Progress in pediatric surgery最新文献_第2页

Surgical aspects of diseases of the thyroid gland in childhood. 儿童甲状腺疾病的外科方面。

Progress in pediatric surgery Pub Date : 1991-01-01 DOI: 10.1007/978-3-642-88324-8_2

D Ladurner, G Riccabona

引用次数: 0

Sonographic imaging of the thyroid in children. 儿童甲状腺超声显像。

Progress in pediatric surgery Pub Date : 1991-01-01 DOI: 10.1007/978-3-642-88324-8_1

K Schneider

引用次数: 2

Unusual varieties of diaphragmatic herniae. 不同寻常的膈疝。

Progress in pediatric surgery Pub Date : 1991-01-01 DOI: 10.1007/978-3-642-87767-4_8

K B Stokes

{"title":"Unusual varieties of diaphragmatic herniae.","authors":"K B Stokes","doi":"10.1007/978-3-642-87767-4_8","DOIUrl":"https://doi.org/10.1007/978-3-642-87767-4_8","url":null,"abstract":"Unusual varieties of diaphragmatic herniae can be classified into two major groups, congenital and acquired. The late-presenting Bochdalek herniae often present difficulties in diagnosis which may lead to inappropriate treatment. The prime example is the herniated stomach, which is mistaken for a tension pneumothorax. Strangulation is a rare, but an important, complication of Bochdalek herniae. A number of techniques for closure of large diaphragmatic defects are described with recommendation of those procedures which can be performed rapidly and effectively in a critically ill infant. The literature concerning eventration is confusing due to different definitions of the condition by different authors. It may be difficult to distinguish preoperatively between this condition and congenital diaphragmatic hernia with a sac. Such distinction is often not important as the decision for intervention is based on evaluation of clinical and radiological considerations. The majority of Morgagni herniae are asymptomatic and only rarely does strangulation supervene. There is a small group of infants with Morgagni hernias who present in early infancy with respiratory symptoms. Paralysis of the diaphragm due to phrenic nerve palsy recovers spontaneously in the majority of patients. The selective use of diaphragmatic plication for this condition is widely accepted, but the decision and appropriate timing for surgical intervention is often difficult. The results of surgery are very good both in the early postoperative period and also on long-term follow-up. The diagnosis of traumatic diaphragmatic hernia is often overlooked in the presence of other major injuries. The danger of strangulation of contents of this hernia is ever present and repair should be undertaken without delay once the diagnosis is made.","PeriodicalId":76378,"journal":{"name":"Progress in pediatric surgery","volume":"27 ","pages":"127-47"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/978-3-642-87767-4_8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13067338","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: 27

An approach to the management of chest wall deformities. 胸壁畸形的处理方法。

Progress in pediatric surgery Pub Date : 1991-01-01 DOI: 10.1007/978-3-642-87767-4_10

N A Myers

引用次数: 2

Recent developments in the management of neuroblastoma. 神经母细胞瘤治疗的最新进展。

Progress in pediatric surgery Pub Date : 1991-01-01 DOI: 10.1007/978-3-642-88324-8_15

M L Nieder, M W Gauderer

引用次数: 1

Surgical treatment of nesidioblastosis in childhood. 儿童肾母细胞病的外科治疗。

Progress in pediatric surgery Pub Date : 1991-01-01 DOI: 10.1007/978-3-642-88324-8_10

J Dobroschke, R Linder, A Otten

引用次数: 7

Pancreatic head tumor in a child. 儿童胰腺头部肿瘤。

Progress in pediatric surgery Pub Date : 1991-01-01 DOI: 10.1007/978-3-642-88324-8_12

C Deindl

引用次数: 1

Influence of anatomy and physiology on the management of oesophageal atresia. 解剖生理学对食管闭锁处理的影响。

Progress in pediatric surgery Pub Date : 1991-01-01 DOI: 10.1007/978-3-642-87767-4_4

