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  • 1
    Electronic Resource
    Electronic Resource
    Hirschsprung's disease and intestinal neuronal dysplasia – a frequent association with implications for the postoperative course (1999)
    Springer
    Pediatric surgery international 15 (1999), S. 553-558 
    Details
    ISSN: 1437-9813
    Keywords: Key words Hirschsprung's disease ; Intestinal neuronal dysplasia ; Hirschsprung-associated intestinal neuronal dysplasia ; Pull-through operation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Between 1991 and 1993, 106 newly diagnosed cases of Hirschsprung's disease (HD) were prospectively analyzed for the association of HD and intestinal neuronal dysplasia (IND) at ten pediatric surgical departments in central Europe. Hirschsprung-associated IND (HaIND) was found in 40% of cases. IND was disseminated in one-third and localized in two-thirds of the patients. Initial clinical symptoms were related to the length of the aganglionic segment, but not to the presence of HaIND. An enterostomy performed in 72 cases (67.9%) was located in a segment of pathologically innervated bowel in 50% of all cases, but in 72% of cases of HaIND. The proximal margin of the resected bowel showed pathological innervation in 44% of cases. Supplemental biopsies from the intestine (apart from diagnostic suction biopsies and biopsies at the enterostomy site) led to the first identification or definition of length of associated IND in 17.9% of cases. Postoperatively, the presence of long-segment aganglionosis or associated IND implied a delay in the restoration of normal defecation. Persistent constipation was found in 40% of patients with associated disseminated IND at follow-up at 6 months, compared to 20.6% in patients with isolated HD. These children needed secondary interventions more often than patients with associated localized IND or isolated HD. HaIND thus has clinical implications for the postoperative course if IND is disseminated.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003830050669
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  • 2
    Electronic Resource
    Electronic Resource
    150. Das metastasierende, maligne Melanom beim jungen Säugling (1984)
    Springer
    Langenbeck's archives of surgery 364 (1984), S. 482-482 
    Details
    ISSN: 1435-2451
    Keywords: Melanoma ; Newborn ; Melanom bei jungen Säugling
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Kasuistik eines 5 Monate alten weiblichen Säuglings mit einem angeborenen Naevus am linken Gesäß, dessen Farbe sich zu einem schwärzlichen Braunrot änderte, außerdem entstand ein kleiner Satellitenknoten. In der linken Leiste war ein Lymphknoten tastbar. Der Hauttumor wurde großzügig excidiert und der Lymphknoten entfernt. Die histologische Untersuchung ergab ein malignes Melanom mit einer Eindringtiefe von 4 mm (Level V n. Clark). Der Lymphknoten bestand überwiegend aus Melanomzellen. Interessanterweise enthielt der Lymphknoten eine verkäsende Tuberkulose nach BCG-Impfung. Beim zweiten Eingriff fanden sich keine weiteren Lymphknotenmetastasen parailiacal und paraaortal. Das Kind ist ohne Therapie nach 12 Monaten rezidivfrei.
    Notes: Summary The case of a 5-months-old female infant is reported with a congenital nevus at the left seat. Its color had changed to blackish brown-red, and a little satellite tumor appeared after a few weeks. in the left groin a lymphatic gland was palpable. The skin tumor was cut out broadly; the lymph gland was also taken out. The result of the examination was a melanoma with a penetration of 4 mm (Clark level V). The gland included a lot of melanoma cells and - this fact seems to be of great interest — tuberculosis after BCG vaccination. A second-look operation showed no further tumor cells in glands in parailiac and para-aortal regions. There is no relapse after 12 months without any therapy.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01823323
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  • 3
    Electronic Resource
    Electronic Resource
    198. Hohe metaphysäre Tibiafraktur im Kindesalter mit nachfolgendem Fehlwachstum (Valgisierung) (1985)
    Springer
    Langenbeck's archives of surgery 366 (1985), S. 636-636 
    Details
    ISSN: 1435-2451
    Keywords: Tibial fracture ; Children ; Valgus deformity ; Corrective osteotomy ; Kindliche Tibiafraktur ; Valgusfehlwachstum ; Korrekturosteotomie
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Die hohe metaphysare Tibiafraktur im Kindesalter ist selten. Bei einem Teil der Frakturen stellt sich trotz nahezu achsengerechter Einstellung ein Valgusfehlwachstum ein. Dies ist mehrfach beschrieben, fiber die Ursache gibt es verschiedene Theorien. Neben anderen wird uber ein 17 Monate altes Mädchen berichtet, bei dem eine Korrekturosteotomie durchgeführt werden mußte. Die Möglichkeiten zur Verhinderung and zur Behandlung werden diskutiert.
    Notes: Summary Proximal metaphysial fracture of the tibia is rare in children. Nevertheless, some of the fractures are followed by valgus deformity of the lower leg, although there was minimal axial deviation at the time of the fracture consolidation. Of the cases reported in the past, there have been differing theories about the cause. One such case was a 17-month-old girl, in whom a osteotomy was necessary to correct the deformity. The possibilities of preventing the deformity and her treatment are discussed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01836797
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  • 4
    Electronic Resource
    Electronic Resource
    238. Besonderheiten in der Behandlung drittgradiger offener Unterschenkelfrakturen im Kindesalter (1986)
    Springer
    Langenbeck's archives of surgery 369 (1986), S. 772-772 
    Details
    ISSN: 1435-2451
    Keywords: Third-degree open fracture ; Lower leg in children ; Fx0III ; Drittgradige offene Unterschenkelfraktur im Kindesalter
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Die drittgradige offene Unterschenkelfraktur ist im Kindesalter selten, da Kinder kaum den typischen Ursachen dieser Verletzung ausgesetzt sind. Von 900 kindlichen Brüchen am Unterschenkelschaft, die wir in 10 Jahren behandelt haben, waren 14 drittgradig offen, dazu kommen 11 Fälle bei Heranwachsenden zwischen 14 und 17 Jahren. Alle 25 Frakturen wurden primär verplattet, Komplikationen, wie Osteitis oder Kompartmentsyndrom wurden nicht beobachtet. Die Spätergebnisse sind gut. Im Gegensatz zum Vorgehen beim Erwachsenen konnte bisher in unserem Krankengut bei diesem Frakturtyp auf eine äußere Fixation verzichtet werden.
    Notes: Summary In children, third-degree open fracture of the lower leg (FxOIII) is rare because children are seldom exposed to the typical causes of this injury. We have treated 900 fractures of the lower leg in children during the past 10 years, of which 14 were FxOIII, plus 11 cases in adolescents 14–17 years old. All 25 fractures were treated by primary rigid internal fixation; no complications such as osteitis or compartmental syndrome were seen. The results have been good. Unlike the treatment of adults, external fixation has not yet been necessary for our patients with this type of fracture.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01274556
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    Paper (German National Licenses)
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