[The treatment of pectus excavatum: results of a mininvasive surgical technique on the first 50 patients].

Abstract:

AIM:Pectus excavatum is the commonest thoracic congenital malformation, but its treatment remains not well known. The authors present the results of the mini-invasive repair at G. Gaslini Institute of Genoa, Italy. METHODS:Nuss mini-invasive repair avoids anterior scars. The correction is achieved by the introduction under thoracoscopy of a retrosternal curve bar that is rotated by 180 degrees . Postoperatory pain is managed by an epidural catheter. In all the operated patients we evaluated the clinical pre-operatory parameters (spirometric, radiological and cardiological data), the surgical details and the results. RESULTS:Fifty patients were operated, 43 of them males, ranging from 7 and 22 years of age, with an average of 17 years of age. Only 8 of them were asymptomatic and required surgery for psychological reasons. The 74% presented some stress dyspnea. Some impairment in spirometric parameters were observed in 28% and mitral valve prolapse in 30%. The only significant intra-operative complication was a bleeding from a thoracic wall vessel that required a left emergency minimal thoracotomy. Postoperative complications were: 2 pneumothorax (drained for 24 hours), 2 transitory pulmonary atelectasis, 1 hemothorax in a patient with coagulation deficit, 3 wound problems (1 infection and 2 hematomas). The esthetical score after surgery, according to the patients, was 9.15 on average, in a scale from 1 to 10. None rated less than 7. The pain score with the same scale was rated 6.8 on average. CONCLUSION:The Nuss technique is safe and guarantees very satisfactory esthetical results.

journal_name

Minerva Pediatr

journal_title

Minerva pediatrica

authors

Torre M,Mameli L,Montobbio G,Asquasciati C,Campanella V,Ferrari C,Jasonni V

subject

Has Abstract

pub_date

2008-08-01 00:00:00

pages

391-6

issue

4

eissn

0026-4946

issn

1827-1715

journal_volume

60

pub_type

杂志文章
  • [Wolfram syndrome. Personal experience].

    abstract::We report on a young patient who suffered from diabetes mellitus and neurosensorial deafness from the age of two. One year later she was noted to have deteriorated vision and the diagnosis of optic atrophy was made, her visual acuity decreased progressively. At the age of six she was admitted to our hospital because o...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Marietti G,Bizzarri C,Perrone F,Zampino G,Conti G,Falsini B,Ricci B

    更新日期:1995-04-01 00:00:00

  • Recognition and initial management of cardiac emergencies in children.

    abstract::One may have only minutes to change the trajectory of a child who is deteriorating from either congenital or acquired cardiac disease. However, these children may present with rather cryptic patterns of symptoms (e.g. failure to thrive, lethargy, colic, neonatal shock, respiratory distress, wheezing and syncope with e...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章,评审

    doi:

    authors: Hunt EA,Brunetti M,Nelson KL,Shilkofski NA,Peddy SB

    更新日期:2009-04-01 00:00:00

  • [Investigation of the blood lipid profile of a school population in Piedmont].

    abstract::The lipidaemic profile has been evaluated in a series of 603 healthy children aged 13-14, within a programme for the prevention of atherosclerotic disease commenced in November 1980 at Health Unit 66 of the Region of Piedmont. Hyperlipaemia is among the environmental risk factors for ATS and more than any of the other...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Roberi PL,Inglese V

    更新日期:1991-07-01 00:00:00

  • [Pharmacokinetics of broxaterol in asthmatic children].

    abstract::Pharmacological profile of broxaterol, a new beta adrenergic compound, was investigated in 12 asthmatic children (6 male and 6 female with age 8-13 years). This study was performed from November to May, and venous blood was collected after 30, 45, 120, 180, 240 minutes from administration of 0.5 mg broxaterol; the uri...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Flores D'Arcais A,Crippa L,De Biase D,Romagnoni G

    更新日期:1992-09-01 00:00:00

  • [Measuring the mineral content of the distal radius in the age of growth].

    abstract::A study was carried out to characterize in the growing skeleton the absorptiometric measurement of the ultradistal radial epiphysis where the trabecular bone is higher than at proximal scanning planes. The study showed that a radius scan, 1 to 1.4 cm proximal to the ulnar tip, and consequently 4 to 6 mm proximal to th...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Pasolini D,Weber G,Rubinacci A,Rinaldi GP,Chiumello G

