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  • 1
    Electronic Resource
    Electronic Resource
    The anterior urethra provides clues to the aetiology of prune belly syndrome (1988)
    Springer
    Pediatric surgery international 3 (1988), S. 169-172 
    Details
    ISSN: 1437-9813
    Keywords: Prune belly syndrome ; Aetiology ; Urethra
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The aetiology of prune belly syndrome is disputed. Obstruction of the urinary tract seems likely, but in the majority of cases the cause or site of this obstruction has remained obscure. We present evidence to suggest that in patients where no posterior urethral valves are evident the obstruction is likely to have been transient and situated at the junction of the glandular and penile urethrae.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00182775
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  • 2
    Electronic Resource
    Electronic Resource
    Reply (1990)
    Springer
    Pediatric surgery international 5 (1990), S. 80-80 
    Details
    ISSN: 1437-9813
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00179650
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    Posterior ectopia of penis mimics marsupial anatomy (1987)
    Springer
    Pediatric surgery international 2 (1987), S. 127-130 
    Details
    ISSN: 1437-9813
    Keywords: Posterior ectopia penis ; Penile agenesis ; Cloacal anomaly ; Rectovesical fistula ; Marsupial anatomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In kangaroos, the penis lies posterior to the scrotum. We report an infant born with a similar arrangement initially thought to be penile agenesis. In addition, there was a dysplastic horseshoe kidney: two ureters and the rectum drained into a primitive cloaca which in turn drained externally through an anal canal. Previous reports of “penile agenesis” have consistently described a perineal skin tag immediately anterior to the anus; postmortem dissection of this patient revealed intact corpora extending from the pubis to the perineal appendage into which ran the urethra, suggesting that the patient had concealed posterior ectopia rather than penile agenesis.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00174192
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  • 4
    Electronic Resource
    Electronic Resource
    Urinary tract abnormalities in association with oesophageal atresia: frequency, significance, and influence on management (1992)
    Springer
    Pediatric surgery international 7 (1992), S. 94-96 
    Details
    ISSN: 1437-9813
    Keywords: Oesophageal atresia ; Tracheo-oesophageal ; fistula ; Urinary tract ; Renal agenesis ; Vesico-Ureteric reflux
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Urinary tract abnormalities occur in about 24% of infants with oesophageal atresia. It is important in the neonatal period to recognise those that may cause renal damage if untreated so that the long-term complications of renal disease, e. g., reflux-associated nephropathy, can be prevented. Our current practice is to obtain a renal ultrasound and micturating cystourethrogram during the first admission. If the infant has not been observed to pass urine, then renal ultrasound should be performed before repair of the oesophageal atresia, because there is inadequate functioning renal tissue for long-term survival in 3% of oesophageal atresia patients. The absence of Potter's syndrome in infants with both oesophageal atresia and bilateral renal agenesis means that these patients often cannot be identified pre-operatively on clinical grounds alone.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00183910
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  • 5
    Electronic Resource
    Electronic Resource
    Diagnostic delay in Crohn's disease (1992)
    Springer
    Pediatric surgery international 7 (1992), S. 171-173 
    Details
    ISSN: 1437-9813
    Keywords: Crohn's disease ; Diagnosis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The interval between the onset of symptoms and confirmation of the diagnosis of Crohn's disease in children is often many months or years. A number of factors contribute to this diagnostic delay, but the most significant appear to be delay in the patient seeking initial medical help and failure of the medical practitioner to consider the diagnosis at the time of the first medical contact. In this review of 55 children with Crohn's disease the intervals between onset of symptoms, first presentation and diagnosis were examined and the causes of diagnostic delay determined. The main reason a diagnosis was not made at first presentation was because of ignorance of the fact that Crohn's disease could occur in children. In older children, the combination of tiredness, lethargy and iron deficiency anaemia with vague or intermittent abdominal pain was a frequent cause of diagnostic difficulty. However, even in the absence of major gastrointestinal symptoms, the significance of growth failure and delayed puberty was usually recognised if the patient was referred to a paediatrician. Diagnostic delay could well be reduced if medical practitioners involved in the primary care of children were educated to recognise the various ways in which Crohn's disease presents in this age group.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00175831
