Showing papers in "Journal of Pediatric Surgery in 1980"

TL;DR: A new technique has been developed to establish a tube feeding gastrostomy without a laparotomy, which has been employed in 12 children and 19 adults with minimal morbidity and no mortality.

TL;DR: A reproducible technique is described for doubling the length of a loop of small intestine, while simultaneously reducing its luminal diameter, and preserving the maximum amount of small bowel mucosa for intestinal adaptation.

TL;DR: An hypothesis concerning the genesis of gastroschisis is presented which is consistent with observed embryologic sequential change and known teratogenic possibilities and the apparent increase in number of cases and frequency of omphalocele warrant further experimental study of their pathogenesis.

TL;DR: The study seems to indicate that esophagitis depends more on the duration of the reflux than on the number, for which the concept of esophageal acid clearance is of paramount importance.

TL;DR: The diagnosis of Hirschsprung's disease in the newborn does not mandate the performance of a preliminary colostomy and the endo-rectal "pull-through" procedure is safe and effective when performed in the neo-natal period.

TL;DR: Bilateral exploration of the asymptomatic groin in infants is not justified for two reasons: that a number of unnecessary procedures would be performed, two operations to prevent each subsequent right-sided hernia, and six operations to preclude each later left-sided occurrence; and that the risk of bilateral testicular trauma, though slight, is too great.

TL;DR: Both mortality and morbidity correlated linearly with increasing MISS score, and final patient outcomes were ranked as: normal; disabled; dependent; dependent (for some activity of daily living), and death.

TL;DR: It was concluded that the use of supplemental regional anesthesia reduced the general anesthetic requirements and the need for postoperative analgesics, thereby providing more rapid recovery to normal activity.

TL;DR: Many children with EATEF do not have significant GER, but in those with significant GER slow gastric emptying seems to be important.

TL;DR: The operations resulted in dramatic relief of symptoms, satisfactory weight gain, and the disappearance of pulmonary symptoms in every case and it is recommended that all children under 9 yr of age should have a modified Heller procedure as primary therapy.

TL;DR: Techniques used for vaginoplasty in patients with congenital anomalies are described and various reconstructive procedures can be performed either simultaneously or in stages depending on the complexity of the case and the age of the patient.

TL;DR: Nonoperative management of the appendiceal mass without antibiotics in children is safe as long as diligent observation is maintained, however, over 50% of the interval appendectomy specimens reveal acute and subacute inflammation.

TL;DR: Eight infants underwent aortopexy that was successful in terminating the apneic episodes in seven patients with an average follow-up of 20 mo, and after being asymptomatic for 1 mo this infant died from a cardiorespiratory arrest at home.

TL;DR: Fashioning an anterior full thickness flap when opening the upper pouch in infants with esophageal atresia may allow a wider gap to be bridged without tension at the anastomosis.

TL;DR: Survival of patients with Crohn's disease compared very favorably with that of the normal population and the rate of growth in height from time of diagnosis to final adult follow-up was greatest for operated patients.

TL;DR: The diagnoses of duodenal atresia, meconium peritonitis with atreia, "giant" omphalocele and twisted ovarian cyst were made by maternal ultrasonography in 6 cases, between the 31st and 34th wk of gestation.

TL;DR: It was concluded that additional fixation after correction of intestinal malrotations was of no benefit and unnecessary and the number of reoperations was slightly lower in the group without fixation when compared to the group with fixation.

TL;DR: Retrospective analysis of 120 pelvic fractures in children revealed many differences from reports of this injury in adults, and initial arteriography is valuable in management of children with continuing bleeding and large retroperitoneal hematomas.

TL;DR: It is the continued conclusion that this form of peritoneal drainage under local anesthesia is warranted in certain carefully selected instances for temporizing the very ill neonate with NEC.

TL;DR: Histologic and bacteriologic confirmation of invasive infection, followed by systemically administered amphotericin B and surgical excision, are the hallmarks of effective treatment.

TL;DR: Among infants who develop intestinal gangrene, the clostridia appear to be more virulent than gram-negative enteric bacteria, which may influence the clinical course of NEC.

TL;DR: For the best outcome in managing patients with giant omphalocele early attention to hypothermia and other metabolic requirements and long-term attention to nutritional needs are important.

TL;DR: Although primary reconstruction in the newborn has been accomplished, it may be safer in most to start with decompression colostomy and definition of the anatomy, if the vagina is very distended with urine, it should be drained by some means.

TL;DR: Mild obstructive lesions can be managed by gentle and less frequent suctioning and aggressive pulmonary care, but severe obstruction, as determined by a compromise of the lumen of greater than 20%, may require excision or cauterization.

TL;DR: Although the Silon sac has until now become the accepted surgical procedure for gastroschisis, these results conclusively indicate the advantage of primary reduction and closure of the abdominal wall defect.

TL;DR: The origin of this tumor in a heterotopic renal anlage consistent with mesonephric origin suggests that tissue from the intermediate and caudal segments of the nephrogenic cord may produce Wilms' tumor.

TL;DR: In 12 cases ectopic adreno-cortical tissue was found along the spermatic cord, an overall incidence of 3.8%.

TL;DR: The ease of application and the absence of morbidity and mortality suggest that this method of preoperative transfusion preparation of children with a major hemoglobinopathy is more desirable than a two-volume exchange or transfusions beginning 10-15 days prior to surgery.