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Biomedical subjects

A Motovic

Publications and source records attributed to A Motovic.

At least 19 recordsLinked to original sources
PubMed1992

[Retrorectal cystic hamartoma].

The pathogenesis of retrorectal cystic hamartomas in the presacrococcygeal space, while known to be related to embryological remnants of the caudal region, is controversial. These lesions are rarely found in children; in the early stages of their development they may be symptomless. Diagnosis is usually made when the tumor is large enough to cause pain or intestinal obstruction, or when it becomes infected. A 2-month-old girl with a retrorectal cystic hamartoma initially treated as a perianal abscess is presented.

Cysts↗
PubMed1991

[Vascular injuries in children].

Vascular trauma in children differs in some respects from that in adults. In infants and children the total blood volume is smaller, and despite effective compensatory mechanisms, critical blood loss is also smaller. Gentle and meticulous technical skill is needed to correct injuries of minute vessels and allow adequate blood flow. The use of synthetic tubes and materials is not recommended, as they do not lengthen as the child grows. Ischemia is a major factor influencing limb growth and function. 3 different types of vascular injuries operated on in the past year are presented.

Blood Vessels↗
PubMed1991

[Conservative treatment of splenic and liver injuries in children].

Operative and conservative management of 44 children with injuries of the abdomen are reviewed retrospectively. Conservative treatment is well accepted for splenic injury. 12/26 children were thus treated during the period 1984-1988, and in the same 5 years, 9/18 children with hepatic injury were also treated conservatively. Indications for operation in splenic and liver injuries are: hemodynamic instability, evidence of associated severe intra-abdominal injuries, and blood transfusion of over 40 ml/kg during the resuscitation period. There was no mortality nor morbidity related to nonoperative management.

Child↗
PubMed1985

Malignant peritoneal mesothelioma in children: description of two cases and review of the literature.

Malignant peritoneal mesothelioma (MPM) in children has been rarely described in the literature. During the last 10 years we have seen 2 cases. The first was a 2-year-old boy who died 3 months after surgery. The second is now alive two and a half years after the mesothelioma was found, has undergone 3 laparotomies for recurrent tumor, and is now receiving chemotherapy and is apparently free of tumor.

Adult↗
PubMed1979

The value of transperineal injection for the diagnosis of imperforate anus.

Imperforate anus is one of the most common causes of intestinal obstruction in the newborn and the exact estimation of the level of the blind rectal pouch is of primary importance. We present 11 cases of imperforate anus and demonstrate the accurate location of the rectal pouch by transperineal injection of contrast media. This method shows an advantage in comparison to the classical plain roentgenogram in the inverted position of the baby. No unnecessary colostomies were performed since intraduction of the transperineal injection. The method is simple and there were no complications due to injection 10-15 cc of 20% Hypaque. Further studies are not in progress to demonstrate the presence or absence of an associated internal fistula in all cases.

Anus, Imperforate↗
PubMed1977

Cholecystectomy without drainage, nasogastric suction, and intravenous fluids.

A comparative study was made between 60 patients in whom drainage of subhepatic space was performed after uncomplicated cholecystectomy and 60 patients in whom no drainage was performed. In addition, 30 patients were treated without drainage, nasogastric suction, or intravenous fluids. After operation the patients were evaluated as to postoperative pyrexia, wound infection, lung atelectasis, thrombophlebitis, and postoperative stay in hospital. Fever and wound infection occurred in fewer patients without drainage than those with drainage, but omission of nasogastric suction and intravenous fluids did not influence the incidence of wound infection. Postoperative stay in hospital was shorter in the patients without drainage and shortest in those treated without drainage, nasogastric suction, and intravenous fluids. Nasogastric suction and intravenous fluids are not needed postoperatively, as the degree of the paralytic ileus is very slight and they may be harmful, causing lung atelectasis and thrombophlebitis. Uncomplicated cholecystectomy may be performed safely without drainage, postoperative nasogastric suction, and intravenous fluids.

Adolescent↗
PubMed1977

Perforation of hydatid cyst into the common bile duct; report of four cases.

Four cases of hydatid cysts which perforated into the common bile duct are presented. Jaundice was the presenting symptom in three cases. The operative treatment consisted of choledochotomy, evacuation of the daughter cysts and the membrane of the mother cyst and drainage through the T-tube. In one case, it was possible to open the mother cyst, evacuate its contents and drain it externally.

Adult↗
PubMedDate not supplied

Axillary sympathectomy for upper extremities.

Among the several various surgical approaches to the cervico-dorsal sympathetic system, the axillary approach seems to us the operation of choice. The operation is simple, gives excellent access to the required sympathetic ganglions, including the lower part of the stellate ganglion, down to the fifth thoracic ganglion. In all cases the sympathectomy was clinically complete. The postoperative course was mostly smooth, and the few cases of transient Horner's Syndrome, pneumothorax and hemothorax could have been avoided.

Adolescent↗