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1. A CASE OF APPENDIX CARCINOID IN A PEDIATRIC PATIENT. A SUBTILE CLINICAL PRESENTATION

Author

A.L. Bulotta, Edoardo Bindi, M. Messina, Francesco Molinaro, E. Cerchia, M. Sica, and Rossella Angotti

Subjects
medicine.medical_specialty, Gastrointestinal tumors, business.industry, General surgery, Incidence (epidemiology), Peritonitis, medicine.disease, digestive system diseases, Appendix, Surgery, Diarrhea, Pediatric patient, medicine.anatomical_structure, Acute abdomen, medicine, medicine.symptom, Presentation (obstetrics), business, neoplasms
Abstract

The appendix carcinoid, although rare (with an incidence of 0,08%), is the more frequent gastrointestinal tumor in children and teen. In most cases these tumors cannot be diagnosed or they can be incidentally found during a surgical exploration for acute abdomen. Only in few cases there are symptoms of a carcinoid’s syndrome (flushing, diarrhea and wheezing). In this work we present the manegement of a patient with an appendix carcinoid revealed during an appendicectomy performed for a peritonitis caused by a perforated appendicitis, underlining the importance of diagnosis and long term follow-up.

Published
2014
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2. Preoperative distraction in children: hand-held videogames vs clown therapy

Author

D. Meucci, E. Cerchia, E. Brandigi, A.L. Bulotta, M. Messina, Rossella Angotti, Francesco Molinaro, and L. Giuntini

Subjects
Male, medicine.medical_specialty, clowntherapy, children, surgery, videogames, media_common.quotation_subject, lcsh:Surgery, Psychological intervention, Anxiety, Quality of life (healthcare), children, Enuresis, Distraction, Preoperative Care, medicine, Humans, Apathy, videogames, Laughter Therapy, Child, media_common, business.industry, lcsh:RJ1-570, lcsh:Pediatrics, lcsh:RD1-811, clowntherapy, Video Games, Feeling, Child, Preschool, Pediatrics, Perinatology and Child Health, Quality of Life, Physical therapy, Female, Surgery, Temperament, medicine.symptom, business
Abstract

Anxiety in children undergoing surgery is characterized by feelings of tension, apprehension, nervousness and fear which may manifest differently. Postoperative behavioural changes such as nocturnal enuresis, feeding disorders, apathy, and sleep disturbances may stem from postoperative anxiety. Some Authors pointed out that over 60% of children undergoing surgery are prone to developing behavioural alterations 2 weeks after surgery. Variables such as age, temperament and anxiety both in children and parents are considered predictors of such changes.1 Studies were published describing how psycho-behavioural interventions based on play, learning and entertainment in preparing children for surgery, may reduce preoperative anxiety. Clown-therapy is applied in the most important paediatric facilities and has proved to diminish children’s emotional distress and sufferance, as well as consumption of both analgesics and sedatives and to facilitate the achievement of therapeutic goals. The aim of our study was to evaluate the efficacy of clown-therapy during the child’s hospital stay, with a view to optimizing treatment and care, preventing behavioural alterations and enhancing the child’s overall life quality.

Published
2014
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26. LYMPHANGIOMA OF THE TONGUE: CASE REPORT

Author

Ferrara, F., primary, Vessio, G., additional, Burgio, A., additional, Giannotti, G., additional, Bulotta, A.L, additional, Pavone, M., additional, Meucci, D., additional, and Messina, M., additional

Published
2012
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31. FEMALE PSEUDOHERMAPHRODITISM

Author

Bulotta, AL., primary, Varetti, C., additional, Ferrara, F., additional, Giannotti, G., additional, Di Maggio, G., additional, Garzi, A., additional, and Messina, M., additional

Published
2012
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35. FEMALE PSEUDOHERMAPHRODITISM

Author

Bulotta, AL., primary, Varetti, C., additional, Ferrara, F., additional, Giannotti, G., additional, Di Maggio, G., additional, Garzi, A., additional, and Messina, M., additional

Published
2009
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36. Preoperative distraction in children: hand-held videogames vs clown therapy

Author

M. Messina, F. Molinaro, D. Meucci, R. Angotti, L. Giuntini, E. Cerchia, A.L. Bulotta, and E. Brandigi

Subjects
clowntherapy, children, surgery, videogames, Pediatrics, RJ1-570, Surgery, RD1-811
Abstract

Anxiety in children undergoing surgery is characterized by feelings of tension, apprehension, nervousness and fear which may manifest differently. Postoperative behavioural changes such as nocturnal enuresis, feeding disorders, apathy, and sleep disturbances may stem from postoperative anxiety. Some Authors pointed out that over 60% of children undergoing surgery are prone to developing behavioural alterations 2 weeks after surgery. Variables such as age, temperament and anxiety both in children and parents are considered predictors of such changes.1 Studies were published describing how psycho-behavioural interventions based on play, learning and entertainment in preparing children for surgery, may reduce preoperative anxiety. Clown-therapy is applied in the most important paediatric facilities and has proved to diminish children’s emotional distress and sufferance, as well as consumption of both analgesics and sedatives and to facilitate the achievement of therapeutic goals. The aim of our study was to evaluate the efficacy of clown-therapy during the child’s hospital stay, with a view to optimizing treatment and care, preventing behavioural alterations and enhancing the child’s overall life quality.

Published
2014
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37. Uncommon surgical emergencies in neonatology

Author

R. Angotti, A.L. Bulotta, F. Ferrara, F. Molinaro, E. Cerchia, D. Meucci, and M. Messina

Subjects
Gastrointestinal rare surgical emergencies, neonatal emergencies, intestinal occlusion, neonatal intestinal perforation, Pediatrics, RJ1-570, Surgery, RD1-811
Abstract

Objective. Over the past decade, multiple factors have changed the pattern of neonatal surgical emergencies. An increase in prenatal screenings and the development of neonatal tertiary care centres have changed the clinical approach to these kids. Materials and methods. Between 1995 to 2011 were retrospectively reviewed 34 patients with diagnosis of uncommon rare neonatal surgical emergencies at our institute. We analyzed: sex, gestational age, weight at birth, primary pathology, prenatal diagnosis, associated anomalies, age and weight at surgery, clinical presentation, start of oral feeding and hospitalization. The follow-up was performed at 6,12, 24 and 36 months. Results. There were 21 male and 13 female. The gestational age ranged between 28 and 36 weeks. The weight at birth ranged between 700 and 1400 grams. Oral feeding was started between 4th and 10th postoperative day. The average hospitalization was about 70.47 days. To date, all patients have finished the followup. They are healthy. Conclusion. The outcome of the patients with uncommon surgical emergencies is different based on the etiology. Overall survival is generally good but is influenced by the associated anomalies.

Published
2014
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