Maurizio Marzaro

Isolated blunt liver trauma: Is nonoperative treatment justified?

During the past 8 years 13 children with isolated blunt liver trauma were managed nonoperatively. All patients selected for this management were hemodynamically stable after initial resuscitation and were without signs of other associated intraabdominal injuries on ultrasonogram and/or computed tomography. Patients were observed in an intensive care unit for at least 48 hours with repeated clinical assessments, laboratory studies, and bed rest. One patient with type 3 injury was operated on 8 days after injury because of sudden intraperitoneal bleeding on ambulation. Five patients required blood transfusions of not more than 300 mL per patient. Laboratory values returned to normal from 7 to 21 days after injury. Resolution of hepatic injury on ultrasonogram took from 1 to 3 months. Complete bed rest was prescribed for at least 10 days depending on the type of injury, with restricted activities up to 3 months postinjury. No complications were seen in this series.

Meckel's diverticulum and bowel obstruction due to phytobezoar: a case report.

Meckels diverticulum is a common anomaly of the gastrointestinal tract. The most common complications of Meckels diverticulum are inflammation, bleeding and obstruction. We present a 12-year-old boy with bowel obstruction due to phytobezoar in a Meckels diverticulum. We describe diagnostic difficulties and our surgery approach comparing it to the literature.

Iatrogenic Intestinal Laceration Secondary to Clamping of Unrecognized Umbilical Cord Hernia: A Case Report

This report describes the case of an intestinal laceration secondary to clamping of an unrecognized umbilical cord hernia in a newborn female. This accidental complication is extremely rare, but it should be borne in mind when clamping at the time of delivery of every newborn, especially in the presence of anomalies or associated structures within the umbilical cord.

Guidelines of the Italian Society of Videosurgery in Infancy for the minimally invasive treatment of the esophageal atresia

Not available.

Guidelines of the Italian Society of Videosurgery in Infancy for the minimally invasive treatment of pediatric nephrectomy and partial nephrectomy

Not available.

Guidelines of the Italian Society of Videosurgery in Infancy for the minimally invasive treatment of the ureteropelvic-junction obstruction

Not available.