Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood最新文献_第7页

Surgery in unilateral multicystic kidney. 单侧多囊肾的外科治疗。

Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood Pub Date : 1990-08-01 DOI: 10.1055/s-2008-1042589

C M Kullendorff

{"title":"Surgery in unilateral multicystic kidney.","authors":"C M Kullendorff","doi":"10.1055/s-2008-1042589","DOIUrl":"https://doi.org/10.1055/s-2008-1042589","url":null,"abstract":"During a 15-year period 29 patients were treated for unilateral multicystic kidney. The diagnosis was obtained from antenatal ultrasonography in 17 cases, investigation of an abdominal mass at routine palpation in 10, UTI investigation in 1 and uraemia investigation in 1. Eleven patients had associated malformations. Further investigations included ultrasonography, intravenous pyelography, micturition uretrocystography and in a few cases computed tomography and Dimercapto-succinic acid (DMSA) scan. Percutaneous pyelography was performed in 9 cases. Twenty-six children were operated on and 3 were not operated, of which 1 with severe cardiac malformations, died. The age at operation was under 6 months in 14 cases and between 6 and 12 months in 8. Four children developed hypertension preoperatively but the hypertension disappeared within 1 week postoperatively in all cases. The indication for surgery in unilateral multicystic kidney seems to be clear if the patient is symptomatic. In the asymptomatic patient, the complications of a remaining multicystic kidney like hypertension, malignancy, infection and pain suggest a surgical approach at around 6 months of age.","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 4","pages":"235-7"},"PeriodicalIF":0.0,"publicationDate":"1990-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042589","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13391162","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: 6

Postoperative recurrence of splenic epithelial cyst; treatment with subtotal splenectomy. 脾上皮囊肿术后复发;脾次全切除治疗。

Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood Pub Date : 1990-08-01 DOI: 10.1055/s-2008-1042592

C H Pappis, D Demitriadis, A Petrou, H C Pappis

{"title":"Postoperative recurrence of splenic epithelial cyst; treatment with subtotal splenectomy.","authors":"C H Pappis, D Demitriadis, A Petrou, H C Pappis","doi":"10.1055/s-2008-1042592","DOIUrl":"https://doi.org/10.1055/s-2008-1042592","url":null,"abstract":"Three children were operated upon for congenital epithelial cysts of the spleen in the five-year period 1983-1987. Their mean age was 9.8 +/- 2.3 years. Two of them were boys. They comprise 1.6% of the surgical pathology of the spleen in our hospital, which is a Reference Centre for congenital haemolytic diseases. Two of the children had been suffering from intermittent colic pain in the left hypochondrium with a tender palpable mass for a short while to the present day. The third patient was asymptomatic; a splenic cyst with calcification of its wall was accidentally revealed by a plain x-ray of the abdomen. Contrast gastrointestinal studies and intravenous pyelography helped us with the diagnosis; they indicated a splenic mass that caused visceral displacement adjacent to the spleen. Ultrasonography proved the cystic nature of the enlargement of the spleen in all the cases. Marsupialization was performed in one patient and removal of the cysts in the other two. All three patients were followed up and re-checked 1-5 years postoperatively (May-June 1988). In one boy who underwent removal of the cyst four years ago, recurrence of the splenic cyst was revealed by ultrasonography, CT scan and radionuclide scan. Subtotal splenectomy was performed. The remaining upper pole is supplied with blood by the short gastric arteries. The recurrence was attributed to coexistence of invisible tiny cysts that had remained in the splenic tissue after the dissection of the major cyst during the previous operation. Subtotal splenectomy is an acceptable alternative procedure for splenic cysts.","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 4","pages":"245-8"},"PeriodicalIF":0.0,"publicationDate":"1990-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042592","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13391165","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: 4

Plasma concentrations of lidocaine and prilocaine and analgesic effect after dermal application of EMLA cream 5% for surgical removal of mollusca in children. 5% EMLA乳膏用于小儿软体动物手术切除后，利多卡因、丙罗卡因血药浓度及镇痛效果。

Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood Pub Date : 1990-06-01 DOI: 10.1055/s-2008-1042570

