Abstract：
:This study describes a subset of patients with posterior urethral valves (PUV) who presented late in childhood. The objective was to identify factors that lead to back-pressure effects on the upper tracts, which persist in spite of adequate valve ablation in some patients, and seek factors that may preserve the upper tracts despite untreated obstruction in other patients. Six children with PUV diagnosed after infancy were evaluated. The pre-operative work-up included renal biochemistry, ultrasonography, voiding cystourethrography, and uroflowmetry. Detailed urodynamic studies, including uroflowmetry and slow-fill cystometry, were performed in all cases 6 months after surgery. Adequacy of valve fulguration was confirmed by urethroscopy. Three of the six patients had normal upper tracts; in these, there was marked improvement in peak urine flow rates after fulguration and bladder pressures were normal. The other three patients had bilateral hydroureteronephrosis, and two had chronic renal failure. This group had markedly decreased functional bladder capacity with loss of compliance at low bladder volumes and significant residual urine volumes in spite of adequate valve fulguration, suggesting myogenic detrusor failure. We conclude that in patients with PUV presenting beyond the age of 5 years, upper-tract deterioration may accompany high storage pressures in the bladder. In some boys with long-standing obstruction the upper tracts may escape damage; in our series this was associated with normal bladder dynamics and appeared unrelated to the severity or duration of outflow obstruction.
journal_name
Pediatr Surg Intjournal_title
Pediatric surgery internationalauthors
Krishna A,Lal P,Gupta A,Madan Udoi
10.1007/s003830050384subject
Has Abstractpub_date
1998-09-01 00:00:00pages
504-7issue
7eissn
0179-0358issn
1437-9813journal_volume
13pub_type
杂志文章abstract：:A boy with a history of esophageal atresia repair received an esophagoesophagostomy at 14 months for a severe refractory anastomotic stricture, which had already required repeated balloon dilation with intralesional dexamethasone injection. Anastomotic leakage and stricture was again evident after the second surgery, ...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-009-2367-1
更新日期：2009-06-01 00:00:00
abstract：:In spite of advances in the treatment of childhood bladder and prostate rhabdomyosarcoma (RMS), the ability to detect minimal residual disease correlates imperfectly with the ultimate outcome. We report the long-term follow-up of a child with microscopic residual RMS after chemotherapy. The correct interpretation of t...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830200017
更新日期：2002-01-01 00:00:00
abstract：:Intussusception is the commonest surgical complication of Henoch-Sch onlein purpura (HSP), occurring in 1.3%-13.6% of affected children. Colo-colic intussusception is a rare occurrence in HSP, with only three other reported cases. Intussusception in HSP almost always originates in the ileum (90%) or jejunum (7%), and ...
journal_title：Pediatric surgery international
pub_type： 杂志文章,评审
doi：10.1007/s003830050478
更新日期：1998-12-01 00:00:00
abstract：:Hirschsprung's disease (HD) in Down's syndrome (DS) patients is stated to have a worse outcome than HD alone. In our study we reviewed the immediate and long-term outcomes of these children and questioned whether DS should influence the operative management. Data were collected on all children with HD (including total...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-005-1617-0
更新日期：2006-02-01 00:00:00
abstract：PURPOSE:Primary spontaneous pneumothorax (PSP) is managed in accordance with the adult British Thoracic Society (BTS) guidelines due to lack of paediatric evidence and consensus. We aim to highlight the differences and provide a best practice surgical management strategy for PSP based on experience of two major paediat...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-015-3787-8
更新日期：2015-12-01 00:00:00
abstract：:An experimental study was conducted to determine the end-results of two different defects on the anterior abdominal wall: an abdominal wall defect (AWD) versus an umbilical cord defect (UCD) using chick embryos. The AWD was created by leaving an intact skin bridge between the defect and the umbilical cord in group 1; ...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/BF01371904
更新日期：1997-01-01 00:00:00
abstract：:The management of Hirschsprung's disease (HD) has made dramatic strides over the last 20 years. Research into the embryological development and migration of ganglion cell has enabled a greater understanding of the pathogenesis of the disease. Coupled with new techniques in surgery, such as laparoscopy-assisted pull-th...
