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Al-Shaqsi Y, Peycelon M, Paye-Jaouen A, Carricaburu E, Tanase A, Grapin-Dagorno C, El-Ghoneimi A. Evaluating pediatric ureteropelvic junction obstruction: Dynamic magnetic resonance urography vs renal scintigraphy 99m-technetium mercaptoacetyltriglycine. World J Radiol 2024; 16:49-57. [PMID: 38596171 PMCID: PMC10999956 DOI: 10.4329/wjr.v16.i3.49] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Revised: 01/18/2024] [Accepted: 03/12/2024] [Indexed: 03/26/2024] Open
Abstract
BACKGROUND Ureteropelvic junction obstruction (UPJO) is a common congenital urinary tract disorder in children. It can be diagnosed as early as in utero due to the presence of hydronephrosis or later in life due to symptomatic occurrence. AIM To evaluate the discrepancy between dynamic contrast-enhanced magnetic resonance urography (dMRU) and scintigraphy 99m-technetium mercaptoacetyltriglycine (MAG-3) for the functional evaluation of UPJO. METHODS Between 2016 and 2020, 126 patients with UPJO underwent surgery at Robert Debré Hospital. Of these, 83 received a prenatal diagnosis, and 43 were diagnosed during childhood. Four of the 126 patients underwent surgery based on the clinical situation and postnatal ultrasound findings without undergoing functional imaging evaluation. Split renal function was evaluated preoperatively using scintigraphy MAG-3 (n = 28), dMRU (n = 53), or both (n = 40). In this study, we included patients who underwent surgery for UPJO and scintigraphy MAG-3 + dMRU but excluded those who underwent only scintigraphy MAG-3 or dMRU. The patients were divided into groups A (< 10% discrepancy) and B (> 10% discrepancy). We examined the discrepancy in split renal function between the two modalities and investigated the possible risk factors. RESULTS The split renal function between the two kidneys was compared in 40 patients (28 boys and 12 girls) using scintigraphy MAG-3 and dMRU. Differential renal function, as determined using both modalities, showed a difference of < 10% in 31 children and > 10% in 9 children. Calculation of the relative renal function using dMRU revealed an excellent correlation coefficient with renal scintigraphy MAG-3 for both kidneys. CONCLUSION Our findings demonstrated that dMRU is equivalent to scintigraphy MAG-3 for evaluating split renal function in patients with UPJO.
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Affiliation(s)
- Yousuf Al-Shaqsi
- Department of Pediatric Surgery, Sultan Qaboos University Hospital, Muscat 123, Oman
- Service de Chirurgie Viscérale et Urologie Pédiatrique, Hôpital Universitaire Robert-Debré, Assistance-Publique Hôpitaux de Paris, Paris 75019, France
- Centre de Références Maladies Rares, Malformations Rares des Voies Urinaires (MARVU), Paris 97019, France
| | - Matthieu Peycelon
- Service de Chirurgie Viscérale et Urologie Pédiatrique, Hôpital Universitaire Robert-Debré, Assistance-Publique Hôpitaux de Paris, Paris 75019, France
- Centre de Références Maladies Rares, Malformations Rares des Voies Urinaires (MARVU), Paris 97019, France
- Faculté de Médecine, Université de Paris, Paris 75006, France
| | - Annabel Paye-Jaouen
- Service de Chirurgie Viscérale et Urologie Pédiatrique, Hôpital Universitaire Robert-Debré, Assistance-Publique Hôpitaux de Paris, Paris 75019, France
- Centre de Références Maladies Rares, Malformations Rares des Voies Urinaires (MARVU), Paris 97019, France
| | - Elisabeth Carricaburu
- Service de Chirurgie Viscérale et Urologie Pédiatrique, Hôpital Universitaire Robert-Debré, Assistance-Publique Hôpitaux de Paris, Paris 75019, France
| | - Anca Tanase
- Centre de Références Maladies Rares, Malformations Rares des Voies Urinaires (MARVU), Paris 97019, France
- Service d’Imagerie Pédiatrique, Hôpital Universitaire Robert-Debré, Assistance-Publique Hôpitaux de Paris, Paris 75019, France
| | - Christine Grapin-Dagorno
- Service de Chirurgie Viscérale et Urologie Pédiatrique, Hôpital Universitaire Robert-Debré, Assistance-Publique Hôpitaux de Paris, Paris 75019, France
- Université Paris 13, Sorbonne Paris Cité, Paris 75013, France
| | - Alaa El-Ghoneimi
