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  • 1
    Electronic Resource
    Electronic Resource
    Intrathoracic gastric volvulus in infancy (2000)
    Springer
    Pediatric radiology 30 (2000), S. 842-845 
    Details
    ISSN: 1432-1998
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Intrathoracic gastric volvulus is a very rare surgical emergency. Early diagnosis and treatment are of great importance to prevent gastric gangrene and perforation or gastric obstruction and dilation, which may lead to cardiorespiratory arrest. We report two infants who presented with intrathoracic gastric volvulus. This was associated with recurrent diaphragmatic hernia in one and congenital paraoesophageal hernia in the other. Aspects of diagnosis and treatment are also discussed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s002470000335
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  • 2
    Electronic Resource
    Electronic Resource
    Solitary intestinal fibromatosis: a rare cause of intestinal perforation in neonates (1997)
    Springer
    Pediatric surgery international 12 (1997), S. 437-440 
    Details
    ISSN: 1437-9813
    Keywords: Solitary intestinal fibromatosis ; Intestinal perforation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Solitary intestinal fibromatosis (SIF) is very rare; only 9 cases have been described. A new case presenting unusually in a newborn is described and the previously reported cases are reviewed. SIF should be considered in the differential diagnosis of a newborn presenting with an intestinal perforation.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01076962
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  • 3
    Electronic Resource
    Electronic Resource
    Splenectomy and acute splenic sequestration crises in sickle cell disease (1996)
    Springer
    Pediatric surgery international 11 (1996), S. 26-28 
    Details
    ISSN: 1437-9813
    Keywords: Sickle cell disease ; Splenic sequestration ; Splenectomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Acute splenic sequestration crises (ASSC) is one of the complications of sickle cell disease (SCD) that can be life-threatening due to loss of blood volume. Over a 5-year period, we have treated 19 patients ranging in age from 4 to 32 years with ASSC. There were 14 males and 5 females; 17 had homozygous SCD and the other 2 had sickle thalassemia. Two patients presented with severe anemia and acute circulatory collapse; 1 of them developed residual weakness of his limbs and decreased visual acuity. Nine patients underwent splenectomy after major episodes of sequestration while the remaining 10 had recurrent minor episodes of sequestration. The clinical features and the role of splenectomy are discussed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00174580
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    Elective, postoperative ventilation in the management of esophageal atresia and tracheoesophageal fistula (1997)
    Springer
    Pediatric surgery international 12 (1997), S. 261-263 
    Details
    ISSN: 1437-9813
    Keywords: Esophageal atresia ; Tracheoesophageal fistula ; Anastomotic complications ; Postoperative respiratory support
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The management of esophageal atresia (EA) with or without tracheoesophageal fistula (TEF) has undergone many changes. As a result of recent advances in neonatal intensive care and pediatric anesthesia, the survival of infants with EA and TEF has improved markedly, but the occurrence of anastomosic complications has remained constant. To overcome this problem, various techniques and suture materials have been used. This review of 20 consecutive cases of EA/TEF stresses the importance and influence of non-reversal of anesthesia, paralysis, and elective ventilation for protection of the esophageal anastomosis following repair of EA and TEF.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01372145
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  • 5
    Electronic Resource
    Electronic Resource
    Computed tomography-guided percutaneous needle aspiration of lung abscesses in neonates and children (1997)
    Springer
    Pediatric surgery international 12 (1997), S. 417-419 
    Details
    ISSN: 1437-9813
    Keywords: Key words Lung Abscess ; Neonates and children ; CT-guided percutaneous lung abscess aspiration
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Lung abscesses in children aften respond to conservative treatment. This is unlikely in children less than 7 years of age and in these surgery is associated with significant morbidity and mortality. We repart a neonate and a 2.5 year old child successfully treated with percutaneous computed tomography guided aspiration of lung abscesses.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003830050166
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    Paper (German National Licenses)
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  • 6
    Electronic Resource
    Electronic Resource
    Solitary intestinal fibromatosis: a rare cause of intestinal perforation in neonates (1997)
    Springer
    Pediatric surgery international 12 (1997), S. 437-440 
    Details
    ISSN: 1437-9813
    Keywords: Key words Solitary intestinal fibromatosis ; Intestinal perforation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Solitary intestinal fibro‐matosis (SIF) is very rare; only 9 cases have been described. A new case presenting unusually in a newborn is described and the previously reported cases are reviewed. SIF should be considered in the differential diagnosis of a newborn presenting with an intestinal perforation.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003830050174