journal_title：Pediatric surgery international
pub_type： 杂志文章,评审
doi：10.1007/s00383-005-1551-1
更新日期：2005-10-01 00:00:00
abstract：:Between 1993-2002 we used both diagnostic and operative laparoscopy in the management of five cases of persistent müllerian duct syndrome (BMDS). Two siblings from two different families accounted for four of the cases. They presented with cryptorchidism and inguinal hernias. The diagnosis was established during diagn...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-003-0984-7
更新日期：2003-09-01 00:00:00
abstract：INTRODUCTION:No protocol exists for prophylaxis or therapeutic management of peripherally inserted central catheter (PICC) related deep venous thrombosis (DVT) in children. Currently, very few patients are provided prophylaxis for DVT. In this study, we analyzed our current practice of PICC placement to identify the fr...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-013-3259-y
更新日期：2013-05-01 00:00:00
abstract：:Inflammatory bowel disease (IBD) in children can cause significant impairment in linear growth, and delay in pubertal onset. The aim of this study was to assess the impact of surgery on linear growth in children with Crohn's disease (CD) who were resistant to medical therapy, and had documented evidence of growth impa...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-006-1664-1
更新日期：2006-04-01 00:00:00
abstract：:Necrotizing fasciitis (NF) is a potentially life-threatening infection of soft tissues. It is characterized by rapid spread of inflammation and infection with widespread necrosis of fascia, subcutaneous tissues, and overlying skin. NF is usually reported in adults with preexisting medical conditions or compromised imm...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-005-1481-y
更新日期：2005-08-01 00:00:00
abstract：AIM:Prepubertal testicular tumors are rare in children. We aim to present clinical and histological features of prepubertal testicular tumors through the analysis of the long-term experiences of a single medical center of China. MATERIALS AND METHODS:A total of 67 children (≤ 14 years) treated for testicular tumor at ...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-018-4366-6
更新日期：2018-12-01 00:00:00
abstract：PURPOSE:To study the effects of frenulotomy on nipple pain, latch and the success in exclusive breastfeeding (EBF) at 3-month follow-up. METHODS:A prospective cross-sectional study of 328 mother-infant pairs with both tongue-tie and breastfeeding problems was performed. Nipple pain and latch were evaluated using numer...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-016-3952-8
更新日期：2016-10-01 00:00:00
abstract：:Congenital lumbar hernia (CLH) is a rare anomaly with only 45 cases reported in the English-language literature. This paper describes nine patients with CLH treated in our unit. Unusual features included the relatively high incidence of inferior lumbar hernia, presentation at the age of 6 years in one case, and an ass...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830050048
更新日期：2000-01-01 00:00:00
abstract：:It is widely accepted that there are degenerative changes and decreased spermatogenesis in the contralateral descended testis (CDT) in unilateral undescended testis (UUDT). While some investigators have postulated that the mechanism may be related to primary (congenital) or secondary (autoimmune, vascular, and neural)...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830000532
更新日期：2001-07-01 00:00:00
abstract：:"Variants of Hirschsprung's disease" are conditions that clinically resemble Hirschsprung's disease (HD), despite the presence of ganglion cells in rectal suction biopsies. The diagnosis and management of these patients can be challenging. Specific histological, immunohistochemical and electron microscopic investigati...
