Chirurgie pediatrique最新文献_第3页

[Have the advances of modern pediatric surgery reached the African children?]. 现代儿科外科的进步已经惠及非洲儿童了吗?

Chirurgie pediatrique Pub Date : 1990-01-01

A Harouchi

引用次数: 0

[Injuries of the upper end of the tibia in children. With the exclusion of fractures of the tibial shaft]. 儿童胫骨上端损伤。除胫骨干骨折外。

Chirurgie pediatrique Pub Date : 1990-01-01

F Caillon, P Rigault, J P Padovani, P Janklevicz, J Langlais, P Touzet

{"title":"[Injuries of the upper end of the tibia in children. With the exclusion of fractures of the tibial shaft].","authors":"F Caillon, P Rigault, J P Padovani, P Janklevicz, J Langlais, P Touzet","doi":"","DOIUrl":"","url":null,"abstract":"We review 58 cases of proximal tibial fractures in children. Their evolution and prognostic depend on the localisation. The intra epiphyseal fractures have a good prognostic if care is taken in reduction of the great deplacement fractures: as well as the epiphyseal plate fractures. The upper anterior tibial apophysis fractures have been reduced and screwed without any genu recurvatum sequellae. Severe growth disorder may follow proximal tibial contusions without parallelism regarding to them. Among the iatrogenic causes of these contusions, the trans-tibial pine traction may induce a genu recurvatum even far from the tibial tubercle: so we must avoid this method. The proximal metaphyseal tibial fractures and the valgus deformity following them represents a high difficult treatment. This deformity often recurs after osteotomy (with the risks of the operation). Anyway the tibia valga disappears spontaneously. Its evolution shows that it has a double origin: the fracture displacement then the medial overgrowth epiphyseal plate. The first cause can be treatment actually in order to limit the final valgus by closed reduction with anesthesia.","PeriodicalId":75703,"journal":{"name":"Chirurgie pediatrique","volume":"31 6","pages":"322-32"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13246961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Pygomelus. Apropos of 2 cases and a review of the literature]. [Pygomelus。2例病例及文献综述]。

Chirurgie pediatrique Pub Date : 1990-01-01

F Bastiani-Griffet, G Bollini, J Berard, J Griffet, J M Bouyala

引用次数: 0

[A rare case of bladder exstrophy with a completely malformed complex in a girl]. [一例罕见的女孩膀胱外翻伴完全畸形复体病例]。

Chirurgie pediatrique Pub Date : 1990-01-01

J F Dyon, E Sabatier, H Dodat, P Andrini, P Baudain, J P Alibeu

引用次数: 0

[Laparoschisis. Indications for a teflon patch in wall repair]. [Laparoschisis。聚四氟乙烯贴片在壁面修复中的适应症。

Chirurgie pediatrique Pub Date : 1990-01-01

P Debeugny, J P Canarelli, M Bonnevalle, R Besson, J Ricard, P Herlin, B Ducloux

{"title":"[Laparoschisis. Indications for a teflon patch in wall repair].","authors":"P Debeugny, J P Canarelli, M Bonnevalle, R Besson, J Ricard, P Herlin, B Ducloux","doi":"","DOIUrl":"","url":null,"abstract":"In 14 newborns with gastroschisis, fascial closure was effected by muscular suture associated with teflon mesh prosthesis interposition. This was realized either in urgency during neonatal period (9), either secondly (5). Neonatal cases were treated between 0 h 30 and 5 h of age. Pulmonary hyper-pressure risk was very important when primary suture was early employed (card freq: 150 b. min-1. PA syst: 60 cm Hg; pulm pres: 20 cm Hg). When we used a teflon mesh prosthesis, we had 8 good results and only one initial death. 5 complications were represented by cutaneous ischemia which spontaneously disappeared (1), ischemia with infection and partial necrosis (2), important necrosis with teflon mesh prosthesis exteriorization (2). It has been definitely possible to achieve complete fascial in 7 newborns. Only one of them had a little ventral hernia. 5 newborns were early treated by simple skin coverage (Gross) as primary management. They have had teflon mesh prosthesis between 5 and 14 M of age and have undergone excision of the teflon mesh prosthesis and fascial repair without difficulty (5 good results). With teflon mesh prosthesis for treating congenital abdominal defects, abdominal hyper-pressure and pulmonary complications are exceptional. Local complications are very limited because of good vascular conditions. We did not have any adherences because of teflon mesh prosthesis good biological and histological tolerance. Digestive complications (statis, septicemia...) have been few and mild because physiological intra abdominal pressure has been early obtained.","PeriodicalId":75703,"journal":{"name":"Chirurgie pediatrique","volume":"31 1","pages":"18-25"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13297301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Congenital vesicovaginal fistula. Commentary and review of the literature apropos of a case]. 先天性膀胱阴道瘘。对一个案例的文献的评论和回顾]。

