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  • 1
    Electronic Resource
    Electronic Resource
    Different patterns of leakage of cytosolic and mitochondrial enzymes
    Amsterdam : Elsevier
    Clinica Chimica Acta 185 (1989), S. 265-270 
    Details
    ISSN: 0009-8981
    Keywords: AST-isozyme ; Bleb ; Ischemia ; Mitochondrial AST
    Source: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://linkinghub.elsevier.com/retrieve/pii/0009-8981(89)90216-7
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    Paper (German National Licenses)
    Fulltext
  • 2
    Electronic Resource
    Electronic Resource
    Necrotizing enterocolitis in a term infant with coarctation of the aorta complex (1996)
    Springer
    Pediatric surgery international 12 (1996), S. 57-58 
    Details
    ISSN: 1437-9813
    Keywords: Necrotizing enterocolitis (NEC) ; Terminant ; Coarctation Coarctation of aorta (CoA) ; Ductus arteriosus (DA)
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Necrotizing enterocolitis (NEC) sometimes occurs in term infants with congenital heart disease. This article reports a rare case of a term infant with coarctation of the aorta complex who developed NEC on the 8th day after birth. Spontaneous closure of the ductus arteriosus in the 1st week of life may cause intestinal ischemia and hypoxia with resultant NEC.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01194804
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    Laparoscopic diagnosis of blunt abdominal trauma in children (1997)
    Springer
    Pediatric surgery international 12 (1997), S. 132-136 
    Details
    ISSN: 1437-9813
    Keywords: Key words Laparoscopy ; Blunt abdominal trauma
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  This study evaluates the safety and role of laparoscopy in the diagnosis of blunt abdominal trauma in children. Laparoscopy was performed in five patients aged 3 to 13 years because of persistent abdominal pain after blunt trauma. A laparotomy was not indicated from the physical examination, laboratory data, or radiologic findings. With the patient under general anesthesia, a 10-mm trocar was inserted through the umbilical fossa and the intra-abdominal organs were observed for 10 – 60 min under an insufflation pressure of 10 – 12 mmHg. The patients remained hemodynamically stable without pneumothorax development. Three patients underwent laparatomies: one, who had blood in the omental sac, had a duodenal injury with hemorrhagic necrosis and underwent a resection; one with ascites and high amylase levels had an injury of the main pancreatic duct and underwent resection of the pancreatic tail; and one who had fresh blood in the upper abdomen and Douglas’ pouch had a splenic hemorrhage and underwent hemostasis. The other two had serous or serosanguinous ascites and recovered without surgery. In patient 1, the same amount of information might have been obtained from a barium study. In patient 2, the pancreatic transection might have been diagnosed from ascites shown on serial computed tomograms. Patient 3 might also have been treated successfully non-surgically. It hus appears that laparoscopy may be a safe diagnostic method for blunt abdominal trauma in children, however, this small series has yielded insufficient information to assess its usefulness in making the diagnosis and the decision for laparotomy. Further studies are required to ascertain whether it will make any significant difference in the form of management.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003830050084
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    Necrotizing enterocolitis in a term infant with coarctation of the aorta complex (1996)
    Springer
    Pediatric surgery international 12 (1996), S. 57-58 
    Details
    ISSN: 1437-9813
    Keywords: Key words Necrotizing enterocolitis (NEC) ; Terminant ; Coarctation ; Coarctation of aorta (CoA) ; Ductus arteriosus (DA)
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  Necrotizing enterocolitis (NEC) sometimes occurs in term infants with congenital heart disease. This article reports a rare case of a term infant with coarctation of the aorta complex who developed NEC on the 8th day after birth. Spontaneous closure of the ductus arteriosus in the 1st week of life may cause intestinal ischemia and hypoxia with resultant NEC.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01194804
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
  • 5
    Electronic Resource
    Electronic Resource
    Abdominal wall plasty for a premature infant with congenital diaphragmatic hernia (1997)
    Springer
    Pediatric surgery international 13 (1997), S. 48-51 
    Details
    ISSN: 1437-9813
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract This paper reports a premature infant with a congenital diaphragmatic hernia (CDH) who underwent an abdominal wall plasty to enlarge the abdominal cavity, one of twin infants born at 32 weeks weighing 1,255 g. After stabilization, the herniated viscera were reduced from the pleural cavity and the abdominal wall muscle and skin layers were replaced by a Gore-tex patch without closure of the diaphragmatic defect. Respiratory and circulatory conditions were stable during the perioperative period. Postoperatively, a roentogenogram showed expansion of the lung. However, his condition deteriorated 24 h after surgery, triggered by intratracheal suction, and he died on the 4th day of life despite the use of high-frequency oscillation, catecholamines, and vasodilators. Postmortem examination showed severely hypoplastic lungs. Abdominal wall plasty may be a less invasive initial procedure, however, further studies, such as comparison with the standard method or conservative management, are needed using a large clinical group or animal models to justify the usefulness of this procedure.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003830050242
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    Paper (German National Licenses)
    Fulltext
  • 6
    Electronic Resource
    Electronic Resource
    Infarcted intestinal volvulus detected by prenatal ultrasonography (1996)
    Springer
    Pediatric surgery international 11 (1996), S. 498-499 
    Details
    ISSN: 1437-9813
    Keywords: Intestinal volvulus ; Infarcted volvulus ; Prenatal ultrasonography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract This article describes a prenatal ultrasonographic finding of an infarcted intestinal volvulus. Ultrasonography showed polyhydramnios, multiple dilated intestinal loops, increased transverse abdominal area, and ascites. After cesarean section due to premature rupture of membranes and fetal distress, derotation of the infarcted volvulus caused postoperative thrombocytopenia, hyperkalemia, and acidosis and a subsequent resection was required. A high output of intestinal juice from the jejunostomy caused severe hypovolemia and electrolyte imbalance with resultant death. Increased transverse abdominal area caused by marked intestinal dilatation, ascites, fetal distress, and hydrops fetalis may suggest an infarcted intestinal volvulus.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00180094