journal_title：Pediatric surgery international
pub_type： 杂志文章,评审
doi：10.1007/s00383-013-3351-3
更新日期：2013-09-01 00:00:00
abstract：AIMS AND OBJECTIVES:Vascularized bio-engineered human dermo-epidermal skin substitutes (vascDESS) hold promise for treating burn patients, including those with severe full-thickness wounds. We have previously shown that vascDESS promote wound healing by enhanced influx of macrophages and granulocytes. Immediately follo...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-017-4179-z
更新日期：2018-02-01 00:00:00
abstract：:The need for contralateral inguinal exploration in children during unilateral inguinal hernia repair remains controversial. We questioned whether an elective preoperative sonographic examination of the contralateral inguinal canal was accurate enough to prevent unnecessary exploration of the asymptotic side. Sonograph...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/BF00180090
更新日期：1996-08-01 00:00:00
abstract：INTRODUCTION:An experimental study was conducted to investigate the effects of erythropoietin on the acute phase of esophageal burn damage induced by sodium hydroxide. MATERIALS AND METHODS:A standard esophageal alkaline burn was produced by the application of 10% sodium hydroxide to the distal esophagus in an in vivo...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-009-2480-1
更新日期：2010-02-01 00:00:00
abstract：:To assess the outcome of ureterocystoplasty (UCP) with renal preservation in infants, three infants had a UCP with preservation of the ipsilateral kidney, including one who had a ureteropyeloplasty and one who had a UCP using a previously reimplanted ureter. All three had complication-free improvement in bladder volum...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/BF00183749
更新日期：1996-03-01 00:00:00
abstract：PURPOSE:The Mac-2-binding protein glycosylation-modified isomer (M2BPGi) is a new marker for progression of hepatic fibrosis. We examined the relationship between serum M2BPGi levels and liver histological findings in patients with biliary atresia (BA) who were not transplant candidates. METHODS:Patients with BA who w...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-018-4317-2
更新日期：2018-10-01 00:00:00
abstract：:Primary omental torsion (POT), is a rare cause of acute abdomen commonly affecting obese male adults, whereas it is extremely rare in children. In this retrospective study, we present our experience regarding the management of five children with POT and discuss the diagnostic and therapeutic implications of this entit...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-007-1961-3
更新日期：2007-09-01 00:00:00
abstract：:Despite hypertrophic pyloric stenosis (HPS) being one of the most frequently treated pediatric surgical conditions, its etiology remains incompletely understood. We review the diagnosis and treatment of this condition with an emphasis on the evolution of surgical techniques that led to laparoscopic pyloromyotomy, the ...
journal_title：Pediatric surgery international
pub_type： 历史文章,杂志文章,评审
doi：10.1007/s00383-017-4196-y
更新日期：2018-01-01 00:00:00
abstract：PURPOSE:The loss of normal anatomic barriers in neonates with congenital diaphragmatic hernia (CDH) can predispose children to gastroesophageal reflux (GER). In an attempt to improve post-operative feeding, we have added a modified anterior fundoplication to restore natural gastric and esophageal positioning. METHODS:...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-009-2411-1
更新日期：2009-08-01 00:00:00
abstract：:Pyloric atresia (PA) is an uncommon anomaly that may be associated with many other congenital anomalies, the commonest of which is junctional epidermolysis bullosa (JEB). Most of the cases of PA associated with JEB (Herlitz syndrome) reported have been fatal. A case of PA associated with JEB, malrotation, and a high a...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830050572
更新日期：1999-01-01 00:00:00
abstract：INTRODUCTION:The Morgagni hernia (MH) accounts for 3-4% of congenital diaphragmatic hernias. There is a paucity of data regarding this rare defect. The purpose of this study is to describe the characteristics of children with MH, surgical approaches for repair, and patient outcomes. METHODS:Pediatric patients (ages 0-...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-017-4078-3
更新日期：2017-07-01 00:00:00
abstract：:Anterior sagittal anorectoplasty (ASARP) was used for the definitive correction in 107 cases of anovestibular fistula (AVF) between 1996 and 2005. These cases were subjected to three different types of treatment regimes during the same period. Majority of the cases (78) were operated in one stage where postoperatively...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-007-2019-2
更新日期：2007-12-01 00:00:00
abstract：:Colostomy shift en masse is a novel technique in which the colostomy is shifted along with a rim of skin and abdominal wall tissue. This provides additional length of distal bowel if needed during pull-through anastomosis. We have treated three cases (two Hirschsprung's disease and one anorectal malformation) with col...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-003-1043-0
更新日期：2003-11-01 00:00:00
abstract：:A 5-month-old female was referred to the paediatric surgery clinic with a neck swelling in the right supra-clavicular region. This was thought clinically to be cystic hygroma. Pathology showed an ectopic salivary gland. This should be added to the list of differential diagnoses of neck swelling in childhood. ...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-009-2366-2
更新日期：2009-06-01 00:00:00
abstract：:Premature male ischiopagus tetrapus twins weighing 2.2 kg were born unexpectedly. They required initial ventilation for respiratory distress syndrome and an emergency laparotomy for intestinal obstruction at 10 days of age. At 8 months of age, formal separation was carried out. Primary skin closure was possible withou...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/BF01372144
更新日期：1997-04-01 00:00:00