S Haugstvedt, A M Friman, K Danielson

{"title":"Plasma concentrations of lidocaine and prilocaine and analgesic effect after dermal application of EMLA cream 5% for surgical removal of mollusca in children.","authors":"S Haugstvedt, A M Friman, K Danielson","doi":"10.1055/s-2008-1042570","DOIUrl":"https://doi.org/10.1055/s-2008-1042570","url":null,"abstract":"The plasma concentrations of lidocaine and prilocaine after dermal application of EMLA cream 5% were determined in two clinical studies. The cream (10-16 g) was applied to a total surface area of 100-160 cm2. Each area was covered by a Tegaderm dressing (3M) in order to obtain occlusion. An application time of 2 hours was used. Two age groups of ten children were studied: 2-3 years and 6-8 years. In both groups venous blood samples were drawn prior to application and at 2, 3, 4 and 5 hours. In addition, in one of the studies, the cream was used during the surgical removal of mollusca in order to study the analgesic effect of the cream. The absorption of the local anaesthetics as indicated by plasma concentrations was far below toxic levels. The highest individual concentration of lidocaine was 315 ng/ml and of prilocaine 215 ng/ml. The analgesic effect was sufficient--eight out of ten patients experienced no or slight pain. Transient local reactions (paleness, redness) were frequently observed. In one patient with eczema present at the application site prior to the application, a reaction persisted for one week. Dermal analgesia provided by EMLA is a safe and effective method for alleviation of pain from removal of mollusca and the plasma concentrations are innocuous.","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 3","pages":"148-50"},"PeriodicalIF":0.0,"publicationDate":"1990-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042570","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13523657","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: 11

[Myohyperplasia of the lung arterioles in congenital diaphragmatic defects]. [先天性膈肌缺损的肺小动脉肌增生]。

Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood Pub Date : 1990-06-01 DOI: 10.1055/s-2008-1042572

A Awissus, W Schubert, R Fischer

引用次数: 0

Chronic gastric volvulus in children--a ten-year experience. 儿童慢性胃扭转的十年经验。

Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood Pub Date : 1990-06-01 DOI: 10.1055/s-2008-1042573

M E Senocak, N Büyükpamukçu, A Hiçsönmez

引用次数: 9

[Intrapericardial teratoma in childhood]. [儿童心包内畸胎瘤]。

Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood Pub Date : 1990-06-01 DOI: 10.1055/s-2008-1042578

G von der Oelsnitz, K Albrecht, H Brinkmann

引用次数: 0

Birth injuries: incidence and predisposing factors. 出生伤害:发生率及易感因素。

Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood Pub Date : 1990-06-01 DOI: 10.1055/s-2008-1042565

I S Salonen, R Uusitalo

引用次数: 48

Congenital urethroperineal fistula: a case report and literature review. 先天性尿道会阴瘘1例并文献复习。

Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood Pub Date : 1990-06-01 DOI: 10.1055/s-2008-1042580

M E Senocak, A Hiçsönmez, N Büyükpamukçu

引用次数: 10

Detection of significant vesico-ureteric reflux by ultrasound in infants and children. 超声检测婴儿和儿童明显膀胱输尿管反流。

Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood Pub Date : 1990-06-01 DOI: 10.1055/s-2008-1042568

A R Bergius, K Niskanen, M Kekomäki

{"title":"Detection of significant vesico-ureteric reflux by ultrasound in infants and children.","authors":"A R Bergius, K Niskanen, M Kekomäki","doi":"10.1055/s-2008-1042568","DOIUrl":"https://doi.org/10.1055/s-2008-1042568","url":null,"abstract":"We evaluated real-time ultrasonography in the diagnosis of vesico-ureteric reflux by comparing its findings to those of dynamic micturition cystourethrography. The study material comprised 124 consecutive infants and children referred to uroradiological workup, usually because of a relapsing febrile urinary tract infection. Both examinations were done during the same session. Consistent findings were obtained on 232 ureters, of which 37 displayed II. and 19 III. + reflux. II. reflux was found in 12 ureters by cystography only; thus one-fourth of low-grade refluxes escaped the diagnosis by ultrasound. The false negative findings of ultrasound examination included also two ureters showing III. reflux in cystography. As calculated for therapy-requiring (grade III or higher) reflux, the sensitivity of ultrasound was 90 per cent and its specificity 100 per cent. We conclude that ultrasound can be used as a primary diagnostic technique for girls, and in the follow-up of both boys and girls.","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 3","pages":"144-5"},"PeriodicalIF":0.0,"publicationDate":"1990-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042568","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13349649","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: 15

Effect of haematocrit on wound healing in children. 红细胞压积对儿童伤口愈合的影响。

Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood Pub Date : 1990-06-01 DOI: 10.1055/s-2008-1042569

J Viljanto

引用次数: 2