    更新日期:1991-07-01 00:00:00

  • Predictors of depression and anxiety during adolescence: the impact of birth weight.

    abstract:BACKGROUND:A complex association has been observed between birth weight (BW) and depression/anxiety symptoms at various stages of life. The purpose of this study was to evaluate whether adolescents with low or insufficient BW were more likely to report depressive/anxiety symptoms. METHODS:A cross-sectional study was c...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:10.23736/S0026-4946.17.04452-8

    authors: Costa Machado F,Souza Vitalle MS,Franco M

    更新日期:2018-10-01 00:00:00

  • Multicystic dysplastic kidney and contralateral vesicoureteral reflux. Renal growth.

    abstract:BACKGROUND:To evaluate if vesicoureteral reflux (VUR) contralateral to the multicystic dysplastic kidney can interfere with the compensatory renal hypertrophy. METHODS:Twenty-seven patients (17 males, 10 females) with multicystic dysplastic kidney (MDK) (14 on the right, 13 on the left) have been treated at the Nephro...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Fanos V,Sinaguglia G,Vino L,Pizzini C,Portuese A

    更新日期:2001-04-01 00:00:00

  • Specific learning disorders and anxiety: a matter of school experience?

    abstract:BACKGROUND:Specific learning disorders (SLDs) are a group of neuropsychological disorders which reduce a child's ability to read and/or write and/or use numbers. Internalizing disorders, and in particular anxiety, has been reported as a relatively common comorbidity in children with reading difficulties. We conducted t...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Chiappedi M,Baschenis IM

    更新日期:2016-02-01 00:00:00

  • [Perineal ectopic testis. Report of seven cases].

    abstract::Between 1973 and 1993 7 perineal testis are observed and operated on in our surgical department. The perineal testis is a rare ectopic testis probably caused by some mechanical obstacles in the entrance of the testis in the scrotum. A diagnosis is easy if also the less frequent localizations of testicular ectopia are ...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Campobasso P,Schieven E,Sica F

    更新日期:1993-11-01 00:00:00

  • The online sexual offender: what we know to date.

    abstract:INTRODUCTION:Online grooming is an active communicative entrapment network involving a wide range of techniques. The interactions that groomers have with minors online are complex. The purpose of the present literature review is to contribute to the existing knowledge base regarding online sex offender typologies, pred...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:10.23736/S0026-4946.20.05621-2

    authors: Del Castillo G,Gandolfi CE,Mosillo M,Forni G,Pietronigro A,Tiwana N,Pellai A

    更新日期:2020-05-15 00:00:00

  • Telerehabilitation in developmental dyslexia: methods of implementation and expected results.

    abstract:BACKGROUND:Developmental Dyslexia is a disorder, highly frequent in the school population, for which the recommended rehabilitation procedures are not well defined. This study aimed to automatize reading decoding skills by using an innovative system for rehabilitation, based on a telerehabilitation method. It requires ...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:10.23736/S0026-4946.16.04426-1

    authors: Pecini C,Spoglianti S,Michetti S,Bonetti S,Di Lieto MC,Gasperini F,Cristofani P,Bozza M,Brizzolara D,Casalini C,Mazzotti S,Salvadorini R,Bargagna S,Chilosi AM

    更新日期:2018-12-01 00:00:00

  • [The psychological aspects of asthma in childhood].

    abstract:BACKGROUND AND AIMS:The hypothesis of an emotional component in asthma has been put forward since antiquity. It is currently explored using a psychodynamic, cognitive-behavioural and systemic-relational approach. This study, carried out using a psychodynamic approach, aimed to identify the psychological aspects of recu...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Massaglia P,Zizza M,Castello M,Castello D

    更新日期:1998-03-01 00:00:00

  • [Crystalline lactulose and oral preparations of micro-organisms for the treatment of chronic aspecific diarrhea in children. A controlled clinical study].

    abstract::Aspecific chronic diarrhea is one of the most common causes of protracted diarrhea in infancy. The pathology is characterised by an increased frequency of daily bowel movement with half-formed feces; it is not associated to malabsorption syndrome or enteric infections and appears to be correlated to an unbalanced diet...

    journal_title:Minerva pediatrica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Roggero P,Volpe C,Ceccatelli MP,Lambri A,Giuliani MG,Donattini T,Garavaglia MC,De Vincentiis A

