ABSTRACT
In the pediatric surgical Department of the "Le Fe" Hospital, from January 1971 to December 1982 2,350 laparotomies were performed in neonates, infants and children. In 67 patients abdominal surgery was complicated by bowel obstruction for which a second laparotomy had to be performed. In 86.56%, of patients with obstruction (58 cases) this became obvious during the first three months after the previous operation. In 54 out of the 67 patients reviewed (80.59%), adhesions were the cause for obstruction and only twelve was this caused by an abscess.
Subject(s)
Intestinal Obstruction/etiology , Abscess/surgery , Child , Child, Preschool , Gastrointestinal Diseases/complications , Gastrointestinal Diseases/surgery , Humans , Infant , Infant, Newborn , Intestinal Obstruction/surgery , Postoperative Complications/etiology , Postoperative Complications/surgery , Reoperation , Time Factors , Tissue Adhesions/surgeryABSTRACT
Gastric duplications are very rare, especially those located at the pyloric region. Four cases are reported with gastric duplication in patients of two days, eight months, two and a half and three and a half years old, a review is made including symtomatology, diagnostic, treatment and anatomopathological studies. In all four cases post-operative evolution was satisfactory.
Subject(s)
Stomach/abnormalities , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Pylorus , Stomach/pathologyABSTRACT
Esophageal transection by means of an anastomotic clip or button is a simple and useful approach to the management of haemorrhage due to esophageal varices. We have used this technique in four cases (three Prioton clips, and one autosuture) and completed the procedure with periesophageal, left gastric and fundal veins ligation. The patients have been followed up for periods ranging between five months and six years. No one has rebled. Splenoportographic controls showed good results of disconnection, and endoscopic follow up revealed variceal cure. There was no GER and in one single case we had to dilate for mild stenosis. This is a simple and effective procedure for the control of variceal haemorrhage in the short and middle ranges, and can induce cure directing portal flow through other alternative ways.
Subject(s)
Esophageal and Gastric Varices/surgery , Hypertension, Portal/complications , Child , Child, Preschool , Gastrointestinal Hemorrhage/surgery , Humans , Surgical StaplersABSTRACT
Primitive bening spleen tumors are very rare in pediatrics. They can be solid or cystic. Authors report two cases of spleen tumors: one hamartoma of red pulp in a 4 1/2 year old male, with symptoms of an enlarged spleen and immunological deficit; and the other case a simple cyst, that developed as an enlarged spleen, lined by mesotelium. Based on this experience, they comment on frequency, clinical and radiologic diagnosis, pathology and treatment of these tumors.
