Introduction: SARS-CoV-2 pandemic has not only put our national health systems to the test, but it also notably hit the economy, the society and the psychology of the people. Our pets have been subjected to the pandemic related stress too.The aim of the study is to evaluate whether the stress induced on domestic dogs resulted in an increase of dog bites in the paediatric population.Material and Methods: A retrospective study was conducted on all patients admitted to our paediatric emergency department for dog bite from January 2014 and December 2020.We compared the total mean dog bites of the years 2014-2019 and the mean number per single month with the respective 2020 data. The bites were divided between ones from family dogs and ones from stranger dogs. Categorical variables were studied with Chi squared test considering statistically significant a p value < .05.Results: From January 2014 to December 2019, we recorded a mean of 41 ± 7 dog bites (range: 35-55) of whom a mean 10 ± 4 (range: 4-15) were due to family dogs (24%) and a mean of 31 ± 2 (range: 28-35) due to stranger dogs (76%); the male:female ratio was 3:2, the 43% of the injuries concerned the head and face, 26% the lower limbs, 25% the upper limbs, 3% the genitalia and 3% the torso.From January 2020 to December 2020 22 children were admitted for dog bites: 14 were from family dogs (64%) and 8 from stranger dogs (36%); the male:female ratio was 14:11, the 72% of the injuries concerned the head and face, 16% the upper limbs, 8% the lower limbs and 4% the torso.The frequency distribution of family and stranger dogs’ bites in 2014-2019 and 2020 was statistically significant (p: .002).Between 2014 and 2019, a mean of 9 ± 2 (range: 6-12) of the wounds needed to be sutured (22%) while 32 ± 3 (range: 28-35) wounds were discharged after application of Steri Strips (78%).On the other hand, in 2020, 13 wounds needed to be sutured (59%) and 9 received Steri Strips application (41%).The frequency distribution of the treatments required (stitches vs Steri Strips) between 2014-2019 and 2020 was statistically significant (p: .003).Conclusion: The number of family dog bites in children increased in 2020 especially during the lockdown period. Paediatrician should pay a lot of efforts nowadays more than ever to educate parents on always supervising their kids when playing with dogs.
Minimally invasive surgery (MIS) is a relatively new surgery comprising various procedures performed with special miniaturized instruments and imaging reproduction systems. Technological advances have made MIS an efficient, safe, and applicable tool for pediatric surgeons with unquestionable advantages. The recent introduction of three-dimensional (3D) high definition systems has been advocated in order to overcome some of the problems related to standard MIS visual limitations. This short paper recapitulates the necessity to minimize MIS visualization limitations and reports the characteristics of new laparoscopic 3D systems.
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