Andra Rusalim

Andra Rusalim

Hypospadias - the Surgical Treatment Performed in "Grigore Alexandrescu" Emergency Clinical Hospital for Children

Hypospadias represents one of the most frequent con-genital anomalies, in 1 out of 300 male newborns, involving significant biological and socioeconomical implications. Furthermore, recent studies show an increase in its incidence, even after ajusting it according to race, geographic region or socioeconomical status[3]. The same pattern was recorded by the EUROCAT study group, which was monitoring the statistical and epidemiological data regarding the congenital anomalies in Europe. One prospective study, which evaluated the incidence of the hypospadias in Holland (0.7%), demonstrated that it is more frequent than congenital heart anomalies (0.5%), which are considered to be the most frequent ones by the EUROCAT study group[5]. [...]

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Essential Aspects in Ensuring the Efficient Management of Ovarian Tumors in Children in Case of an Acute or Chronic Setting

Considering the unspecific signs and symptoms asso-ciated to ovarian tumors, a proper diagnostic procedure must be followed in order to establish the most suitable therapeutic approach. Furthermore, there is no correlation between the clinical presentation of the patient and the type of ovarian tumor which is causing it. Consequently, the imagistic examination of the patient is crucial in the diagnostic process, but it is not infallible. This study is attempting to emphasize the main differences between the imagistic features of the ovarian tumors compared to the ones discovered intraoperatively, as well as the associated conditions which could prevent getting a proper preoperative diagnosis. [...]

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Complicated Primary Spontaneous Pneumothorax - Challenges to Overcome: Case Report and Literature Review

The studies concerning spontaneous pneumothorax in children offer a limited amount of information about the best approach with regard to the patients who require surgical treatment of this condition. The less severe forms respond to conservative treatment which consists of oxygen therapy and pain medication. If medical treatment does not alleviate the symptoms or if the pneumothorax persists, the patient requires chest tube drainage[4,5,6]. Surgical treatment is indicated when the pneumothorax reoccurs or if effective pleural drainage does not improve the condition of the patient[5,7]. [...]

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