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J M García Crespo

Publications and source records attributed to J M García Crespo.

9 recordsLinked to original sources
PubMed2006

[Endoscopic treatment of ureterocele in children: is a long term effective technique?].

INTRODUCTION: The endoscopic treatment of the ureterocele is a less invasive procedure. Currently, there are only a few published articles regarding the long-term outcomes of this treatment. MATERIAL AND METHODS: We have introduced this technique in our practice since 1995, and have been tracking 15 pediatric patients for long-term evaluation. RESULTS: The average operative age for endoscopic treatment is 19.40 months (1 week-8 years). In 53% of the cases, the diagnosis was made during prenatal screening. In 27% of the cases, the ureterocele was bilateral, and 47% of the patients have a double system. The indication for endoscopic treatment is 66% ureteric obstruction and 34% vesicoureteric reflux. We perform "uncapping" and incision in the two first cases and puncture in the subsequent procedure. The patients were followed for 4 years (7 months-7 years). During this time, two ureteroceles needed a second perforation, out of the seven that continued having reflux, two were treated with quimioprofilaxis and two were treated endoscopically for anti-reflux. Two patients continued to have reflux, and two were diagnosed with renal atrophy and hemiatrophy. DISCUSSION: The endoscopic treatment avoided an open surgical procedure in almost all cases. The need for anti-reflux puncture occurred in 33% of the cases.

Child↗
PubMed2005

[Retroperitoneoscopic heminephrectomy].

The practice of minimally invasive surgery techniques in the retro-peritoneal space presents additional difficulties. Due to the absence of a real cavity and the presence of a dense fat tissue involving the structures, the need for an artificial space to work in is necessary. We present three cases of the retro-peritoneal superior heminephrectomy present in a 3-months, 6-months and a 6-year old children. In all cases a 1 centimeter port for the optique and two 0.5 centimeter ports for the instruments were situated, and the use of harmonic scalpel was satisfactory to remove renal tissue without bleeding. Drainages were unnecessary and all of the children left the hospital within the first 48 post-operative hours. Since 1994, when Figenhans and Clayman communicated the first laparoscopic nephrectomy in children, the technique has been used generally and their forward advances in conventional surgery are now universally accepted. Furthermore, the practice of polar retro-peritoneoscopic heminephrectomy allowed a very precise renal hiliar dissection and an excellent differentiation of each hemirenal tissue, separating the ill kidney and preserving the maximum function possible for the other half-kidney and the adrenal gland.

Humans↗
PubMed2001

[Anorectal and external genitalia malformation associated with perineal hemangioma].

We describe a girl with anorectal and genitourinary malformation with perineal hemangioma. Posterior sagittal anorectoplasty was performed at 21 months of age with good functional results. The hemangioma required no treatment and involuted spontaneously when the patient was 6 years old. Although anorectal malformations are frequently associated with multiple congenital anomalies, the association described herein is uncommon and we found only three similar cases reported in the medical literature.

Abnormalities, Multiple↗
PubMed1998

[Congenital lumbar hernia].

Hernias in the lumbar region are abdominal wall defects that appear in two possible locations: the superior lumbar triangle of Grynfelt-Lesshaft and the inferior lumbar triangle of Petit. There are 40 cases reported in the pediatric literature, and only 16 are considered congenital, associated with the lumbocostovertebral syndrome and/or meningomyelocele. A new case is presented. A premature newborn with a mass in the left flank that increases when the patient cries and reduces easily. The complementary studies confirm the diagnosis of lumbar hernia and reveal the presence of lumbocostovertebral syndrome associated. At the time of operation a well defined fascial defect at the superior lumbar triangle of Grynfelt-Lesshaft is primarily closed. The diagnosis of lumbar hernia is not difficult to establish but it is necessary the screening of the lumbocostovertebral syndrome. We recommend the surgical treatment before 12 months of age; the objective is to close the defect primarily or to use prosthetic material if necessary.

Humans↗
PubMed1989

[Giant fetal ovarian cyst. Diagnosis and treatment].

A case of a prenatally diagnosed fetal ovarian cyst is presented. The pregnancy was uneventful and the girl delivered by cesarean because of the size of the cyst. The cyst was removed by laparotomy on the day of the delivery and luteum ovarian cyst was the histologic diagnosis.

Adult↗
PubMed1984

[Intestinal polyp of infrequent localization: presentation of 2 cases].

Although intestinal polyposis it is quite a frequently clinical picture, there are some cases that deserve an special comment. The first infant was 50 days old and had an hamartomatous polyp implanted in jejunum. The second case was a five years old girl with a juvenile polyp implanted in the appendix's base. Authors describe clinical presentation, symtomatology and diagnostic steps taken in these patients with special emphasis in pathological study. Both were surgically treated and with satisfactory results.

Appendiceal Neoplasms↗