Biomedical subjects

M Libri

Publications and source records attributed to M Libri.

5 recordsLinked to original sources

PubMed2000

Laparoscopic repair of Morgagni-Larrey hernia in a child.

Primary laparoscopic repair of Morgagni-Larrey hernia has been described in adult patients but not in children. This is the first report of primary laparoscopic correction in the pediatric age group without using a prosthesis. A Morgagni-Larrey hernia was found incidentally in a 3-year-old-girl. Laparoscopic correction of the defect was performed. After 6 months the patient is doing well. The chest radiograph shows complete resolution of the hernia. The laparoscopic approach allowed repair the hernia with minimal invasiveness. Laparoscopic correction is not difficult except for those hernias in which dense adhesions are present.

Child, Preschool↗

PubMed1997

Laparoscopic Nissen fundoplication with fibrin glue: experimental study on pigs.

Nowadays laparoscopy shows a great development in the pediatric age group. Pediatric surgeons are now able to study the possible applications in pediatric surgery of this new and fascinating procedure. A mandatory laparoscopic training to perform any important operation is clearly essential. Only a few cases of Nissen fundoplication have been reported in children. We suggest this experimental study in which we add a technical modification by using fibrin glue to tighten the gastric wrap on the esophagus positioning only two stitches at the extremes of the suture. The results were interesting and we think it an excellent starting point for a future clinical application of this new technique.

Animals↗

PubMed1997

The varicocele in pediatric age: 207 cases treated with microsurgical technique.

Between 1984 and 1995, 207 boys afflicted by varicocele have undergone surgery. They were all treated employing a venous microvascular termino-terminal anastomosis between spermatic and inferior epigastric veins. The recurrence rate with this technique (3%) is much lower than Ivanissevich's one (nearby 15%). The clinical results are optimal, with disappearance of varices in the majority of cases and improvement of the testicular trophism in the remainder. This technique enables the establishment of an immediate and physiological testicular venous outflow essential for testicular growth and development.

Adolescent↗

PubMed1997

Persistent Mullerian Duct Syndrome associated with transverse testicular ectopia: a case report.

The authors describe their experience in the treatment of a child, male phenotype, with a Transverse Testicular Ectopia (TTE), associated with a rudimentary uterus and two Fallopian tubes (Persistent Mullerian Duct Syndrome = PMDS). The boy was transferred to the Pediatric Surgical Unit of the University of Bologna from another hospital where at operation for bilateral cryptorchidism the diagnosis had become apparent. In order to exclude the presence of PMDS it is very important that an abdominal exploration should be performed in all cases of TTE where the testes are undescended. The diagnosis was made by an occasional detection: it is very important, when a TTE in which the testes are undescended is found, to perform the abdominal exploration, in order to exclude the presence of PMDS.

Choristoma↗

PubMed1996

Ectopic cervical thymus: case report.

Ectopic cervical thymus is rarely considered in the differential diagnosis of cervical masses: this lesion is essentially asymptomatic and generally occupies a position in the neck along the carotid sheath, underneath the sterno-cleido-mastoid muscle. It is supposed that most of these masses arise as a consequence of migration defects during glandular embryogenesis. Ectopic thymus rarely invades contiguous structures but in the literature some cases of malignant transformation of aberrant cervical thymus have been reported. Some non-invasive investigations (MRI, ultrasonography) are useful but accurate diagnosis depends eventually on surgical excision and histologic examination.

Choristoma↗