Progress in pediatric surgery最新文献_第4页

The Shaw haemostatic scalpel in paediatric surgery: clinical report on 3000 operations. Shaw止血刀在小儿外科中的应用:3000例手术的临床报告。

Progress in pediatric surgery Pub Date : 1990-01-01 DOI: 10.1007/978-3-642-87707-0_5

U G Stauffer

{"title":"The Shaw haemostatic scalpel in paediatric surgery: clinical report on 3000 operations.","authors":"U G Stauffer","doi":"10.1007/978-3-642-87707-0_5","DOIUrl":"https://doi.org/10.1007/978-3-642-87707-0_5","url":null,"abstract":"This report presents the experience in a prospective series of 100 operative procedures in all fields of paediatric surgery with the Shaw haemostatic scalpel, which we have subsequently used in more than 3000 further operations. The Shaw scalpel proved to be advantageous in about 80% of major cases. The scalpel cuts tissue with a sharp steel edge, like a cold scalpel, and simultaneously seals blood vessels by heat thermally conducted to the tissue from heated blade which is electrically insulated from the patient. The heat seals most small blood vessels (under 2 mm) as they are cut. Since no electric current passes through the patient, a grounding pad is not needed and the risk of accidental electrical current burns at grounding sites is eliminated. Muscle stimulation associated with the use of a normal cautery is avoided, improving surgical precision of cutting. The Shaw haemostatic scalpel minimizes damage to the tissue as compared with other thermocoagulating instruments. Since it seals small vessels as it cuts tissue, it largely eliminates the flow of blood into the incised area and allows better visibility of the surgical field. The use of the scalpel requires a different cutting technique which is however easy to learn. The Shaw haemostatic scalpel reduces blood loss and overall operating time in major cases. It is relatively inexpensive and can be recommended for use in paediatric surgery.","PeriodicalId":76378,"journal":{"name":"Progress in pediatric surgery","volume":"25 ","pages":"39-47"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13260189","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: 3

Lasers in pediatric surgery. 激光在儿科手术中的应用。

Progress in pediatric surgery Pub Date : 1990-01-01 DOI: 10.1007/978-3-642-87707-0_2

H P Berlien, G Müller, J Waldschmidt

引用次数: 42

Intraperitoneal application of fibrinogen gluing in the rat for adhesions prophylaxis. 纤维蛋白原胶凝在大鼠腹腔内预防粘连的应用。

Progress in pediatric surgery Pub Date : 1990-01-01 DOI: 10.1007/978-3-642-87707-0_9

J L Koltai, A Gerhard

{"title":"Intraperitoneal application of fibrinogen gluing in the rat for adhesions prophylaxis.","authors":"J L Koltai, A Gerhard","doi":"10.1007/978-3-642-87707-0_9","DOIUrl":"https://doi.org/10.1007/978-3-642-87707-0_9","url":null,"abstract":"The suitability of fibrinogen gluing for prophylaxis of intraperitoneal adhesions was investigated experimentally. Small bowel slings, traumatized previously, were covered by a layer of fibrinogen 2-3 mm thick to see whether formation of adhesions could be prevented. In the experiments 50 rats of both sexes were observed over 21 days. Following mechanical traumatization of the terminal ileum the visceral peritoneum was coated with fibrinogen, whereas animals of the control group did not receive fibrinogen coating. Macroscopic and microscopic findings after 1, 3, 7, 14 and 21 days yielded the following results: 1. Fibrinogen dissolution and resorption occurred for 3-14 days following operation. 2. On autopsy, all animals of the control group showed massive, extended adhesions; two of the controls died on the 6th postoperative day from peritonitis. 3. None of the treated animals exhibited extended adhesions. 4. Histological examinations revealed regeneration of the injured serosa and healing of the bowel wall below the fibrinogen coating. 5. Fibrinogen applied to intact peritoneal serosa (without injury) is entirely resorbed without formation of adhesions.","PeriodicalId":76378,"journal":{"name":"Progress in pediatric surgery","volume":"25 ","pages":"71-80"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13260728","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: 9

Surgical techniques in short bowel syndrome. 短肠综合征的外科技术。

Progress in pediatric surgery Pub Date : 1990-01-01 DOI: 10.1007/978-3-642-87707-0_10

K L Waag, K Heller

{"title":"Surgical techniques in short bowel syndrome.","authors":"K L Waag, K Heller","doi":"10.1007/978-3-642-87707-0_10","DOIUrl":"https://doi.org/10.1007/978-3-642-87707-0_10","url":null,"abstract":"An operation according to Bianchi in a 2-year-old girl is described and indications as well as technical procedure are discussed. The girl was born with a gastroschisis. There was a jejunal perforation 10 cm below the ligament of Treitz caused by a volvulus. Only 20 cm of the jejunum remained. Moreover, only the left part of the colon was present. Total parenteral nutrition for 2 years was necessary. The principle of the operation is based on a longitudinal division of the remaining bowel and a creation of two separate bowel tubes out of the divided bowel halves, thus effecting an isoperistaltic serial connection by means of two anastomoses. This is technically possible since each half of the bowel wall has its own blood supply. The vessels originating from the mesenterium branch off before they reach the bowel wall so that the mesenteric dissection line can be anastomosed longitudinally with the antimesenteric border. This results in doubling of the bowel length, narrowing of the preoperatively dilated bowel diameter, closer contact of bowel contents with the mucosa, prolonged transit time and a Bacteroides colonization which is reduced by more effective peristalsis. Indications, time of operation and our own experiences are discussed and three cases are described. All children are alive and show marked improvement in nutrition.","PeriodicalId":76378,"journal":{"name":"Progress in pediatric surgery","volume":"25 ","pages":"81-9"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13260729","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: 9

The neodymium YAG laser in surgery of parenchymatous organs in childhood. YAG激光在儿童实质器官手术中的应用。

Progress in pediatric surgery Pub Date : 1990-01-01 DOI: 10.1007/978-3-642-87707-0_3

P P Schmittenbecher

引用次数: 4

Total correction of complete atrioventricular canal: surgical technique and analysis of long-term results. 房室管全矫正术:手术技术及远期疗效分析。

Progress in pediatric surgery Pub Date : 1990-01-01 DOI: 10.1007/978-3-642-87707-0_14

A E Urban

引用次数: 4

Liver resection with the Sonocut ultrasonic knife. Sonocut超声刀肝切除术。

Progress in pediatric surgery Pub Date : 1990-01-01 DOI: 10.1007/978-3-642-87707-0_6

B Thomasson, L Hedenborg, H Wiksell

引用次数: 6

Secondary sagittal posterior anorectoplasty. 二次矢状后肛门直肠成形术。

Progress in pediatric surgery Pub Date : 1990-01-01 DOI: 10.1007/978-3-642-87707-0_13

A M Holschneider

引用次数: 6

Treatment of achalasia by the endoscopic-pneumatic dilatation method. 内镜-气动扩张法治疗贲门失弛缓症。

Progress in pediatric surgery Pub Date : 1990-01-01 DOI: 10.1007/978-3-642-87707-0_16

P Dohrmann, W Mengel

引用次数: 2

Deep anterior resection with circular stapled anastomosis of congenital megacolon: clinical results. 先天性巨结肠深前切除术环形吻合术的临床效果。

Progress in pediatric surgery Pub Date : 1990-01-01 DOI: 10.1007/978-3-642-87707-0_12

P Dohrmann, W Mengel, H Schaube

引用次数: 2