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    Paper (German National Licenses)
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  • 7
    Electronic Resource
    Electronic Resource
    Computed tomography-guided percutaneous needle aspiration of lung abscesses in neonates and children (1997)
    Springer
    Pediatric surgery international 12 (1997), S. 417-419 
    Details
    ISSN: 1437-9813
    Keywords: Lung Abscess ; Neonates and children ; CT-guided percutaneous lung abscess aspiration
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Lung abscesses in children aften respond to conservative treatment. This is unlikely in children less than 7 years of age and in these surgery is associated with significant morbidity and mortality. We repart a neonate and a 2.5 year old child successfully treated with percutaneous computed tomography guided aspiration of lung abscesses.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01076954
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    Paper (German National Licenses)
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  • 8
    Electronic Resource
    Electronic Resource
    Laparoscopic versus open cholecystectomy in children (1997)
    Springer
    Pediatric surgery international 12 (1997), S. 587-590 
    Details
    ISSN: 1437-9813
    Keywords: Key words Cholelithiasis ; Children ; Sickle-cell disease ; Laparoscopic cholecystectomy ; Open cholecystectomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Twenty-one consecutive laparoscopic cholecystectomies (LC) were compared with 29 consecutive open cholecystectomies (OC). Sickle-cell disease (SCD) was the most common reason for cholecystectomy in both groups. The average length of operative time for LC was significantly longer than that of OC (P=0.0149). In 1 patient there was conversion from LC to OC due to severe adhesions. Common bile duct (CBD) stones were diagnosed in 8 (27.6%) of the OC group; in 4 of them the diagnosis was made preoperatively by ultrasound, in 4 by intraoperative cholangiogram. All 8 patients required CBD exploration, and 2 had additional transduodenal sphincteroplasties. In the LC group 5 patients (23.8%) had CBD stones. All had (ERCP) endoscopic retrograde cholangiopancreatography sphincterotomy, and stone extraction followed by LC. ERCP is a necessary adjunct to treatment if LC is to be contemplated. Six patients in the OC group developed complications, while only 4 patients in the LC group developed minor complications. The length of hospitalization after LC was significantly shorter than after OC (P=0.0150). LC is the procedure of choice in the management of cholelithiasis in children, especially those with SCD.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01371905
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  • 9
    Electronic Resource
    Electronic Resource
    Is acute appendicitis different in patients with sickle cell disease? (1998)
    Springer
    Pediatric surgery international 13 (1998), S. 265-267 
    Details
    ISSN: 1437-9813
    Keywords: Key words Sickle cell disease ; Acute appendicitis ; Abdominal painful crisis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Nine patients with sickle cell disease (SCD) were operated upon at our hospital for acute appendicitis, comprising only 0.43% of the total appendicectomies performed at our institution. Three appendices were acutely inflamed and six (66.7%) were perforated. Histologic evaluation of the six perforated specimens revealed congestion and haemorrhage by sickled erythrocytes (RBCs) in addition to acute transmural inflammatory cell infiltrates. The mucosa was extensively ulcerated, with haemorrhage both within the lumen and in the appendiceal wall. The blood vessels were dilated and packed with sickled RBCs. Two of the three acutely inflamed appendices showed features of acute transmural appendicitis, with marked congestion and haemorrhage by sickled RBCs. The third did not show any acute inflammatory cell infiltrate, however, the mucosa was partly ulcerated with both mucosal and intraluminal haemorrhage. These findings suggest that acute appendicitis is different in patients with SCD: while it is not common, when it does develop it has a rapid course with a high incidence of perforation due to blockage of appendiceal vessels by sickled RBCs, leading to transmural necrosis.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003830050312
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  • 10
    Electronic Resource
    Electronic Resource
    Synchronous bilateral Wilms' tumor (1999)
    Springer
    Pediatric surgery international 15 (1999), S. 42-45 
    Details
    ISSN: 1437-9813
    Keywords: Key words Wilms' tumor ; Nephroblastoma ; Bilateral ; Synchronous
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Synchronous bilateral Wilms' tumor (WT) accounts for 5% of all WTs. Of 34 cases of WT we treated, 7 (20.6%) were bilateral, 5 of them males. This high frequency of bilaterality as well as the male preponderance in our series is different from that reported in other parts of the world; this may reflect regional variations of WT. The details of diagnosis, therapy, including the role of preoperative chemotherapy, and outcome are presented.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003830050509
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    Paper (German National Licenses)
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