Ventricular diverticulum in association with exomphalos is rare. It is usually accompanied by split sternum, anterior pericardial and diaphragmatic defects and intracardiac abnormalities. This paper reports a neonate who presented with exomphalos and was noted to have a pulsating vessel, on the superior margin of the sac, which proved to be a left ventricular diverticulum. The successful correction is described.
Sclerosing the wall of oesophageal varices is a well-known and recognized therapeutic procedure, which has been applied in the last years in paediatric patients as well. We succeeded in sclerosing the wall of cardia varices also, by means of a flexible fibre-glass endoscope, in a two-and-a-half-year-old girl.
Depending on the injury, there can be direct damage to the nerve or to the overlying skin at points essential to the tactile sense. The restoration of nerves is subject to the same criteria as in adults, although the time factor is not quite so important. In complicated injuries with nerve lesions, a two-stage procedure should be preferred to the primary treatment, since that provides more favourable conditions for restoration of the nerves. Several operative procedures are given for the case where there is a skin defect or scarring at a point necessary for sensitivity. The cross-over finger flap with attached nerves, and full-skin transplant joining the nerves, are described in detail.
Polydactyl is a malformation which is usually associated with the radial or ulnar end of the forearm. The various anatomical malformations in relation to nerve supply and tendons are discussed. The importance of a careful functional assessment is essential in relation to the indication for surgery. 25 personal cases are reported and various techniques evaluated.
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