ABSTRACT
The authors in their work present a case of the anterior retrosternal diaphragmatic hernia in a 18 months old child which they have successfully operated on after they had discovered it accidentally by a roentgen examination. On that occasion they examined embryology and clinical aspects of this unusual congenital anomaly.
Subject(s)
Hernias, Diaphragmatic, Congenital , Female , Hernia, Diaphragmatic/diagnostic imaging , Hernia, Diaphragmatic/surgery , Humans , Infant , Male , RadiographyABSTRACT
The authors have analysed their experience in treating spleen injuries with children in this institution. From 1970 up to 1988, 22 children were operated upon and splenectomy was done in all the children (5 isolated and 17 united spleen injuries), there were 3 autotransplantations of spleen parts in omentum and 1 case of surgical spleen conservation. Only one operated child died soon after the operation because of a polytrauma and shock. Besides local festering there were not recorded any other cases of infection and sepsis with these and other children operated on within last 25 years. A child's injured spleen should be preserved of course but not at the cost of life, if there are no conditions. A child should be given a chance to live even without the spleen.
Subject(s)
Spleen/injuries , Adolescent , Child , Child, Preschool , Female , Humans , MaleABSTRACT
The authors present a case of a 19 months old baby, twin, with deep burns (45% of the skin), caused by boiling beans. The child was transported to the hospital immediately after the injury. Following the successful anti-shock therapy (whose scheme has been given), the child was operated upon on the VI day: early necrectomy with homotransplantation of his father's skin. In the second stage an autotransplantation (Thiersch) has been performed. The transitory complications were a melaenå appearing on the VII day, and later a contracture of the elbow. Finally, the child left the hospital with no Keloid formations or functional deficit.