    更新日期:1990-04-01 00:00:00

  • [Nailfold capillaroscopy in the study of microcirculation in childhood].

    abstract::The nailfold capillaroscopy allows to study the microcirculation: for its simple and rapid execution it can be used also in children. We examined the nailfold capillaroscopy features in childhood and valued the maturation of microcirculation in connection to age and presented some pathologic patterns. We studied nailf...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Baserga M,Bonacci E,Cammarota MG,D'Amico N

    更新日期:1996-07-01 00:00:00

  • [Treatment of childhood obesity].

    abstract::This article provides current guidelines on the treatment and prevention of childhood obesity. Since factors involved in obesity change with age, the therapeutic approach in pre-school children will be different from pupils and adolescents. The treatment will also be modulated on the basis of weight excess, weight gai...

    journal_title:Minerva pediatrica

    pub_type: 指南,杂志文章,实务指引

    doi:

    authors: Trifirò G,Salvatoni A,Tanas R,Brambilla P,Maffeis C,Gruppo di Studio sull'Obesità della SIEDP.

    更新日期:2003-10-01 00:00:00

  • Use of natural surfactant in an infant with aspiration syndrome.

    abstract::The remarkable effectiveness of surfactant in neonatology suggested its use also in adults as well as in children on the basis of the pulmonary pathophysiology. We describe a case of an 18 month-old child affected by acute respiratory distress syndrome (ARDS) due to asphyxy by gastric juice inhalation, successfully tr...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Bisceglia M,Verre M,Tancioni F,Piccirillo M,Corapi UP,Barozzi E,Vulcano S

    更新日期:2007-12-01 00:00:00

  • [Herpes simplex virus infection in pregnancy: epidemiologic, diagnostic and therapeutic data. An unusual case of HSV-1 in monozygotic twins].

    abstract::The Authors report a case of two pre-term monocorial twins affected by HSV-1 infection (Herpes Simplex Virus type 1), with generalized sepsis and involvement of the central nervous system (CNS), born by mother with primary infection who presented a typical vesicular eruption a week before delivery. As the HSV-1 was a ...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Parisi G,Squadrone NP,Rojo S,Muzii U,Molino O,Chiarelli A

    更新日期:1992-10-01 00:00:00

  • The reverse pyramid: a quali-quantitative study about food advertising inside children's television programmes.

    abstract:AIM:Considering how eating habits affect the health of children and taking into account the influence of advertising messages, we wanted to investigate the quantity and the typology of advertising on air during children's television programmes. METHODS:The research was conducted beginning in January 2008 up to March 2...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Pellai A,Vetrano S,Nobile M,Luti C

    更新日期:2012-02-01 00:00:00

  • [Oromaxillofacial changes in thalassemia major].

    abstract::Sixty patients (31 male and 29 female) with thalassemia major, aged between 6 and 26 years, 18 of which were splenectomized, were observed in this study evaluating the oro-maxillo-facial alterations and correlating them to transfusion indexes, serum ferritin levels, splenectomy and age. For each patient a haematologic...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: De Mattia D,Pettini PL,Sabato V,Rubini G,Laforgia A,Schettini F

    更新日期:1996-01-01 00:00:00

  • Thoracoscopic repair of congenital diaphragmatic hernia: review of the results.

    abstract::Congenital diaphragmatic hernia (CDH) remains one of the major challenges in neonatal surgery. Survival rate has increased in the last decades mainly due to perinatal care and surgical technique improvements. Classically, a laparotomy has been performed after cardiovascular and respiratory stabilization. Introduction ...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章,评审

    doi:10.23736/S0026-4946.17.05110-6

    authors: Barroso C,Correia-Pinto J

    更新日期:2018-06-01 00:00:00

  • What is the current role for parenteral lipid emulsions containing omega-3 fatty acids in infants with short bowel syndrome?

    abstract::Parenteral nutrition associated liver disease is the most common complication of pediatric short bowel syndrome (SBS). There is emerging evidence that the disease may be reversed with the use of parenteral lipid emulsions derived from fish-oils, which contain significant concentrations of omega-3 fatty acids (w3FA). T...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章,评审

    doi:

    authors: Diamond IR,Pencharz PB,Wales PW

    更新日期:2009-06-01 00:00:00

  • [Cystic lymphangioma of the abdominal wall in childhood: case report].

