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  • Tracheo-oesophageal fistula  (2)
  • Appendicitis  (1)
  • 1
    Digitale Medien
    Digitale Medien
    Trends in mortality in oesophageal atresia (1992)
    Springer
    Pediatric surgery international 7 (1992), S. 86-89 
    Details
    ISSN: 1437-9813
    Schlagwort(e): Oesophageal atresia ; Tracheo-oesophageal fistula ; Mortality ; Congenital abnormalities
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/BF00183908
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 2
    Digitale Medien
    Digitale Medien
    Appendicitis in cystic fibrosis: can morbidity be reduced? (1988)
    Springer
    Pediatric surgery international 3 (1988), S. 414-417 
    Details
    ISSN: 1437-9813
    Schlagwort(e): Cystic fibrosis ; Appendicitis ; Meconium ileus equivalent ; Morbidity
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract The management of appendicitis in cystic fibrosis (CF) has been controversial, and most series report a mortality of over 30%. Difficulties are distinguishing appendicitis from meconium ileus equivalent (MIE) often cause diagnostic delay and advanced disease by the time surgery is undertaken. We report a series of 9 patients with appendicitis proven on histology in whom there was no mortality and minimal morbidity. Factors likely to reduce morbidity and mortality in appendicitis in children with CF include early diagnosis; preoperative intravenous antibiotics effective against both bowel and chest organisms; early appendicectomy; avoidance of right hemicolectomy, or drainage alone; thorough peritoneal irrigation with warm antibiotic saline solution; and continuous postoperative narcotic analgesia to allow early mobilisation and effective chest physiotherapy. Accurate early diagnosis is facilitated if these children are treated by respiratory paediatricians and paediatric surgeons in a centre familiar with the management of cystic fibrosis. Delay in appendicectomy worsens the underlying respiratory disease.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/BF00173457
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  • 3
    Digitale Medien
    Digitale Medien
    Influence of congenital heart disease on management of oesophageal atresia (1992)
    Springer
    Pediatric surgery international 7 (1992), S. 90-93 
    Details
    ISSN: 1437-9813
    Schlagwort(e): Congenital heart disease ; Oesophageal atresia ; Tracheo-oesophageal fistula
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Congenital heart disease (CHD) is the commonest abnormality associated with oesophageal atresia, occurring in about 20% of cases. Echocardiography should be performed prior to repair of the atresia to identify CHD and lateralise the aorta. Knowledge of the anatomical type and physiological consequences of the CHD enables a co-ordinated plan of management. In patients who are non-duct-dependent for systemic or pulmonary blood flow the oesophagus can be repaired early while pulmonary vascular resistance is high; definitive treatment of the CHD is undertaken later. Duct-dependent lesions usually can be temporarily palliated with prostaglandin E1 infusions commenced prior to repair of the atresia. It is extremely rare that palliative or reparative cardiac surgery is required prior to division of the tracheo-oesophageal fistula and repair of the oesophageal atresia.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/BF00183909
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