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  • 1
    Electronic Resource
    Electronic Resource
    The role of labor in gastroschisis bowel thickening and prevention by elective pre-term and pre-labor cesarean section (1992)
    Springer
    Pediatric surgery international 7 (1992), S. 256-259 
    Details
    ISSN: 1437-9813
    Keywords: Gastroschisis ; Bowel-wall thickening ; Atresia and necrosis ; Labor cause ; Pre-term and Pre-labor
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Twelve consecutive cases of gastrochisis seen during the past 3 years are reported. Four were managed by elective pre-term and pre-labor cesarean section as soon as lung maturity was established by biochemical means and 8 by delivery after the onset of labor, 4 by vaginal delivery and 4 by cesarean section. There was no intestinal thickening or “peel” in any of the 4 infants born by elective pre-term and pre-labor section. All were quickly and easily repaired (the last 3 with umbilicus preservation) with no associated atresias or stenosis and with minimal length of hospitalization. The 8 cases delivered after the onset of labor all had marked instestinal thickening, 2 (25%) had severe and extensive intestinal necrosis or atresias (“apple-peel”), and 1 died (12.5%). All had prolonged and complicated hospital stays with multiple operations. The routine use of elective pre-term and pre-labor section in all cases of gastroschisis diagnosed prenatally by α-fetoprotein (AFP) screening and ultrasound is strongly recommended, as are routine AFP screening and ultrasound studies during pregnancy.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00183975
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Midgut non-rotation with a large, dumb-bell-shaped, abscessed, air-containing right paraduodenal hernia in early childhood (1992)
    Springer
    Pediatric surgery international 7 (1992), S. 149-151 
    Details
    ISSN: 1437-9813
    Keywords: Midgut non-rotation ; Right paraduodenal hernia ; Abscessed hernia
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A 3-year-old boy with a history of recurrent episodes of abdominal pain and vomiting, a prior history of intra-abdominal sepsis (amoebiasis), and marked retroperitoneal mesenteric lymphadenopathy on ultrasound was admitted to the hospital because of severe abdominal pain of 2 days' duration associated with fever, nausea, and vomiting. His abdomen was distended and tender and a plain X-ray film revealed a large, dumb-bell-shaped double bubble in the mid-upper abdomen. A barium enema showed non-rotation of the colon with the cecum in the left upper quadrant. At operation, a large, dumbbell-shaped right paraduodenal hernia filled with air and pus was found, but no intestine. The body of the duodenum crossed the hernia and gave it its dumb-bell shape. The hernia/abscess was opened and drained. Penrose drains were left in the abscessed area and the margin of the hernia sac that contained the superior mesenteric artery was closed around the drains with care. The postoperative course was uneventful with no recurrence of symptoms.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00183927
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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