Die Prognose des Desmoid-Tumores wird an einem Krankengut von 26 Patienten (davon 4 im Wachstumsalter) aufgezeigt. Es werden die verschiedenen Behandlungsmöglichkeiten der lokal-radikalen Operation (und Reoperationen), der Amputation und der Bestrahlung diskutiert. Über die bisherigen Erfahrungen mit der Bestrahl ungstherapie wird berichtet. Vorund Nachteile der einzelnen Behandlungsmöglichkeiten im Wachstumsalter werden aufgezeigt. Ein primäres Management für Desmoid-Tumoren im Wachstumsalter wird vorgeschlagen.
{"title":"Behandlungsmöglichkeiten des Desmoid-Tumors im Wachstumsalter","authors":"F. Hefti, L. Laer","doi":"10.1055/S-2008-1044274","DOIUrl":"https://doi.org/10.1055/S-2008-1044274","url":null,"abstract":"Die Prognose des Desmoid-Tumores wird an einem Krankengut von 26 Patienten (davon 4 im Wachstumsalter) aufgezeigt. Es werden die verschiedenen Behandlungsmöglichkeiten der lokal-radikalen Operation (und Reoperationen), der Amputation und der Bestrahlung diskutiert. Über die bisherigen Erfahrungen mit der Bestrahl ungstherapie wird berichtet. Vorund Nachteile der einzelnen Behandlungsmöglichkeiten im Wachstumsalter werden aufgezeigt. Ein primäres Management für Desmoid-Tumoren im Wachstumsalter wird vorgeschlagen.","PeriodicalId":269806,"journal":{"name":"European Journal of Pediatric Surgery (EJPS)","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1984-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122336630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Eröffnung des III. Deutsch-Schweizerisch-Österreichischen Kinderchirurgen-Kongresses","authors":"B. Herzog","doi":"10.1055/s-2008-1044259","DOIUrl":"https://doi.org/10.1055/s-2008-1044259","url":null,"abstract":"","PeriodicalId":269806,"journal":{"name":"European Journal of Pediatric Surgery (EJPS)","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1984-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129918767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. von, eh Laer. A. Wimmersberger, R. Rudin, O. SpöttI, H. .IlIi, M. Spescha, von Laer Kinderchirurgische, Kinderspital Klinik, Basel Chefarzt, Prof. B. Herzog
{"title":"Die Indikation zur operativen Behandlung der akuten, hämatogenen, der primär chronischen und der posttraumatischen Osteomyelitis im Kindesalter","authors":"L. von, eh Laer. A. Wimmersberger, R. Rudin, O. SpöttI, H. .IlIi, M. Spescha, von Laer Kinderchirurgische, Kinderspital Klinik, Basel Chefarzt, Prof. B. Herzog","doi":"10.1055/S-2008-1044282","DOIUrl":"https://doi.org/10.1055/S-2008-1044282","url":null,"abstract":"","PeriodicalId":269806,"journal":{"name":"European Journal of Pediatric Surgery (EJPS)","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1984-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127809154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
lI~PCCh::d o"'eomyellli'. Hath are serious lndi~·:tlion~ and thercfore gl'ner.:llly call for urgent ,urgit'al intcncnt Ion.
李 ~ PCCh: d o”“eomyellli”。他们是严重的印度人，因此他们是印度人。紧急呼叫，紧急呼叫，紧急呼叫，紧急呼叫。
{"title":"Die Bedeutung sogenannter ,,negativer szintigraphischer Befunde\" bei der akuten hämatogenen Osteomyelitis","authors":"R. Ritter","doi":"10.1055/S-2008-1044270","DOIUrl":"https://doi.org/10.1055/S-2008-1044270","url":null,"abstract":"lI~PCCh::d o\"'eomyellli'. Hath are serious lndi~·:tlion~ and thercfore gl'ner.:llly call for urgent ,urgit'al intcncnt Ion.","PeriodicalId":269806,"journal":{"name":"European Journal of Pediatric Surgery (EJPS)","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1984-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128668537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
24 patients with severe urinary incontinence were treated by means of free autogenous muscle transplantation. 11 patients had bladder exstrophy and 9 patients epispadias. Before transplantation, they were already operated once or several times with reconstructions and plasties. 3 patients were incontinent after resection of urethral valves. The follow-up period was between land 7 years. The results were good in 14 patients implying increasing functional bladder capacity and abandoning of napkins during the day. 4 patients were improved and 6 were failures. Most patients exhibited normal urinary flow postoperatively. Cine studies of micturition clearly showed activity of the transplants with contractility and ability to relax the transplanted sling. In boys, erection was unimpaired postoperatively. The earliest signs of improvement appeared 2-6 months after surgery. Most patients showed further improvement 2 years post-operatively.
