Subject(s)
Fractures, Bone/complications , Pubic Bone/injuries , Urethra/injuries , Adolescent , Child , Humans , Male , Urethra/surgeryABSTRACT
Ectopic ureterocele associated with double kidney and ureter was observed in 95 children and orthotopic ureterocele in 9 children. Most of them were the girls (91 of 104). All the children were operated upon (135 operations). The results were studied in 78 children within the terms from 1 to 10 years. Useful practical recommendations are given.
Subject(s)
Ureterocele/diagnosis , Child , Child, Preschool , Female , Humans , Male , Nephrectomy/methods , Ureter/surgery , Ureterocele/surgeryABSTRACT
For the recent 15 years 286 children with surgical diseases of double kidney have been under observation in the Clinic of Children Surgery of the Leningrad Pediatric Medical Institute. In 62 of them the inferior major segment of the organ was injured. In 34 cases the loss of the functional capacity of the inferior segment and atrophy of its parenchyma were revealed which served as an indication for inferior heminephrectomy. The vesicouriteral reflux into the main ureter (21 children) or both ureters (3 children) was found to be the most frequent cause of the injury of the inferior segment of the kidney. The subcapsular inferior heminephrectomy in children may be technically fulfilled and does not make problems in the separate blood supply of the segments. It is not expedient to leave a very small accessory segment of the kidney. The inferior heminephrectomy performed after strict indications gives favourable remote results.
Subject(s)
Nephrectomy/methods , Adolescent , Child , Child, Preschool , Female , Follow-Up Studies , Humans , Hydronephrosis/surgery , Kidney/abnormalities , Male , Ureter/abnormalities , Vesico-Ureteral Reflux/surgerySubject(s)
Ureter/abnormalities , Adolescent , Child , Child, Preschool , Female , Humans , Infant , Male , Pyelonephritis/etiology , Ureter/surgery , Urinary Incontinence/etiologyABSTRACT
34 children with congenital hydronephrosis, operated upon for erroneosly diagnosed acute appendicitis (17), malignant tumor (11), and ileus (8), were under observation. To prevent from unwarranted surgical interventions in dubious cases excretory urography and other x-ray and instrumental methods of examination must be used widely. After the removal of an unchanged vermiform process in children, suffering from abdominal pain, the examination of the urinary tract is indicated. Such patients should be under dispensary observation of a children's surgeon.
