ABSTRACT
UNLABELLED: Treatment of high undescended testes is a serious surgical problem. PURPOSE: To analyze the two-stage orchidopexy performed and the early results obtained. MATERIAL AND METHODS: Of 625 orchidopexy in 40 (6,4%) instances a two-stage orchidopexy was done for a 10 years period (1994-2003). The second operation is performed within 2 years after the first one. Scrotal fixation of the testis is achieved by Gross procedure. RESULTS: The final success rate is 83,3%, satisfactory results in 13,9% cases and failure in 2,8%. We always prefer for this reason the two-stage orchidopexy as an alternative to orchiectomy.
Subject(s)
Cryptorchidism/surgery , Orchiectomy , Testis/surgery , Adolescent , Child , Child, Preschool , Humans , Infant , Male , Scrotum/surgery , Treatment OutcomeABSTRACT
A method of one-stage surgery of long gap esophageal atresia was applied in a newborn child. An anterior muco-muscular flap was moulded from the upper pouch and transposed to the lower pouch of the esophagus. The technique allowed the tension in the anastomosis between the two parts of the esophagus to be reduced. The child had no feeding abnormalities during the follow-up till the age of 5 years.
Subject(s)
Esophageal Atresia/surgery , Esophagoplasty/methods , Tracheoesophageal Fistula/surgery , Esophageal Atresia/pathology , Humans , Infant, Newborn , Male , Tracheoesophageal Fistula/pathologyABSTRACT
INTRODUCTION: Peptic esophageal stricture as a complication of gastroesophageal reflux disease (GERD) occurs in 5% of the affected children. MATERIAL AND METHODS: Case histories of 6 children treated successfully in the Department of Pediatrics and Clinic of Pediatric Surgery were studied. The diagnosis in each case was based on clinical symptoms (vomiting leading to hypothrophy, hematemesis, and anemia), and esophagoscopy, esophageal pH-metry (according to ESPGAN recommendations), and contrast X-ray examination. After evaluation medical treatment was applied in 3 and bougienage with a hard bougie in 6 patients. Because of failure of this treatment Nissen fundoplication and postoperative bougienage were performed in all patients. RESULTS: In all surgically treated patients complete recovery without postoperative complications was achieved. DISCUSSION: The authors give interpretation of the pathogenesis and outline the primary symptoms of the disease. Terms of performance and reliability of the instrumental methods of diagnosing are discussed. The experience in treatment of peptic esophageal stricture in children is presented. CONCLUSIONS: Medical treatment combined with bougienage yields poor results in peptic esophageal stricture and Nissen fundoplication appears to be the treatment of choice.
Subject(s)
Esophageal Stenosis/etiology , Gastroesophageal Reflux/complications , Catheterization , Esophageal Stenosis/diagnosis , Esophageal Stenosis/therapy , Female , Fundoplication , Humans , Infant , MaleABSTRACT
We present 18 children with torso hemangiomas of predominant facial location in whom a combination treatment was used because of the rapid infiltrative growth, critical location and extent of the hemangiomas. The combinations of treatments used were: surgery plus sclerotherapy in three of the children; surgery plus corticosteroids--in three children; surgery plus cryotherapy in one; surgery, hormonal treatment and cryotherapy in one child; cryotherapy plus sclerotherapy in five children; cryotherapy plus hormonal treatment in two, beta-therapy and cryotherapy in three children. We assess the results of the treatments and discuss in details the combined treatment of giant hemangiomas in five children.
