Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood最新文献
{"title":"[Extrahepatic bile duct atresia--an analytic assessment of prognostic factors. Contribution to a rational therapeutic approach].","authors":"P Schweizer","doi":"10.1055/s-2008-1042616","DOIUrl":"https://doi.org/10.1055/s-2008-1042616","url":null,"abstract":"<p><p>\"Extrahepatic bile duct atresias\" must be classified into 4 histopathological groups according to their characteristic numerical, metrical and morphological alterations of interlobular bile ducts. A prospective study based on an observation period of 5 and more years included 43 patients with \"extrahepatic biliary atresia\". It showed that prognosis generally depends on 3 factors: the duration of cholestasis, the prehilar structure of the bile ducts, and the histopathologically defined features of the interlobular bile ducts. The total diameter of all the prehilar bile duct structures is unmistakably the most dominant of all findings. A total diameter of more than 400 microns indicates a favourable prognostic subtype, while a total diameter of less than 400 microns indicates an unfavourable prognostic subtype. However, even if the prognostically favourable type of findings is present, the actual prognosis is finally determined by the histopathological features of the interlobular bile ducts. Therefore, these 4 characteristic groups must be taken into consideration when rationally evaluating the prognosis.</p>","PeriodicalId":77648,"journal":{"name":"Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood","volume":"45 6","pages":"365-70"},"PeriodicalIF":0.0,"publicationDate":"1990-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042616","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13442117","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}
A J Jawad, A Khattak, A al-Rabeeah, S M Zakzouk, N Ur-Rahman, A Y Izzidien al-Samarrai
{"title":"Congenital nasopharyngeal teratoma in newborn: case report and review of literature.","authors":"A J Jawad, A Khattak, A al-Rabeeah, S M Zakzouk, N Ur-Rahman, A Y Izzidien al-Samarrai","doi":"10.1055/s-2008-1042618","DOIUrl":"https://doi.org/10.1055/s-2008-1042618","url":null,"abstract":"<p><p>A rare case of nasopharyngeal teratoma (epignathus) is described in a newborn female, presenting with life threatening respiratory embarrassment. Complete excision was achieved. The management and differential diagnosis are discussed, accompanied by a review of the literature.</p>","PeriodicalId":77648,"journal":{"name":"Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood","volume":"45 6","pages":"375-8"},"PeriodicalIF":0.0,"publicationDate":"1990-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042618","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13442119","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}
{"title":"MRI imaging as a technique to monitor congenital hydrocephalus in rats.","authors":"N G Harris","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77648,"journal":{"name":"Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood","volume":"45 Suppl 1 ","pages":"III"},"PeriodicalIF":0.0,"publicationDate":"1990-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13444058","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}
{"title":"Proceedings of the Oviedo (Northern Spain) Meeting of the Society for Research into Hydrocephalus and Spina Bifida, 1990.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77648,"journal":{"name":"Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood","volume":"45 Suppl 1 ","pages":"1-41"},"PeriodicalIF":0.0,"publicationDate":"1990-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13444059","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}
{"title":"Teaching reading comprehension skills to spina bifida children.","authors":"D Grant, A Mooney","doi":"10.1055/s-2008-1042624","DOIUrl":"https://doi.org/10.1055/s-2008-1042624","url":null,"abstract":"<p><p>Thirteen children with spina bifida (mean age 11 yrs 11 mths) and a mean reading comprehension reading deficit of 10.5 mths were enrolled into a remedial programme. The withdrawal single case study methodology was used (baseline--5 weeks, treatment--5 weeks, withdrawal--12 weeks). Each child was seen twice a week for 15 minutes during both the baseline and treatment stages. A teaching programme based on a close technique was utilized only during the treatment stage. The technique involved teaching each child a strategy for systematically examining a text for meaning. A halving of the comprehension deficit was observed by the end of the treatment stage, with a mean regression of almost 3 months at the end of the withdrawal stage. No relationship between IQ and gains in reading comprehension was observed. The results may indicate that, in part, reading comprehension deficits are performance deficits which, in turn, may be mediated by attentional strategies.</p>","PeriodicalId":77648,"journal":{"name":"Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood","volume":"45 Suppl 1 ","pages":"11-3"},"PeriodicalIF":0.0,"publicationDate":"1990-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042624","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13444061","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}
{"title":"The Dandy-Walker syndrome.","authors":"C Hutterer, P Baierl, E Ring-Mrozik, M Muller","doi":"10.1055/s-2008-1042625","DOIUrl":"https://doi.org/10.1055/s-2008-1042625","url":null,"abstract":"<p><p>Ten cases of the Dandy-Walker syndrome are presented. The clinical manifestations are analyzed. Almost 80 percent of these children had associated anomalies. The characteristic findings are based on the magnetic resonance image scan. Satisfactory treatment of our patients had mostly consisted in shunting the lateral ventricular system to the peritoneum. The incidence of the complications was high.</p>","PeriodicalId":77648,"journal":{"name":"Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood","volume":"45 Suppl 1 ","pages":"14-5"},"PeriodicalIF":0.0,"publicationDate":"1990-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042625","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13444062","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}
U Klinge, G Steinau, A Tittel, G Alzen, V Schumpelick
