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Showing papers in "Journal of Pediatric Surgery in 1988"


Journal ArticleDOI
TL;DR: This method of cell transplantation, which is termed "chimeric neomorphogenesis," is an alternative to current methods and requires further study.

651 citations


Journal ArticleDOI
TL;DR: It is demonstrated that the fetal response becomes adultlike with fibroblast proliferation and collagen accumulation when TGF-β is added, thus documenting the responsiveness of the fetal system to adult repair signals and suggesting a critical difference in the fetal wound environment.

233 citations


Journal ArticleDOI
TL;DR: It is found that infants with solitary lesions or multiple lesions without visceral involvement generally have a benign course, however, in patients with the multicentric form of the disorder and visceral involvement, 73% have died.

232 citations


Journal ArticleDOI
TL;DR: This work proposes a classification based on birth status, age at diagnosis, and the presence or absence of respiratory distress of cervical teratomas based on stillborn and moribund live newborns, and a literature review disclosed 212 cases.

163 citations


Journal ArticleDOI
TL;DR: A scoring method, based on the amount of blood loss, superficial dissection, and visceral trauma, the site and duration of surgery, cardiac surgical factors, and associated stress factors for surgical neonates, was formulated and applied to 94 neonates undergoing surgery.

150 citations


Journal ArticleDOI
TL;DR: Data indicate that the current approach to CDH has not increased overall mortality, and high frequency oscillation was used with increasing frequency during the study period, for patients with refractory hypercarbia.

141 citations


Journal ArticleDOI
TL;DR: The symptoms, signs, and radiologic findings of patients with diaphragmatic hernias presenting after the neonatal period may be difficult to interpret, and may result in diagnostic delay, misguided therapy, and a potentially fatal outcome.

138 citations


Journal ArticleDOI
TL;DR: One child, with the tumor arising from the urinary bladder, was originally diagnosed as having a malignant sarcoma and underwent pelvic exenteration and chemotherapy for this subsequently-proven benign lesion, which pointed out the importance of pathologic differentiation of these lesions from malignancy with early appropriate surgery.

134 citations


Journal ArticleDOI
TL;DR: From 1958 to March 1987, 704 patients with pectus excavatum were corrected, with Satisfactory long-term results achieved in the remaining 687 patients, with follow-up ranging from 2 weeks to 27 years.

131 citations


Journal ArticleDOI
TL;DR: In the present series, there did not find any argument to support the view that poorly controlled rejection could be implicated in the pathogenesis of arterial thrombosis.

129 citations


Journal ArticleDOI
TL;DR: From the own experience with two cases and from the review of the literature, it appears that radiotherapy alone or in combination with steroids gives a superior overall treatment in terms of reducing the death rate.

Journal ArticleDOI
TL;DR: Three hundred seventy-seven pediatric intussusception patients treated by normal saline hydrostatic enema under ultrasound guidance from October 1985 to April 1987 are believed to be one of the most promising methods in nonoperative treatment of pediatric int Mussusception.

Journal ArticleDOI
TL;DR: It is concluded that obstetric ultrasound cannot only accurately detect the presence and type of abdominal wall defect, but it also gives an indication of the severity of intestinal damage and subsequent clinical course in prenatally diagnosed cases of gastroschisis.


Journal ArticleDOI
TL;DR: In this article, anesthetic, surgical, and tocolytic techniques for open fetal urinary tract decompression in animals were applied to a small group of five patients with severe bilateral hydronephrosis and associated oligohydramnios.

Journal ArticleDOI
TL;DR: Patients with CDH should be evaluated carefully for additional defects--their presence has a significant impact on management and worsens prognosis, and the high incidence of multiple anomalies in some patients withCDH should influence investigations into causes and mechanisms.

Journal ArticleDOI
TL;DR: Issues of importance in the management of infants with CTS are adequate evaluation of the tracheobronchial tree, awareness that tracheopronchography may precipitate further respiratory decompensation, assessment of vascular and other anomalies requiring surgical correction, and selection of an appropriate therapeutic approach.

Journal ArticleDOI
TL;DR: Four girls with Frantz's tumor, a papillary and cystic tumor of the pancreas, are studied and discussed in comparison with 112 cases in the literature, including 58 Japanese cases to suggest that the tumors originate from primordial cells or multipotential stem cells capable of differentiating into both exocrine and endocrine lines.

Journal ArticleDOI
TL;DR: It is suggested that unstable pulmonary hypertension determines demise more than pulmonary hypoplasia in infants with congenital diaphragmatic hernia after deterioration from a "honeymoon" period, and improvement on ECMO was marked by positive hyperoxia response and decreased right-to-left shunting.

Journal ArticleDOI
TL;DR: The application of ultrasonography can be of great advantage in early screening of patients with anorectal malformations and, in some cases, may eliminate the need for invasive imaging techniques.

Journal ArticleDOI
TL;DR: Analysis of dissected specimens and/or bronchograms and other preparations suggests that there are two different forms of SLPA: types 1A and B, with normal TB pattern [with (A) or without (B) a right pre-eparterial (tracheal bronchus)], and the aberrant left pulmonary artery causing TB compression.

Journal ArticleDOI
TL;DR: This method was evaluated in a pilot study lasting 15 months and involving 13 patients, finding that satisfactory ventilation parameters on admission will remain good during the preoperative stabilization phase and will not be affected by its duration or by subsequent surgery, spelling survival.

Journal ArticleDOI
TL;DR: Patient-controlled analgesia with a microprocessor-operated infusion syringe is found to be a safe and effective means of analgesia in pediatric patients and is recommended for postoperative pediatric patients.

Journal ArticleDOI
TL;DR: Six cases of fibrous hamartoma of infancy seen over a 5-year period are reviewed and both surgeon and pathologist must be familiar with this entity to avoid the misdiagnosis of malignancy and unnecessary radical therapy.

Journal ArticleDOI
TL;DR: Primary peritoneal drainage is a useful adjunct to resuscitation of the critically ill infant with complicated NEC, particularly prematures less than 1,000 g birth weight with intestinal perforation.

Journal ArticleDOI
TL;DR: During the last 5 years, over 1,500 minor lacerations in children were treated in the emergency room of Nahariya Regional Hospital, by the adhesive "Hystoacryl Blue," with gratifying results.

Journal ArticleDOI
TL;DR: All cases of hereditary multiple intestinal atresias and some cases of nonhereditary multiple intestinalAtresias are a consequence of a malformative process of the gastrointestinal tract rather than an ischemic process.

Journal ArticleDOI
TL;DR: First branchial remnants must be excised with extra care in patients with congenital lateral cervical cysts, fistulae, and skin tags, as shown in a 13-year review of 58 patients operated on.

Journal ArticleDOI
TL;DR: It is concluded that a relationship exists between NEC and gastroschisis, and significant associations included concurrent TPN associated cholestatic liver disease in nine of the ten infants, antecedent intestinal surgery other than abdominal wall closure in five of theTen infants, and delay in initiation of enteral feedings in eight of ten infants.

Journal ArticleDOI
TL;DR: Cervical thymic cysts are benign lesions that may be more common than literature suggests and required airway management in the early postoperative period, with emphasis on respiratory problems.