{"title":"Free Autogenous Muscle Transplantation in Urinary Incontinence","authors":"H. J. Gierup","doi":"10.1055/s-2008-1044285","DOIUrl":"https://doi.org/10.1055/s-2008-1044285","url":null,"abstract":"24 patients with severe urinary incontinence were treated by means of free autogenous muscle transplantation. 11 patients had bladder exstrophy and 9 patients epispadias. Before transplantation, they were already operated once or several times with reconstructions and plasties. 3 patients were incontinent after resection of urethral valves. The follow-up period was between land 7 years. The results were good in 14 patients implying increasing functional bladder capacity and abandoning of napkins during the day. 4 patients were improved and 6 were failures. Most patients exhibited normal urinary flow postoperatively. Cine studies of micturition clearly showed activity of the transplants with contractility and ability to relax the transplanted sling. In boys, erection was unimpaired postoperatively. The earliest signs of improvement appeared 2-6 months after surgery. Most patients showed further improvement 2 years post-operatively.","PeriodicalId":269806,"journal":{"name":"European Journal of Pediatric Surgery (EJPS)","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1984-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128775085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Resultate nach operativer Korrektur der Urininkontinenz im Kindesalter","authors":"A. Schärli","doi":"10.1055/s-2008-1044284","DOIUrl":"https://doi.org/10.1055/s-2008-1044284","url":null,"abstract":"","PeriodicalId":269806,"journal":{"name":"European Journal of Pediatric Surgery (EJPS)","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1984-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122684866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Summary From 1981 to September 1983, 72 continuous CSF meas urements were performed on 65 children with suspected shunt dysfunction. The pressure was 21 times > 180 (Group I), 7 times 135-180 (Group 2) and 44 times < 135 mmHp (Group 3). Shunt revision seemed indicated in all of Group I, in 4 of Group 2 and in 3 of Group 3. The 28 children operated on following manometry amount to 46 % 01' all patients revised during the same time. Headache, vomiting, some neurological and non-specific signs were like wise observed in all 3 groups. The palpable valve function was only exceptionally abnormal in Group I, but abnormal in 113 in Group 3. The shunt function was finally evaluated in Group I to 3 as folIows: 39 % shunt revision indicated, 30.5 % functioning shunt, 19.5 % temporary or intermittent shunt dysfunction, 10% temporary oIigoliquorrhea (overdrainage). 1% arrested hydrocephalus. The accuracy of the judgment was confirmed in all but 4 by follow-ups; in proximal occlu sion, CSF leakages an multiple shunts, seemingly normal CSF , pressure values may be obtained (10% ofall measurements).
{"title":"The Significance of Continuous CSF Measurement in Suspected Shunt Dysfunction","authors":"G. Kaiser, H. Minikus","doi":"10.1055/S-2008-1044267","DOIUrl":"https://doi.org/10.1055/S-2008-1044267","url":null,"abstract":"Summary From 1981 to September 1983, 72 continuous CSF meas urements were performed on 65 children with suspected shunt dysfunction. The pressure was 21 times > 180 (Group I), 7 times 135-180 (Group 2) and 44 times < 135 mmHp (Group 3). Shunt revision seemed indicated in all of Group I, in 4 of Group 2 and in 3 of Group 3. The 28 children operated on following manometry amount to 46 % 01' all patients revised during the same time. Headache, vomiting, some neurological and non-specific signs were like wise observed in all 3 groups. The palpable valve function was only exceptionally abnormal in Group I, but abnormal in 113 in Group 3. The shunt function was finally evaluated in Group I to 3 as folIows: 39 % shunt revision indicated, 30.5 % functioning shunt, 19.5 % temporary or intermittent shunt dysfunction, 10% temporary oIigoliquorrhea (overdrainage). 1% arrested hydrocephalus. The accuracy of the judgment was confirmed in all but 4 by follow-ups; in proximal occlu sion, CSF leakages an multiple shunts, seemingly normal CSF , pressure values may be obtained (10% ofall measurements).","PeriodicalId":269806,"journal":{"name":"European Journal of Pediatric Surgery (EJPS)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1984-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129294080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Grotte, L. Hakelius, T. Frykberg, T. Rósmundsson
Summary Free autogenous museie transplantation (FAMT) was used in 21 children with anal incontinence following operations for anorectal agenesis (19) and megacolon (2). Their age at the FAMT-operation was generally 10-14 years. In 10 of these children the results ofFAMT were excellent and gave almost normal continence. 9 cases were post-operatively classified as usocially satisfactory" and in the remaining 2 cases the resul~s were poor with no or almost no improvement of the contl nence.
{"title":"Nine Years of Free Autogenous Muscle Transplantation for Anal Incontinence in Children","authors":"G. Grotte, L. Hakelius, T. Frykberg, T. Rósmundsson","doi":"10.1055/s-2008-1044288","DOIUrl":"https://doi.org/10.1055/s-2008-1044288","url":null,"abstract":"Summary Free autogenous museie transplantation (FAMT) was used in 21 children with anal incontinence following operations for anorectal agenesis (19) and megacolon (2). Their age at the FAMT-operation was generally 10-14 years. In 10 of these children the results ofFAMT were excellent and gave almost normal continence. 9 cases were post-operatively classified as usocially satisfactory\" and in the remaining 2 cases the resul~s were poor with no or almost no improvement of the contl nence.","PeriodicalId":269806,"journal":{"name":"European Journal of Pediatric Surgery (EJPS)","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1984-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116252767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
of CT and is intended to replace conventional x-ray film in cer tain fields. Advantages are high density and contrast resolu tion, a significant reduction of radiation dose and the possibi lity of manipulating the picture. Disadvantages are low spa tial resolution and the impossibility ofdynamic studies. Digital Video Subtraction Angiography permits arteriogra phy by intravenous application ofcontrast media, but still has many drawbacks and cannot replace conventional angiogra phy to date. Nuclear Magnetic Resonance is the most important diag nostic development combining imaging and biochemical an alysis in vivo without ionising radiation.