S W Beasley

{"title":"Influence of anatomy and physiology on the management of oesophageal atresia.","authors":"S W Beasley","doi":"10.1007/978-3-642-87767-4_4","DOIUrl":"https://doi.org/10.1007/978-3-642-87767-4_4","url":null,"abstract":"Anatomical and physiological considerations specific to newborn infants with congenital thoracic abnormalities directly affect the timing and nature of surgical intervention during the neonatal period. This paper uses oesophageal atresia as an example of a common neonatal thoracic condition to highlight the way in which these considerations have influenced the approach to their surgical management. The type of surgical approach employed during thoracotomy determines the likelihood of subsequent chest wall deformity: an intercostal approach is preferable to rib resection. Multiple thoracotomies adversely affect the chest wall appearance and lung function. In premature infants with respiratory distress syndrome early surgical closure of the tracheo-oesophageal fistula is advantageous, and gastrostomy alone often prolongs the ventilatory difficulties. The upper oesophagus can be extensively mobilized with little danger to its blood supply, whereas the lower oesophagus, because it receives a segmental supply, is more vulnerable to ischaemia. The severity and distribution of tracheomalacia is reflected in its symptomatology. Tracheomalacia often coexists with gastro-oesophageal reflux, which should be corrected by a fundoplication if respiratory symptoms persist or an oesophageal stricture develops. The numerous factors producing heat loss in the newborn during thoracotomy are discussed. It is clear that an understanding of the anatomy and physiological changes which occur in the neonate is required if these infants are to be treated effectively and safely.","PeriodicalId":76378,"journal":{"name":"Progress in pediatric surgery","volume":"27 ","pages":"53-61"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13066660","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: 5

Cervical, cervicomediastinal and intrathoracic lymphangioma. 颈、颈纵隔及胸内淋巴管瘤。

Progress in pediatric surgery Pub Date : 1991-01-01 DOI: 10.1007/978-3-642-87767-4_5

M J Glasson, S F Taylor

{"title":"Cervical, cervicomediastinal and intrathoracic lymphangioma.","authors":"M J Glasson, S F Taylor","doi":"10.1007/978-3-642-87767-4_5","DOIUrl":"https://doi.org/10.1007/978-3-642-87767-4_5","url":null,"abstract":"Lymphangiomas result from abnormal development of the lymphatic system, with obstruction to lymph drainage from the affected area. The neck is the most common site (25%). In this study, we review the literature of lymphangioma in the neck and thorax and have undertaken detailed analysis of 52 children with cervical lymphangioma treated during the 20 years 1969-1988. Cervicomediastinal lymphangioma is uncommon (4%) and lesions confined to the thorax are rare, with none in our series. Neck lymphangiomas occur in early childhood with half being diagnosed at birth and almost 90% before school age. All have a mass. Two-thirds are asymptomatic; sudden enlargement, inflammation, infection, feeding difficulties and respiratory symptoms occur in the remainder. Pharyngeal and laryngeal involvement, usually associated with large infiltrating lesions, results in acute airways obstruction. The respiratory symptoms caused by mediastinal extensions are usually less dramatic. Lymphangiomas have a characteristic appearance on ultrasound examination and CT scan. These investigations are mandatory for an undiagnosed intrathoracic mass and when there is clinical suspicion of mediastinal extension of cervical lymphangioma but should be obtained for neck swellings only when the clinical diagnosis is in doubt. The recommended treatment is surgical excision which can be achieved with no mortality and little morbidity. An initial period of observation is justified for asymptomatic cervical lesions because there is a small incidence (6%) of spontaneous regression. Cervicomediastinal lymphangiomas can be removed at one operation using a neck incision combined with median sternotomy. The surgeon must preserve vital structures (especially vagus, recurrent laryngeal and phrenic nerves) and should not necessarily attempt total removal of all lymphangiomatous tissue. Massive infiltrating cervical lesions pose a particular challenge and may require multiple operations over many years before a satisfactory result with good-quality survival is attained.","PeriodicalId":76378,"journal":{"name":"Progress in pediatric surgery","volume":"27 ","pages":"62-83"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13066661","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: 52

Unusual problems in oesophageal surgery in childhood. 儿童食道手术的异常问题。

Progress in pediatric surgery Pub Date : 1991-01-01 DOI: 10.1007/978-3-642-87767-4_11

N A Myers

引用次数: 3