    abstract::Intra-abdominal lymphangiomas are rare benign tumours that can cause various symptoms, mainly during childhood. They are diagnosed by ultrasonography, CT scanning or at laparotomy; ultrasonographic examination often shows a voluminous tumoral cystic formation with septa. The location of the cyst may be determined eith...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Pascotto R,Saggiomo G,Di Meglio D,Mennella G,Lirato C,Picciotti ER,Pascotto C

    更新日期:2006-02-01 00:00:00

  • [Increasing prevalence of celiac children with negative serum antigliadin antibodies].

    abstract:AIM:In the last few years we noted an increasing number of children with celiac disease with negative serum anti-gliadin antibodies (AGA) a useful serologic test to monitor compliance to gluten-free diet. The aim of this study was to verify diagnostic accuracy of AGA and compare clinical characteristics of AGA-negative...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Caristo E,Tognato E,Di Dio G,Rapa A,Fonio P

    更新日期:2010-04-01 00:00:00

  • Pediatric highly active antiretroviral therapy in Mozambique: an integrated model of care.

    abstract:AIM:To test the impact of a public health model to implement HIV pediatric care in Limited Resource Settings. METHODS:A retrospective study on the clinical files of 679 Mozambican children (mean age 4.4 years; SD 3.2), has been carried out. The pediatric patients received HAART (Highly Active Anti-Retroviral Therapy) ...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Marazzi MC,Germano P,Liotta G,Buonomo E,Guidotti G,Palombi L

    更新日期:2006-10-01 00:00:00

  • Pediatric exercise induced bronchoconstriction.

    abstract:: ...

    journal_title:Minerva pediatrica

    pub_type: 信件

    doi:10.23736/S0026-4946.17.04790-9

    authors: Qu C,Guo F,Zhang C

    更新日期:2019-10-01 00:00:00

  • [Congenital hypothyroidism and development].

    abstract::The authors present the developmental outcome of 16 children with congenital hypothyroidism diagnosed by screening in the neonatal period, using the Brazelton and the Dubowitz scales in the newborn and the Griffiths scale subsequently. Results are compared with those of a control group assessed at 6 and 18 months usin...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Gouveia R,De Almeida V,Lobo Fernandes MJ,Lacerda N,Gomes Pedro J

    更新日期:1989-04-01 00:00:00

  • Attention-deficit/hyperactivity disorder: evidence-based diagnosis and management for primary care clinicians.

    abstract::Attention-deficit/hyperactivity disorder (ADHD) is a disorder characterized by persistent hyperactivity, impulsivity and inattention that impairs educational achievement and/or social development. Families seek an evaluation for children with these behaviors due to the high prevalence of ADHD and potential personal, s...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章,评审

    doi:

    authors: Liu YH,Stein MT

    更新日期:2004-12-01 00:00:00

  • Diagnosis and management of heart failure in the fetus.

    abstract::Heart failure can be defined as the inability of the heart to sufficiently support the circulation. In the fetus, heart failure can be caused by a myriad of factors that include fetal shunting abnormalities, genetic cardiomyopathies, extracardiac malformations, arrhythmias and structural congenital heart disease. With...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章,评审

    doi:

    authors: Davey B,Szwast A,Rychik J

    更新日期:2012-10-01 00:00:00

  • [Visceral leishmaniasis complicated by herpes zoster. An unusual case in the pediatric age].

    abstract::The Authors describe a case report of a girl of 7 years affected by visceral leishmaniasis (VL) complicated by herpes zoster (Hz). Hz infection is unusual in paediatric age, but it may complicate immunodeficiency states. VL causes, as well known, T cell immunity depression: Hz infection could be facilitated by this si...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章

    doi:

    authors: Di Martino L,Nocerino A,Pettoello M,Toscano P,Franzese A,Di Maio S

    更新日期:1992-01-01 00:00:00

  • Management of shock in children in the emergency department.

    abstract::Early recognition of shock is the key to successful resuscitation in critically ill children. Often, shock results in or co-exists with myo-cardial dysfunction or acute lung injury. Recognition and appropriate management of these insults is crucial for successful outcomes. Resuscitation should be directed to restorati...

    journal_title:Minerva pediatrica

    pub_type: 杂志文章,评审

    doi:

    authors: Santhanam I,Ranjit S,Kissoon N

    更新日期:2009-02-01 00:00:00