Chirurgie pediatrique Pub Date : 1990-01-01

G Lefort, M A Bouche-Pillon, F Lefebvre, E Mereb, S Daoud

引用次数: 0

[Epiphyseal fractures-dislocations of the lower extremity of the tibia]. [胫骨下肢骨骺骨折脱位]。

Chirurgie pediatrique Pub Date : 1990-01-01

B Melchior, O Badelon, P Peraldi, H Bensahel

{"title":"[Epiphyseal fractures-dislocations of the lower extremity of the tibia].","authors":"B Melchior, O Badelon, P Peraldi, H Bensahel","doi":"","DOIUrl":"","url":null,"abstract":"Ninety six distal tibial epiphyseal fractures were identified and treated in our institution from 1976 to 1988. The average age was twelve years and eight months (range two to seventeen years), but seventy-one were between eleven and fourteen years old. Using the Salter-Harris classification we have found twelve type 1 tibial fractures, fourty-two type 2, thirty type 3 and twelve type 4. Four were triplane fractures and seven were Tillaux fractures. Twenty-six had injuries in the medial corner of the ankle mortise (Mac-Farland). Fifty patients were treated non-operatively with closed reduction and plaster cast. Fourty-six fractures were treated surgically. Seventy patients were available for follow-up evaluation. The average follow-up was thirty-two months (range 6 months to eleven years). The tibial distal epiphyseal cartilage was closed in 48 patients. As short-term complications we have seen three post-operative displacements after closed reduction; all of them were treated surgically. Five incomplete closed reduction needed open reduction needed open reduction and bone fixation. Two infections occurred after a surgical approach. Among late complications we have seen eleven premature epiphyseal cartilage closure (rate 15%). Four were responsible of angular deformities. One child has a tibial osteotomy for varus deformity after a medial closure. Two ankle arthritis occurred: one of them was seen after a post-operative infection. In two cases of fracture of the medial mortise corner, a valgus deformity with hypertrophy of the medial malleolus occurred. Ankle arthritis is the most severe complication of the adolescent articular fractures (Tillaux and triplane fractures).(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":75703,"journal":{"name":"Chirurgie pediatrique","volume":"31 2","pages":"113-8"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13420828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Perioperative diagnostic pneumoperitoneum for unilateral inguinal hernias in children]. [儿童单侧腹股沟疝围手术期诊断气腹]。

Chirurgie pediatrique Pub Date : 1990-01-01

E Keskin, D Yeker, N Danismend, C Büyükünal

引用次数: 0

[A recto-sigmoid lesion due to trans-anal aspiration. Apropos of a case]. 经肛门误吸引起的直肠-乙状结肠病变。关于一个案例]。

Chirurgie pediatrique Pub Date : 1990-01-01

P Debeugny, M Bonnevalle, R Besson, T Basset

引用次数: 0

[Is early excision-graft justified in hand burns in children? Report of 201 cases]. 儿童手部烧伤早期切除移植是否合理?201例报告]。

Chirurgie pediatrique Pub Date : 1990-01-01

J Guitard, J M Foliguet, D Chiottasso, C Doston, J F Trinchero, P Maleterre, J Moscovici, J H Gaubert, J Gaubert

引用次数: 0