Problemi non correnti
Quando il chirurgo si lega le mani
HANDS-OFF SURGERY
ANTONIO MESSINEO
Unità Operativa di Chirurgia Pediatrica, IRCCS “Burlo Garofolo”, Trieste
Dicembre 2000 - pagg. 643 -645
Abstract
In pediatric surgery, the choice of conservative management (which it is not necessarily nonoperative)
has modified the therapeutic approach to many conditions. In this paper, the
Author examines the impact of this policy on 4 conditions: splenohepatic injuries, Crohn’s
disease, appendiceal abscess and anorectal achalasia. For all the above conditions suggestions
are given based on literature review and personal experience.
Parole chiave
Suggerite dall'AI
Bibliografia
1. Oldhan KT, et al. Blunt liver injury in
childhood evolution of therapy and current
perspective. Surgery 1986;100:542-9.
2. Galat JA, et al. Pediatric blunt liver injury: establishment of criteria for appropriate management. J Ped Surg 1990;25:1162-5.
3. Wesson DE, et al. Ruptured spleen. When to operate? J Ped Surg 1981;16:324-6.
4. Pearl R, et al. Splenic injury. A 5-year update with improved results and changing criteria for conservative management. J Ped Surg 1989;24:310-7.
5. Patrick DA. Nonoperative management of solid organ injuries in children results in decreased blood utilization. J Ped Surg 1999; 34:1695.
6. Davies G, Evans CM, Shand WS, Walker- Smith JA. Surgery for Crohn’s disease in childhood: influence of site of disease and operative procedure on outcome. Br J Surg 1990;77:891-4.
7. Ventura A, Nassimbeni G. Terapia del morbo di Crohn in età pediatrica. Prospettive in Pediatria 1995;25:283-96.
8. Messineo A, Monai M, Codrich D, Ventura A, Martelossi S. Avoiding surgery in patients with Crohn’s disease. Lavoro presentato al “VII pediatric colorectal club”. Rome, July 16-17, 2000.
9. Lobe TE. Appendicitis: a medical disease? Pediatr Endosurg Innovative Techniques 1998;2(4):185-9.
10. Yamini D, Vargas H, Bongard F, Klein S, Stamos MJ. Perforated appendicitis: is it truly a surgical urgency? Am Surg 1998; 64:970-5.
11. Mazziotti MV, Marley EF, Winthrop AL, Fitzgerald PG, Walton M, Langer JC. Histopathologic analysis of interval appendectomy specimens: support for the role of interval appendectomy. J Ped Surg 1997;32(6):806-9.
12. Ein SH, Shandling B. Is interval appendectomy necessary after rupture of an appendiceal mass? J Ped Surg 1996;31(6):849-50.
13. Krebs C, Acuna R. Transanal internal sphincter myomectomy: indications, operative procedure and results. Eur J Ped Surg 1994;4:151-7.
14. Moore P. Handbook of Botulinum toxin treatment. Oxford: Blackwell Science, 1995.
15. Messineo A, Codrich D, Monai M, Martelossi S, Ventura A. The treatment of anal sphincter achalasia with Botulinum toxin. Pediatric Surgery International, in press.
2. Galat JA, et al. Pediatric blunt liver injury: establishment of criteria for appropriate management. J Ped Surg 1990;25:1162-5.
3. Wesson DE, et al. Ruptured spleen. When to operate? J Ped Surg 1981;16:324-6.
4. Pearl R, et al. Splenic injury. A 5-year update with improved results and changing criteria for conservative management. J Ped Surg 1989;24:310-7.
5. Patrick DA. Nonoperative management of solid organ injuries in children results in decreased blood utilization. J Ped Surg 1999; 34:1695.
6. Davies G, Evans CM, Shand WS, Walker- Smith JA. Surgery for Crohn’s disease in childhood: influence of site of disease and operative procedure on outcome. Br J Surg 1990;77:891-4.
7. Ventura A, Nassimbeni G. Terapia del morbo di Crohn in età pediatrica. Prospettive in Pediatria 1995;25:283-96.
8. Messineo A, Monai M, Codrich D, Ventura A, Martelossi S. Avoiding surgery in patients with Crohn’s disease. Lavoro presentato al “VII pediatric colorectal club”. Rome, July 16-17, 2000.
9. Lobe TE. Appendicitis: a medical disease? Pediatr Endosurg Innovative Techniques 1998;2(4):185-9.
10. Yamini D, Vargas H, Bongard F, Klein S, Stamos MJ. Perforated appendicitis: is it truly a surgical urgency? Am Surg 1998; 64:970-5.
11. Mazziotti MV, Marley EF, Winthrop AL, Fitzgerald PG, Walton M, Langer JC. Histopathologic analysis of interval appendectomy specimens: support for the role of interval appendectomy. J Ped Surg 1997;32(6):806-9.
12. Ein SH, Shandling B. Is interval appendectomy necessary after rupture of an appendiceal mass? J Ped Surg 1996;31(6):849-50.
13. Krebs C, Acuna R. Transanal internal sphincter myomectomy: indications, operative procedure and results. Eur J Ped Surg 1994;4:151-7.
14. Moore P. Handbook of Botulinum toxin treatment. Oxford: Blackwell Science, 1995.
15. Messineo A, Codrich D, Monai M, Martelossi S, Ventura A. The treatment of anal sphincter achalasia with Botulinum toxin. Pediatric Surgery International, in press.