{"title":"Zukunftstendenzen bei bildgebenden Verfahren","authors":"H. Schmitt","doi":"10.1055/S-2008-1044262","DOIUrl":"https://doi.org/10.1055/S-2008-1044262","url":null,"abstract":"of CT and is intended to replace conventional x-ray film in cer tain fields. Advantages are high density and contrast resolu tion, a significant reduction of radiation dose and the possibi lity of manipulating the picture. Disadvantages are low spa tial resolution and the impossibility ofdynamic studies. Digital Video Subtraction Angiography permits arteriogra phy by intravenous application ofcontrast media, but still has many drawbacks and cannot replace conventional angiogra phy to date. Nuclear Magnetic Resonance is the most important diag nostic development combining imaging and biochemical an alysis in vivo without ionising radiation.","PeriodicalId":269806,"journal":{"name":"European Journal of Pediatric Surgery (EJPS)","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1984-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131073002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Kratochwil, E. Horcher, Gynäkol.-geburtshilfliche Abtlg, Axel Baden, Chirurgische Universtitätsklinik, Wien
Eine 28jährige 11 Para wird in der 36. Woche wegen Verdacht auf ein akutes Hydramnion der Ultraschalluntersuchung zugewiesen. Es findet sich ein mächtiges Hydramnion, in welchem der Fet frei beweglich ist und sich bei wiederholten Untersuchungen sowohl in Schädelals auch in Steißlage präsentiert. Bei der genauen Untersuchung des Feten findet sich links ein Hydrothorax, im Bereich der rechten Lunge läßt sich ein zystischer Tumor nachweisen. Dadurch kommt es zu einer beträchtlichen Linksverlagerung des fetalen Herzens. In der 38. SSW kommt es zur spontanen Wehentätigkeit und zum vorzeitigen Blasensprung mit Abfließen des Fruchtwassers. Die Geburt erfolgt spontan auf vaginalem Weg. Unmittelbar nach der Geburt weist das Kind eine schwere progrediente Ateminsuffizienz auf und muß intubiert und beatmet werden. Die bereits vor der Geburt verständigte kinderchirurgische Abteilung übernimmt das Kind sofort zur Operation, es wird die Pneumonektomie rechts durchgeführt und der UItraschallbefund durch die Operation und auch histologisch bestätigt. Infolge einer ausgeprägten Hypoplasie der linken Lunge kommt es am 2. postoperativen Tag zum Tod des Kindes.
{"title":"Antenatale Differentialdiagnose der kongenitalen Zwerchfellhernie und der zystischen adenomatoiden Malformation der Lunge mittels Ultraschall","authors":"A. Kratochwil, E. Horcher, Gynäkol.-geburtshilfliche Abtlg, Axel Baden, Chirurgische Universtitätsklinik, Wien","doi":"10.1055/S-2008-1044265","DOIUrl":"https://doi.org/10.1055/S-2008-1044265","url":null,"abstract":"Eine 28jährige 11 Para wird in der 36. Woche wegen Verdacht auf ein akutes Hydramnion der Ultraschalluntersuchung zugewiesen. Es findet sich ein mächtiges Hydramnion, in welchem der Fet frei beweglich ist und sich bei wiederholten Untersuchungen sowohl in Schädelals auch in Steißlage präsentiert. Bei der genauen Untersuchung des Feten findet sich links ein Hydrothorax, im Bereich der rechten Lunge läßt sich ein zystischer Tumor nachweisen. Dadurch kommt es zu einer beträchtlichen Linksverlagerung des fetalen Herzens. In der 38. SSW kommt es zur spontanen Wehentätigkeit und zum vorzeitigen Blasensprung mit Abfließen des Fruchtwassers. Die Geburt erfolgt spontan auf vaginalem Weg. Unmittelbar nach der Geburt weist das Kind eine schwere progrediente Ateminsuffizienz auf und muß intubiert und beatmet werden. Die bereits vor der Geburt verständigte kinderchirurgische Abteilung übernimmt das Kind sofort zur Operation, es wird die Pneumonektomie rechts durchgeführt und der UItraschallbefund durch die Operation und auch histologisch bestätigt. Infolge einer ausgeprägten Hypoplasie der linken Lunge kommt es am 2. postoperativen Tag zum Tod des Kindes.","PeriodicalId":269806,"journal":{"name":"European Journal of Pediatric Surgery (EJPS)","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1984-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131679288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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