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  • 6
    Electronic Resource
    Electronic Resource
    Perianal disease in childhood Crohn's disease: frequency, characteristics, and prognostic significance (1992)
    Springer
    Pediatric surgery international 7 (1992), S. 174-176 
    Details
    ISSN: 1437-9813
    Keywords: Crohn's disease ; Perianal abscess ; Perianal fistula ; Ischiorectal abscess
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Perianal disease (PAD) occurs in 36% of children with Crohn's disease. Its development may precede other manifestations of the disease (3 of 26 patients). PAD ranges in severity from anal fissures and fistulae and localised perianal abscesses to extensive ischiorectal suppuration. Skin tags also occur, and although asymptomatic, may give a valuable clue to the diagnosis of Crohn's disease. Recurrent perianal or ischiorectal sepsis produce the greatest morbidity. PAD may undergo spontaneous resolution without surgical intervention. In contrast, treating patients with severe and chronic PAD may prove frustrating and result in time lost from school.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00175832
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  • 7
    Electronic Resource
    Electronic Resource
    Unusual presentation of distal urethral duplications in non-identical twin boys (1992)
    Springer
    Pediatric surgery international 7 (1992), S. 229-230 
    Details
    ISSN: 1437-9813
    Keywords: Urethral duplication ; Accessory urethra ; Glans penis ; Collateral duplication
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Non-identical twin brothers presented with similar, apparently cystic lesions immediately adjacent to the urethral meatus. Histology confirmed the lesions to be consistent with accessory urethrae. In neither boy was there an obvious sinus opening. This report describes an unusual presentation of incomplete collateral urethral duplication.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00175850
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  • 8
    Electronic Resource
    Electronic Resource
    Intussusception: recurrence following gas (oxygen) enema reduction (1992)
    Springer
    Pediatric surgery international 7 (1992), S. 361-363 
    Details
    ISSN: 1437-9813
    Keywords: Intussusception ; Gas enema ; Recurrence
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Over a 38-month period, prospective data were collected on all episodes of intussusception treated at the Royal Children's Hospital, Melbourne. There were 170 initial episodes for which a gas enema was performed, 127 of which were reduced successfully. Recurence occured in 10 patients following initial successful gas enema reduction, a recurrence rate of 7.9%, which compares with a recurrence rate of 8.9% with barium (P = 0.896). We conclude that the gas enema does not have a higher rate of recurrence than barium and that there is no evidence of a significant incidence of incomplete reduction unrecognised at the time of gas enema.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00176593
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  • 9
    Electronic Resource
    Electronic Resource
    Effect of surgery on ventilatory requirements in severe pulmonary interstitial emphysema (1993)
    Springer
    Pediatric surgery international 8 (1993), S. 113-115 
    Details
    ISSN: 1437-9813
    Keywords: Pulmonary intersititial emphysema ; Hyaline membrane disease ; Prematurity ; Thoracotomy ; Ventilation index
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Pulmonary interstitial emphysema (PIE) is an acquired condition that can develop in premature infants with severe hyaline membrane disease (HMD) who require assisted ventilation. In this study, the effect of surgery on the ventilatory requirements of nine infants with severe and progressive PIE was established to determined the degree to which surgical intervention was beneficial. The median ventilation index for O2([PaO2/(F2O2 × MAP)]) and median ventilation index for CO2 ([PIP-PEEP] × RR × PCO2) markedly improved following surgery. There was no difference in overall outcome between those infants who had a lobectomy and those who had pleurotomy with diathermy deflation of subpleural cysts (POD). Given that PIE is reversible, POD seems to be preferable to lobectomy because it preserves lung tissue.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00184212
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  • 10
    Electronic Resource
    Electronic Resource
    Letters to the editor (1988)
    Springer
    Pediatric surgery international 3 (1988), S. 294-295 
    Details
    ISSN: 1437-9813
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00179263
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    Paper (German National Licenses)
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