RESUMO
The bone involvement is uncommon in hydatid disease and represents less than 2 % of cases. Vertebral hydatidosis is the most common bone localization (44 %). The severity of vertebral echinococcosis is related to the neurological complications and therapeutic problems especially in advanced stages. The treatment relies on the actual surgical removal of hydatidosis. In endemic countries, prevention and health education are the best measures. We report a 17-year-old male who presented with an incomplete paraplegia with thoracic deformation, revealing a costovertebral hydatidosis.
Assuntos
Doenças Ósseas/parasitologia , Equinococose , Costelas , Doenças da Coluna Vertebral/parasitologia , Vértebras Torácicas , Adolescente , Equinococose/diagnóstico , Equinococose/cirurgia , Humanos , MasculinoRESUMO
The surgical and prosthetic treatment of longitudinal lower limb deficiency is described and discussed, in the light of cultural and social requirements. Those with upper limb deficiencies are not fitted with prostheses.
Assuntos
Perna (Membro)/anormalidades , Adolescente , África do Norte , Criança , Pré-Escolar , Anormalidades Congênitas/terapia , Feminino , Fêmur/anormalidades , Fíbula/anormalidades , Humanos , Lactente , Masculino , Aparelhos Ortopédicos , Tíbia/anormalidadesAssuntos
Apendicectomia/efeitos adversos , Apendicite/cirurgia , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Complicações Pós-Operatórias , PrognósticoRESUMO
Thirty-four children, ten of them coming from another Surgical Center, underwent repair for urethral fistula after hypospadias reconstructive surgery, over a period of three years (1985-1987). After the first operation, there was no recurrence in 59% (20 cases). Currently, all fistulas have been closed, except in 3 cases. Closure by direct suture was used in 30 cases (88%). The best results were observed with suture in three planes and without diversion, on an outpatient basis (91% of success for 12 cases). The Leveuf method is a safe operation for complex penile fistulas after repeated surgery.
Assuntos
Hipospadia/cirurgia , Complicações Pós-Operatórias , Doenças Uretrais/etiologia , Fístula Urinária/etiologia , Adolescente , Criança , Pré-Escolar , Humanos , Doenças Uretrais/cirurgia , Fístula Urinária/cirurgiaAssuntos
Extrofia Vesical/cirurgia , Pré-Escolar , Feminino , Humanos , Recém-Nascido , Masculino , Bexiga Urinária/cirurgia , Derivação UrináriaRESUMO
Five cases of bilateral nephroblastoma out of total of 99 cases have been observed during a period of 18 years at the Children's Hospital of Tunis (5%). The frequency of associated anomalies, the familial incidence, the young age of the patients are underlined. The main therapeutic modalities and prognosis are envisaged.