) permits the mobilization of Intra-Abdominal Testis (IAT) to the scrotal position after spermatic vessel ligation. We reported our experience of FSLO for IAT. The charts of all boys who underwent a FSLO were retro-spectively reviewed. Data were analysed for demographic data, pro-cedure, complications and follow-up results. From January 2008 to June 2016, 160 laparoscopies for Non Palpable Testis (NPT) were performed at a mean age of 3,2 years. 61% of patients had a right NPT, while 6% were bilateral. In 64 cases, an IAT was found: 20 were managed by FSLO with a two-stage procedure in 11 patients. There were no differences in hospitalisations; one patient had a pro-longed ileus. Follow-up ranged from 1 to 8 years. Of the 20 patients who underwent FSLO, testicular atrophy developed in three; the remaining testes were in the scrotal position, with normal consisten-cy. FSLO was applied in 31% of IAT. The overall success rate of the technique was 85 %. The percentage of atrophy associated after spermatic vessels interruption appears to provide a good chance of testicular survival

The “Dark Side” of Pneumoperitoneum and Laparoscopy

Laparoscopic surgery has been one of the most common procedures for abdominal surgery at pediatric age during the last few decades as it has several advantages compared to laparotomy, such as shorter hospital stays, less pain, and better cosmetic results. However, it is associated with both local and systemic modifications. Recent evidence demonstrated that carbon dioxide pneumoperitoneum might be modulated in terms of pressure, duration, temperature, and humidity to mitigate and modulate these changes. *e aim of this study is to review the current knowledge about animal and human models investigating pneumoperitoneum-related biological and histological impairment. In particular, pneumoperitoneum is associated with local and systemic inflammation, acidosis, oxidative stress, mesothelium lining abnormalities, and adhesion development. Animal studies reported that an increase in pressure and time and a decrease in humidity and temperature might enhance the rate of comorbidities. However, to date, few studies were conducted on humans; therefore, this research field should be further investigated to confirm in experimental models and humans how to improve laparoscopic procedures in the spirit of minimally invasive surgerie

Sedative effects of intramuscular alfaxalone in pet guinea pigs (Cavia porcellus)

Objective: To evaluate the efficacy and side effects of alfaxalone administered intramuscularly (IM) as a sedative agent in guinea pigs undergoing survey radiographs

Simulations for single-dish intensity mapping experiments

HI intensity mapping is an emerging tool to probe dark energy. Observations of the redshifted HI signal will be contaminated by instrumental noise, atmospheric and Galactic foregrounds. The latter is expected to be four orders of magnitude brighter than the HI emission we wish to detect. We present a simulation of single-dish observations including an instrumental noise model with 1/f and white noise, and sky emission with a diffuse Galactic foreground and HI emission. We consider two foreground cleaning methods: spectral parametric fitting and principal component analysis. For a smooth frequency spectrum of the foreground and instrumental effects, we find that the parametric fitting method provides residuals that are still contaminated by foreground and 1/f noise, but the principal component analysis can remove this contamination down to the thermal noise level. This method is robust for a range of different models of foreground and noise, and so constitutes a promising way to recover the HI signal from the data. However, it induces a leakage of the cosmological signal into the subtracted foreground of around 5%. The efficiency of the component separation methods depends heavily on the smoothness of the frequency spectrum of the foreground and the 1/f noise. We find that as, long as the spectral variations over the band are slow compared to the channel width, the foreground cleaning method still works.Comment: 14 pages, 12 figures. Submitted to MNRA

Investigation of the realignment of the exchange bias in spintronic layer stacks using laser radiation

Die vorliegende Arbeit befasst sich mit der gezielten Neuorientierung des Exchange Bias in spintronischen Schichtsystemen durch selektive Aufheizung mittels fokussierter Laserstrahlung im externen Magnetfeld. Hierbei wird der Einfluss der Prozessparameter auf die resultierende Exchange Bias Feldstärke dargestellt. Neben experimentellen Untersuchungen wird die laserinduzierte Aufheizung durch Temperaturfeldsimulationen charakterisiert. Erste Untersuchungen zur Anwendung des lasergestützten Verfahrens auf Leiterbahn-strukturen werden vorgestellt

Persistent nonbilious vomiting in a child: Possible duodenal webbing

An association between malrotation and congenital duodenal webbing is rare. We present our experience with four patients at two centers, and a review of published reports. There are currently 94 reported cases of duodenal pathology associated with malrotation. However, only 15 of the 94 cases (15.9%) include patients with malrotation and a duodenal web. We suggest that nonbilious vomiting in a child must prompt the surgeon to consider duodenal pathology even in the presence of malrotation

Gastric transposition as a valid surgical option for esophageal replacement in pediatric patients: Experience from three Italian medical centers

Background: Esophageal replacement in children is an option that is confined to very few situations including long-gap esophageal atresia and esophageal strictures unresponsive to other therapies (peptic or caustic ingestion). The purpose of our work was to describe the experience of gastric transposition in three Italian centers. Methods: This is a retrospective study. The data were extrapolated from a prospective database. We included all patients who had undergone gastric transposition in the last 15 years. Results: In the 15-year period, eight infants and children (3 males and 5 females) underwent gastric transposition for esophageal replacement. Six patients had long-gap esophageal atresia, and two had caustic esophageal stenosis. There were no deaths in the series. Three patients had an early postoperative complication: Two had a self-limited salivary fistula at three weeks, and one (a patient with jejunostomy) had a jejunal perforation treated surgically. One late complication, anastomotic stricture, was recorded that required two endoscopic dilatations. The median follow-up was 60 months (range: 18-144 months). At final clinical follow-up, six patients had no eating problems, and two patients had some difficulties with eating (jejunostomy in situ), but they underwent logopedic therapy with improved outcomes. All patients had an increase in body weight and height postoperatively. Conclusion: Our small study reports the clinical experience of three Italian centers in which gastric transposition was performed with excellent results, both in terms of surgical technique (simplicity, reproducibility, complication rate) and clinical follow-up (good oral feeding of young patients, normal social life and regular growth curves)