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  • 1
    Electronic Resource
    Electronic Resource
    Fetal tachycardia and chylous ascites (1999)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 106 (1999), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.1999.tb08279.x
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  • 2
    Electronic Resource
    Electronic Resource
    The gliding testis: Minor degree of true undescended testis? (1993)
    Springer
    European journal of pediatrics 152 (1993), S. S20 
    Details
    ISSN: 1432-1076
    Keywords: Cryptorchidism ; Gliding testis ; Familial incidence ; Spermatic cord torsion
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The gliding testis is located below the external ring; it can be manipulated to the upper scrotum but tends to ascend to its original position. Histologic changes can be detected in these gonads by 7 years of age. We evaluated 427 consecutive prepubertal boys referred for cryptorchidism. One hundred and twenty-three had classical undescended testes: 71 ectopic, 55 retractile, and 178 (mean age 6 yrs. 2 mos.) gliding testes. The gliding testes were smaller than controlaterals in 24% of boys. All gliding testes were unilateral, whereas bilaterality was 85% in the retractile group (P〈0.0001), 17.5% in the undescended (P〈0.001), and 10% in the ectopic group (P〈0.01). There was a history of one or more of the following conditions: orchidopexy (3), hormonal treatment (5) late testicular descent (9), spermatic cord torsion (5), testicular pain (10), actual retractile testes (20) or actual gliding testis (58), was present in 93 (52.2%) of the fathers of the gliding group. Forty-seven (81%) paternal gliding testes were hypotrophic. Seventy-five boys with gliding testis underwent initial hormonal therapy with transient benefit, and 57 were operated on. Two anatomical findings are typical of the gliding testis: (i) the absence of the gubernaculum, and (ii), a processus vaginalis partially patent from the upper scrotum to the mid groin area. This latter feature explains the mobility of the gliding testis from the external ring to the upper scrotum. The absence of the gubernaculum may be responsible for a higher incidence of spermatic cord torsion in this population. The gliding testis is a distinct entity, representing the mildest degree of a true undescended testis. As hormonal treatment gives only transient results, orchidopexy should be considered before testicular damage occurs.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02125428
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  • 3
    Electronic Resource
    Electronic Resource
    Cystic adenomatoid malformation of the lung: clinical evolution and management (1999)
    Springer
    European journal of pediatrics 158 (1999), S. 879-882 
    Details
    ISSN: 1432-1076
    Keywords: Key words Cystic adenomatoid malformation of the lung ; Management ; Prenatal diagnosis ; Ultrasonography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Cystic adenomatoid malformation of the lung (CAML) is a rare pulmonary maldevelopment resulting from an abnormal growth of the terminal bronchial structures. This study proposes a possible management of prenatally diagnosed CAML. A group of nine cases of CAML diagnosed prenatally between January 1990 and December 1995 was studied retrospectively. The evolution of lesions was followed in utero by serial ultrasound monitoring. Chest X-ray was performed at birth in all neonates and CT only in the symptomatic ones. CAML was macrocystic in three cases and microcystic in six. No polyhydramnios, hydrops or associated malformations were seen. In four cases, CAML was confirmed at birth and required surgery. The lesion decreased in size prenatally in five fetuses, of whom only one underwent surgery. In two further cases a prenatal diagnosis of CAML was changed to diaphragmatic hernia. Conclusion Given the possible clinical disappearance or resolution of cystic adenomatoid malformation of the lung, we believe that surgery is justified at birth only in symptomatic and radiologically positive neonates. It could be safely delayed in those asymptomatic patients with either positive or negative chest X-ray. The former need computed tomography at birth, whereas, in the latter, it should be performed at 6 months of age for a more definitive assessment of the patient.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004310051233
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  • 4
    Electronic Resource
    Electronic Resource
    Microsurgical treatment of varicocele in children (1989)
    Springer
    Pediatric surgery international 4 (1989), S. 254-259 
    Details
    ISSN: 1437-9813
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The varicocele is a common cause of adult male infertility, but surgical treatment in adolescence still remains controversial. Many data suggest that early recognition and correction of a varicocele may prevent testicular damage and sterility. The argument that infertility does not necessarily result in each case is probably not relevant due to uncertainty involved in an individual case. Changes similar to those observed in infertile adults occur in the affected testicle in adolescents with varicocele. High ligation of the spermatic veins is associated with a 20% recurrence rate. Twenty-five children (mean age 12 years 5 months) underwent microsurgical treatment for a left-sided varicocele. All had antegrade phlebography under general anesthesia to distinguish the type of varicocele and determine the proper surgical approach. Twenty (80%) patients had type 1, 2 (8%) type 2, and 3 (12%) had a third type. All were treated using Belgrano's technique, which seems to allow anatomic-physiologic venous return from the testis. The mean postoperative hospitalization was 4 days and the mean follow-up time 17 months. Begrano's technique is a complete, easy and esthetically effective procedure for treating varicocele in childhood. It is also advisable to employ phlebography in patients treated by the most common surgical approach to avoid recurrences. These findings encourage early surgical treatment, which in our experience was always effective.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00177494
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  • 5
    Electronic Resource
    Electronic Resource
    Esophageal atresia: critical review of 10 years' experience (1989)
    Springer
    Pediatric surgery international 4 (1989), S. 95-100 
    Details
    ISSN: 1437-9813
    Keywords: Esophagus ; Esophageal atresia ; Tracheoesophageal fistula ; Right aortic arch
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract From January 1976 to October 1986, 107 cases of esophageal atresia (EA) were admitted to the Neonatal Surgical Unit of the Bambino Gesú Hospital of Rome; 86% of the children had a type III EA. Associated anomalies were present in 47%; they were multiple in 18%. Cardiological malformations were the most frequent followed by digestive, skeletal, urological, and chromosomal aberrations. Surgical treatment was attempted in all children except 3, who died before surgical correction, in an effort to perform an end-to-end anastomosis in a single layer through a transpleural approach. According to the results, children were divided into two groups of 50 patients each: group 1 (1976–1981); and group 2 (1981–1986). Anastomosis was possible in 69% of children (68.7% in group 1, 69.3% in group 2). After 1983, gastrostomy fell into gradual disrepute and a transanastomotic tube was used. Immediate complications were seen in 36.6% of cases; in no case did recurrence of the tracheoesophageal fistula occur. The overall mortality decreased from 50% (group 1) to 30% (group 2). In the two periods considered, the mortality according to Waterston's risk classes was 28.5% → 5,8% (class A), 42.1% → 11.7% (class B), 82.3% → 68.7% (class C). Of a total of 41 deaths, 47% were due to severe associated malformations: bronchopneumopathy or prematurity seemed to have less importance in establishing the prognosis.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00181842
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