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5. Successful Repair and Management of Severe Scalp Avulsion Incurred during Birth in an Extremely Low Birth Weight Infant.

Author

Takahashi, Shoko, Kanai, Yu, Miyazono, Yayoi, Hitaka, Daisuke, Fujita, Yuki, Shibuya, Yoichiro, Takada, Hidetoshi, and Cozzi, Denis A.

Subjects
LOW birth weight, VERY low birth weight, DELIVERY (Obstetrics), TEMPORAL lobe, GESTATIONAL age
Abstract

Introduction. Minor head trauma, such as scalp abrasion, is relatively common during vaginal delivery, whereas fatal head trauma is rare. This case report describes the successful repair and management of severe scalp avulsion that occurred during vaginal delivery and consequent hemorrhagic shock in an extremely low birth weight infant. Case Presentation. An extremely low birth weight infant (26 weeks' gestational age) sustained extensive scalp avulsion during vaginal delivery that exposed the skull. The scalp laceration began in the frontal temporal region and extended bilaterally along the temporal region for 20 cm. The infant experienced hemorrhagic shock soon after birth due to bleeding from the wound and was placed in a closed incubator for intensive care. At 7 h after birth, the wounds were repaired using sutures. Bleeding was quickly controlled, and the infant recovered from hemorrhagic shock. A wet dressing was applied to the wound, and the flap healed without necrosis. Conclusion. We successfully repaired severe scalp avulsion in this case. Scalp avulsion can cause severe bleeding and death. Bleeding control and the preservation of circulation are the most important factors in its repair and maintenance. In this case, suturing the wound effectively controlled the bleeding, and the application of wet dressing and a high‐humidity environment thereafter may have contributed to the scalp's engraftment. [ABSTRACT FROM AUTHOR]

Published
2024
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6. Hepatic Tumoral Pathology: The Pediatric Liver

Author

Masselli, Gabriele, Guida, Marianna, Ceccanti, Silvia, Cozzi, Denis, Kauczor, Hans-Ulrich, Series Editor, Parizel, Paul M., Series Editor, Peh, Wilfred C. G., Series Editor, Brady, Luther W., Honorary Editor, Lu, Jiade J., Series Editor, and Quaia, Emilio, editor

Published
2021
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7. Wilms Tumor

Author

Cozzi, Denis A., Ceccanti, Silvia, Lacher, Martin, editor, St. Peter, Shawn D., editor, and Zani, Augusto, editor

Published
2021
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12. Efficacy of oral viscous budesonide to reduce dilation treatment after esophageal atresia repair: a retrospective study.

Author

Ruggiero, Cosimo, Russo, Giusy, Cozzi, Denis, Ceccanti, Silvia, Scanziani, Chiara, Volpe, Danila, Papoff, Paola, Spatuzzo, Mattia, Spyropoulou, Vasiliki, and Oliva, Salvatore

Subjects
ESOPHAGEAL atresia, BUDESONIDE, TIME dilation, CHILD patients, RETROSPECTIVE studies
Abstract

Introduction: Anastomotic stricture is a common complication following esophageal atresia (EA) repair, substantially affecting the patient's quality of life (QoL). Multiple dilations are often required to maintain the appropriate diameter of the esophagus, leading to ongoing challenges. The aim of this study is to assess the efficacy of oral viscous budesonide (OVB) in prolonging the time between symptom recurrence and subsequent dilation. Methods: We carried out a retrospective single-center study for pediatric patients (0-18 years) who had undergone recurrent esophageal dilations (=3) following EA repair and initiated treatment with OVB (1 mg/day <10 years, otherwise 2 mg/day). Efficacy of treatment was determined by assessing a dysphagia symptom score (DSS) =1 for at least 3 months. Recurrence time to dysphagia and dilation were analyzed according to Kaplan-Meier method. Results: Of 29 patients screened, 19 were enrolled: 19/19 were responsive to OVB and 13/19 (68%) didn't required further dilations. The median time between dilations was significantly prolonged compared to the pre-treatment period [30 months vs 2months; p<0.01] as well as the time to dysphagia relapse [18months vs 1 month; p<0.01]. Conclusion: Topical budesonide has proven to be an effective treatment for recurrent esophageal stricture in repaired EA. Further investigation is required to assess the long-term sustained response of symptoms to topical steroids. [ABSTRACT FROM AUTHOR]

Published
2024
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14. Wilms' tumor

Author

Cao, Kevin, primary, Cozzi, Denis A., additional, and Cuckow, Peter, additional

Published
2020
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26. Bedside surgery in the newborn infants: survey of the Italian society of pediatric surgery

Author

Pelizzo, Gloria, Bagolan, Pietro, Morini, Francesco, Aceti, Mariagrazia, Alberti, Daniele, Andermarcher, Mario, Avolio, Luigi, Bartoli, Fabio, Briganti, Vito, Cacciaguerra, Sebastiano, Camoglio, Francesco S., Ceccarelli, Pierluca, Cheli, Maurizio, Chiarenza, Fabio, Ciardini, Enrico, Cimador, Marcello, Clemente, Ennio, Cozzi, Denis A., Dall’ Oglio, Luigi, De Luca, Ugo, Del Rossi, Carmine, Esposito, Ciro, Falchetti, Diego, Federici, Silvana, Gamba, Piergiorgio, Gentilino, Valerio, Mattioli, Girolamo, Martino, Ascanio, Messina, Mario, Noccioli, Bruno, Inserra, Alessandro, Lelli Chiesa, Pierluigi, Leva, Ernesto, Licciardi, Francesco, Midrio, Paola, Nobili, Maria, Papparella, Alfonso, Paradies, Guglielmo, Piazza, Giuseppe, Pini Prato, Alessio, Rossi, Fabio, Riccipetitoni, Giovanna, Romeo, Carmelo, Salerno, Domenico, Settimi, Alessandro, Schleef, Jurgen, Milazzo, Mario, Calcaterra, Valeria, and Lima, Mario

Published
2020
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27. Pyloric Stenosis

Author

Totonelli, Giorgia, Cozzi, Denis A., Sinha, Chandrasen K., editor, and Davenport, Mark, editor

Published
2010
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