PubMed HealthSearch

Biomedical subjects

I Cano Novillo

Publications and source records attributed to I Cano Novillo.

10 recordsLinked to original sources

[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

[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

[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

[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

[Conservative treatment of neonatal ovarian cysts].

Treatment of choice of ovarian cysts diagnosed in the neonatal period has been until nowadays mainly surgical. Another possibility is a conservative approach, since these cysts have a natural tendency to spontaneous regression. We present 9 cases treated in our hospital in the last 8 years. 6 of them were treated surgically, while in 3 a conservative attitude was used, with sera ultrasound follow-up and disappearance of the cysts in 2 months in 2 cases and in 12 in the other. In cysts smaller than 5 cm we adopt a conservative management, leaving surgery only for those bigger or complicated.

Female

[Instrumental perforation of the esophagus. Importance of diagnosis early in its clinical course].

Instrumental esophageal perforation is a serious complication that demands immediate therapy. In a retrospective study we have evaluated the results in seven patients treated for esophageal perforation by means of a conservative treatment without mortality. Instrumental dilatation of corrosive strictures were the most frequent cause of iatrogenic endoscopy. We have observed an esophageal injury associated with a Sengstaken-Blackemore tube placement. Clinical symptoms associated with chest roentgenograms guided to early diagnosis in all cases. Conservative treatment usually consist of a course of antibiotics, pleural drainage, and total parenteral nutrition. Clinical follow-up has been good in the seven patients treated.

Adolescent

[Our experience with the treatment of congenital megacolon using mechanical sutures].

The DUHAMEL operation is widely used for the treatment of HIRSCHSPRUNG disease. Recently, technical modifications using stapled instruments have been introduced. The results of 12 patients treated between 1985 and 1989, performing the DUHAMEL procedure are reviewed. We perform with mechanical sutures, both surgical stages, e.g. abdominal and perineal. The technique for the procedure is described. Since we introduce the technique, we have observed several advantages consisting in a shorter surgical time, earlier normal life pattern, less postoperative complications and better results in clinical evolution.

Colostomy

[Polyps of the posterior urethra: presentation of a new case].

Presence of polyps in the posterior urethra are a rare cause of childhood obstructive uropathy. The diagnosis is done through clinical and mictional cistouretrography findings, and the choice therapy during paediatric age is transurethral resection. In this paper, a review of the literature is made discussing the major aspects regarding this pathology.

Child, Preschool