{"title":"[Common channel syndrome--2 case reports].","authors":"U Klinge, G Steinau, A Tittel, G Alzen, V Schumpelick","doi":"10.1055/s-2008-1042621","DOIUrl":"https://doi.org/10.1055/s-2008-1042621","url":null,"abstract":"<p><p>The common channel syndrome is a disease mostly of young girls. To demonstrate the problems of diagnosis and therapy we report on 2 cases operated on in 1987 and 1989. The long delay of several years between the onset of symptoms and the diagnosis might be shortened by improved diagnostic possibilities (Ultrasound, ERCP). In any case of hyperamylasemia or chronic pancreatitis in childhood an obstruction of the biliary tract should be excluded. The common channel syndrome can be treated by means of sphincteroplasty or a bilidigestive anastomosis.</p>","PeriodicalId":77648,"journal":{"name":"Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood","volume":"45 6","pages":"386-8"},"PeriodicalIF":0.0,"publicationDate":"1990-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042621","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12869467","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}
L Lagae, C Verpoorten, P Casaer, R Vereecken, G Fabry, C Plets
{"title":"Conservative versus neurosurgical treatment of tethered cord patients.","authors":"L Lagae, C Verpoorten, P Casaer, R Vereecken, G Fabry, C Plets","doi":"10.1055/s-2008-1042626","DOIUrl":"https://doi.org/10.1055/s-2008-1042626","url":null,"abstract":"<p><p>We compared the outcome of neurosurgical release of a tethered spinal cord in 20 children with the neurological evolution of 21 other children known iwth a tethered spinal cord on nuclear magnetic resonance scan (NMR). Neurosurgery yielded stabilisation of the symptoms without any lasting improvement. Pre-operative conservative medical treatment had to be continued in all operated children. Three of the 20 operated children are showing signs of retethering despite appropriate neurosurgery, indicating that retethering should be considered as a major and frequent complication. In the majority of our children, symptomatic (re)tethering was recognised by the appearance of increased tendon reflexes and a progressive pes cavus, suggestive of an upper motor neuron disease involvement.</p>","PeriodicalId":77648,"journal":{"name":"Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood","volume":"45 Suppl 1 ","pages":"16-7"},"PeriodicalIF":0.0,"publicationDate":"1990-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042626","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13444063","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}
{"title":"[A new mechanical anastomosis technique in deep anterior resection for Hirschsprung's disease in infancy].","authors":"J Erhard, E Gross, R Lange, F W Eigler","doi":"10.1055/s-2008-1042617","DOIUrl":"https://doi.org/10.1055/s-2008-1042617","url":null,"abstract":"<p><p>Since 1987 we perform a new technique of colorectal anastomosis in 6 babies resected because of severe Hirschsprung's disease. The operation was done electively in the seventh to eight month of age. In the method of the so-called compression anastomosis the instrument is inserted through the anorectal canal at the head fitted with two plastic rings (see illustrations). In the rectal stump the instrument is opened up, the rectal bowel edge is slipped over the distal ring. The prepared proximal bowel edge is slipped over the second white coloured ring. The rings are approached to one another and the instrument is released. The knife on the inside cuts the bowel. The two rings are then joined by means of springs. The compression anastomosis is completed. The two bowel edges are joined by compression via the two intraluminal plastic rings. These rings will pass spontaneously with the faeces days after operation. The diameter of the rings is 18 mm. Different diameters are available. Our good experiences in more than 160 compression anastomoses in colorectal surgery of adults encouraged us to use the method also in children. We saw one complication of a rectovaginal fistula 4 weeks after the operation followed by a severe stenosis of the anastomosis. The passing of the plastic rings was without any problem in all the cases. In the follow-up a bouginage was required only in the case mentioned above.</p>","PeriodicalId":77648,"journal":{"name":"Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood","volume":"45 6","pages":"371-4"},"PeriodicalIF":0.0,"publicationDate":"1990-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042617","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13442118","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}
J M Mazur, S Sienko-Thomas, N Wright, R J Cummings
{"title":"Swing-through vs. reciprocating gait patterns in patients with thoracic-level spina bifida.","authors":"J M Mazur, S Sienko-Thomas, N Wright, R J Cummings","doi":"10.1055/s-2008-1042629","DOIUrl":"https://doi.org/10.1055/s-2008-1042629","url":null,"abstract":"<p><p>Three thoracic level spina bifida patients were evaluated in a gait laboratory. The patients first were asked to walk with a swing-through gait pattern using conventional hip-knee-ankle-foot orthosis and then with a reciprocating gait pattern using the reciprocating gait orthosis (RGO). The reciprocating gait was modestly more efficient than the swing-through gait pattern. The average speed of free walking was 11.4 meters per minute with the swing-through pattern and 16.2 meters per minute with the reciprocating pattern. The stride length was 0.31 meters and 0.54 meters with the swing-through and reciprocating patterns respectively. The RGO needs further modifications to improve the walking ability of spina bifida patients. The hip joints permit only flexion and extension and no rotational movement. The lack of internal and external rotation inhibits hip movement, reduces stride length, reduces the speed of walking and causes the cables to bind and eventually break. With design changes, future bracing systems will permit improved walking in the high level spina bifida patients.</p>","PeriodicalId":77648,"journal":{"name":"Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood","volume":"45 Suppl 1 ","pages":"23-5"},"PeriodicalIF":0.0,"publicationDate":"1990-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042629","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13443266","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}