- Service de Chirurgie Viscérale et Urologie Pédiatrique, Hôpital Universitaire Robert-Debré, Assistance-Publique Hôpitaux de Paris, Paris 75019, France
- Centre de Références Maladies Rares, Malformations Rares des Voies Urinaires (MARVU), Paris 97019, France
- Faculté de Médecine, Université de Paris, Paris 75006, France
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Oswaldo JIE, Tripodi D, Al-Shaqsi Y, Woods OEF, Valero R. Effects of mechanical forces on the formation of cutaneous wounds during skin expansion and emerging therapies for wound healing and scar prevention. Saudi Med J 2023; 44:106-109. [PMID: 36634956 PMCID: PMC9987685 DOI: 10.15537/smj.2023.44.1.20220556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Accepted: 10/23/2022] [Indexed: 01/14/2023] Open
Abstract
OBJECTIVES To update a possible role of cosmeceutical topic treatment to obtain a better scar. METHODS This is a preliminary supportive study. A total of 14 patients who went to the General Hospital of Mexico City, Mexico, between May and December 2020, for breast reconstruction were included in the current study. The biopsies were carried out to the scar area of the previous I° and II° surgery. The patients were thus divided into 2 groups: those who used Cicolea cream® as a treatment supplement and those who used only petrolatum. RESULTS Collagen fibers arranged in a regular pattern in the group treated with Cicolea compared to dispersed collagen fibers in the group treated with pure petrolatum. Furthermore, the patients who presented hypertrophic or keloid scars secondary to mastectomy, developed after insertion of breast expanders an organized scarring process, with improvement of scar if treated with Cicolea. CONCLUSION Based on our observations, it is possible to propose that the action of the polyphenols present in the different components of Cicolea® cream leads to a better evolution of the wound healing compared to the action of petrolatum composition.
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Affiliation(s)
- Jiménez Ibañez E. Oswaldo
- From the Plastic, Aesthetic and Reconstructive Surgery Mexico City (Oswaldo, Eduardo), from the Lucerna Medical Center, German Gedovius Tijiuana Mexico (Valero), Mexico, from the Department of Surgical Sciences (Tripodi), Sapienza University of Rome, Rome, Italy, and from the Division on Pediatric Urology (Al-Shaqsi), CHU Sainte- Justine, Montreal, Canada.
- Address correspondence and reprints request to: Dr. Domenico Tripodi, Department of Surgical Sciences, Sapienza University of Rome, Rome, Italy. E-mail: ORCID ID: https://orcid.org/0000-0002-4190-8168
| | - Domenico Tripodi
- From the Plastic, Aesthetic and Reconstructive Surgery Mexico City (Oswaldo, Eduardo), from the Lucerna Medical Center, German Gedovius Tijiuana Mexico (Valero), Mexico, from the Department of Surgical Sciences (Tripodi), Sapienza University of Rome, Rome, Italy, and from the Division on Pediatric Urology (Al-Shaqsi), CHU Sainte- Justine, Montreal, Canada.
- Address correspondence and reprints request to: Dr. Domenico Tripodi, Department of Surgical Sciences, Sapienza University of Rome, Rome, Italy. E-mail: ORCID ID: https://orcid.org/0000-0002-4190-8168
| | - Yousuf Al-Shaqsi
- From the Plastic, Aesthetic and Reconstructive Surgery Mexico City (Oswaldo, Eduardo), from the Lucerna Medical Center, German Gedovius Tijiuana Mexico (Valero), Mexico, from the Department of Surgical Sciences (Tripodi), Sapienza University of Rome, Rome, Italy, and from the Division on Pediatric Urology (Al-Shaqsi), CHU Sainte- Justine, Montreal, Canada.
- Address correspondence and reprints request to: Dr. Domenico Tripodi, Department of Surgical Sciences, Sapienza University of Rome, Rome, Italy. E-mail: ORCID ID: https://orcid.org/0000-0002-4190-8168
| | - Oscar E. Flores Woods
- From the Plastic, Aesthetic and Reconstructive Surgery Mexico City (Oswaldo, Eduardo), from the Lucerna Medical Center, German Gedovius Tijiuana Mexico (Valero), Mexico, from the Department of Surgical Sciences (Tripodi), Sapienza University of Rome, Rome, Italy, and from the Division on Pediatric Urology (Al-Shaqsi), CHU Sainte- Justine, Montreal, Canada.