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
  • 7
    Electronic Resource
    Electronic Resource
    Laparoscopic diagnosis of blunt abdominal trauma in children (1997)
    Springer
    Pediatric surgery international 12 (1997), S. 132-136 
    Details
    ISSN: 1437-9813
    Keywords: Laparoscopy ; Blunt abdominal trauma
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract This study evaluates the safety and role of laparoscopy in the diagnosis of blunt abdominal trauma in children. Laparoscopy was performed in five patients aged 3 to 13 years because of persistent abdominal pain after blunt trauma. A laparotomy was not indicated from the physical examination, laboratory data, or radiologic findings. With the patient under general anesthesia, a 10-mm trocar was inserted through the umbilical fossa and the intra-abdominal organs were observed for 10–60 min under an insufflation pressure of 10–12 mmHg. The patients remained hemodynamically stable without pneumothorax development. Three patients underwent laparatomies: one, who had blood in the omental sac, had a duodenal injury with hemorrhagic necrosis and underwent a resection; one with ascites and high amylase levels had an injury of the main pancreatic duct and underwent resection of the pancreatic tail; and one who had fresh blood in the upper abdomen and Douglas' pouch had a splenic hemorrhage and underwent hemostasis. The other two had serous or serosanguinous ascites and recovered without surgery. In patient 1, the same amount of information might have been obtained from a barium study. In patient 2, the pancreatic transection might have been diagnosed from ascites shown on serial computed tomograms. Patient 3 might also have been treated successfully non-surgically. It hus appears that laparoscopy may be a safe diagnostic method for blunt abdominal trauma in children, however, this small series has yielded insufficient information to assess its usefulness in making the diagnosis and the decision for laparotomy. Further studies are required to ascertain whether it will make any significant difference in the form of management.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01349980
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    Paper (German National Licenses)
    Fulltext
  • 8
    Electronic Resource
    Electronic Resource
    Transumbilical resection and umbilical plasty for patent omphalomesenteric duct (1998)
    Springer
    Pediatric surgery international 13 (1998), S. 180-181 
    Details
    ISSN: 1437-9813
    Keywords: Key words Patent omphalomesen teric duct ; Transumbilical approach ; Umbilical plasty
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract This paper describes a transumbilical resection and umbilical plasty for treatment of a patent omphalomesenteric duct (POMD). In a newborn infant with a POMD, a skin incision was made circumscribing the mucocutaneous junction of the protruded duct. The duct was completely extirpated with a wedge resection of the connection to the intestine and an umbilical plasty was performed. The postoperative appearance was excellent. It appears that transumbilical resection and umbilical plasty may be a satisfactory operation for POMD.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003830050282
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    Paper (German National Licenses)
    Fulltext
  • 9
    Electronic Resource
    Electronic Resource
    The doughnut sign: an ultrasound finding in pediatric intestinal Burkitt's lymphoma (1998)
    Springer
    Pediatric surgery international 13 (1998), S. 297-298 
    Details
    ISSN: 1437-9813
    Keywords: Key words Intestinal lymphoma ; Burkitt's lymphoma ; Doughnut sign ; Ultrasonography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract This paper describes a doughnut-like ultrasound (US) finding in pediatric intestinal Burkitt's lymphoma. A 9-year-old boy had a fist-sized, hard, non-movable mass in the lower abdomen. US showed a thickened, layered ring like a doughnut. The outer, low-level echoes seemed to be consistent with mucosa and muscle layers and the inner, high-level echoes seemed to be intraluminal air or mucus. The serum lactic dehydrogenase level was high. At surgery, a solid, hard tumor 15 × 10 cm in size was found in the jejunum. The intestinal wall was diffusely thickened with an intact mucosa. From this experience, the US doughnut sign may be a helpful diagnostic finding in pediatric intestinal Burkitt's lymphoma.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003830050323
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    Paper (German National Licenses)
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  • 10
    Electronic Resource
    Electronic Resource
    Laparoscopic cholecystectomy and time-course changes in renal function (1997)
    Springer
    Surgical endoscopy and other interventional techniques 11 (1997), S. 838 -841 
    Details
    ISSN: 1432-2218
    Keywords: Key words: Laparoscopy — Cholecystectomy — Pneumoperitoneum — Renal function — Retraction method
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: Recently, the retraction method has been used to reduce intraabdominal pressure (IAP) during laparoscopic surgery. The purpose of this study was to determine the serial changes in renal function during laparoscopic cholecystectomy (LC) using the retraction method. Methods: Urine output, effective renal plasma flow (ERPF), and glomerular filtration rate (GFR) were measured serially in seven patients who underwent LC with 12 mmHg pneumoperitoneum (High-IAP group) and five who underwent LC using the retraction method with 4 mmHg pneumoperitoneum (Low-IAP group). Results: Urine output, ERPF, and GFR were decreased during pneumoperitoneum in the High-IAP group, whereas no significant changes in any of these parameters were observed in the Low-IAP group. Conclusions: Our findings demonstrate that reduction of IAP to 4 mmHg using the retraction method prevents the transient renal dysfunction caused by prolonged 12 mmHg pneumoperitoneum during LC, suggesting that the retraction method reduces the risk of perioperative renal dysfunction during laparoscopic surgery.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004649900466
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    Paper (German National Licenses)
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