- Address correspondence and reprints request to: Dr. Domenico Tripodi, Department of Surgical Sciences, Sapienza University of Rome, Rome, Italy. E-mail: ORCID ID: https://orcid.org/0000-0002-4190-8168
| | - Rodrigo Valero
- From the Plastic, Aesthetic and Reconstructive Surgery Mexico City (Oswaldo, Eduardo), from the Lucerna Medical Center, German Gedovius Tijiuana Mexico (Valero), Mexico, from the Department of Surgical Sciences (Tripodi), Sapienza University of Rome, Rome, Italy, and from the Division on Pediatric Urology (Al-Shaqsi), CHU Sainte- Justine, Montreal, Canada.
- Address correspondence and reprints request to: Dr. Domenico Tripodi, Department of Surgical Sciences, Sapienza University of Rome, Rome, Italy. E-mail: ORCID ID: https://orcid.org/0000-0002-4190-8168
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Abstract
Objectives: To describe the surgical approach to the treatment of iatrogenic gynecomastia via peri-areolar incision. Methods: In this study, we describe our experience in the surgical management of iatrogenic hormonal gynecomastia with our technique described for idiopathic gynecomastia. We treated 70 patients with gynecomastia at a plastic surgery unit between 2000 and 2016. Ten of these patients had a painful hypertrophic mammary gland with grade III gynecomastia secondary to hormone therapy after prostate cancer. Results: The presence of a very discreet scar around the areola often has very interesting aesthetic results. Areolar tissue sensation was completely preserved in 40% of patients. No short-term complications were observed; in follow-up, only one case of keloid scars was noted on a patient with dark skin, and only one case of areolar necrosis on a patient with critical breast ptosis. Conclusion: This technique is feasible. It restores almost normal anatomy structure with minimal scarring and preserves good regional neurovascular supply, with only 60% altered areolar sensation.
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Affiliation(s)
- Claudio Cannistrà
- From the Unity of Plastic Surgery (Cannistrà), Bichat C.B. Hospital, and from the Pediatric Surgery Department (Al-Shaqsi), Armand Trousseau Hospital, Paris, France.
| | - Yousuf Al-Shaqsi
- From the Unity of Plastic Surgery (Cannistrà), Bichat C.B. Hospital, and from the Pediatric Surgery Department (Al-Shaqsi), Armand Trousseau Hospital, Paris, France.
- Address correspondence and reprints request to: Dr. Yousuf Al-Shaqsi, Pediatric Surgery Department, Armand Trousseau Hospital, Paris, France. E-mail: ORCID ID: http://orcid.org/0000-0003-1846-3129
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Al-Balushi ZN, Bhatti KM, Ehsan MT, Al-Shaqsi Y, Al-Sharji NAR, Mady HAA, Sherif MH. Laparoscopic Splenectomy Alone for Sickle Cell Disease: Account of 50 paediatric cases. Sultan Qaboos Univ Med J 2016; 16:e482-e486. [PMID: 28003896 DOI: 10.18295/squmj.2016.16.04.013] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2015] [Revised: 02/20/2016] [Accepted: 07/14/2016] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVES In Oman, the most frequent indication for a splenectomy in children is sickle cell disease (SCD), which is one of the most common haematological disorders in the Gulf region. This study aimed to describe paediatric laparoscopic splenectomies alone for SCD at a tertiary hospital in Oman. METHODS This study was conducted between February 2010 and October 2015 at the Sultan Qaboos University Hospital, Muscat, Oman. The medical records of all children aged ≤15 years old undergoing splenectomies during the study period were reviewed. RESULTS A total of 71 children underwent laparoscopic splenectomies during the study period; of these, 50 children (28 male and 22 female) underwent laparoscopic splenectomies alone for SCD. The children's weight ranged between 11-43 kg. The most common indication for a splenectomy was a recurrent splenic sequestration crisis (92%). Surgically removed spleens weighed between 155-1,200 g and measured between 9-22 cm. Operative times ranged between 66-204 minutes and intraoperative blood loss ranged between 10-800 mL. One patient required conversion to an open splenectomy. Postoperative complications were noted in only four patients. The median hospital stay duration was three days. CONCLUSION Among this cohort, the mean operating time was comparable to that reported in the international literature. In addition, rates of conversion and postoperative complications were very low. These findings indicate that a laparoscopic splenectomy alone in paediatric patients with SCD is a feasible option.
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Affiliation(s)
| | - Khalid M Bhatti
- Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman
| | - Muhammad T Ehsan
- Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman
| | - Yousuf Al-Shaqsi
- Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman
| | | | - Hatem A A Mady
- Department of Anaesthesia & Intensive Care, Sultan Qaboos University Hospital, Muscat, Oman
| | - Mahmoud H Sherif
- Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman
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