50th anniversary of the Department of Pediatric Surgery in Berlin-Buch.
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Biomedical subjects
Publications and source records attributed to G Borgwardt.
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43 mediastinal tumours differing by genesis, operability, and localisation and handled between 1970 and 1985 are reported in this paper. They called for differentiated diagnosis and therapy. Most of them (21) were of neurogenic origin. Their survival rate (86 per cent) was much higher than that recorded from abdominal tumours, probably because of a higher percentage of benign and semi-malignant processes among them. Their absolute number was 13. While computed tomography could effectively replace invasive methods of investigation, its informative potential was limited when it came to patients in infancy. Definite diagnosis was quite often obtainable only from histological examination. Diagnosis should be made soon and thoracotomy not delayed in view of potential malignancy.
C. Ramstedt's biographical data are presented and his surgical and scientific capacity is appraised. Special emphasis is on his role in the development of the surgical treatment of hypertrophic pyloric stenosis.
This is a short biography of the famous German surgeon, who was the first to split the hypertrophic muscular ring in congenital pyloric stenosis, an operative procedure known in connection with his name until today.
Critical deliberations on experiences with surgical procedures for correction of virilized genitalia in girls with CAH. 20 children were operated upon according to Stefan. Since 1977, eight children underwent surgery according to the Bolkenius / Daum modification of Stefan's procedure, two of them with own modifications. Two patients presented with Prader type V. Preservation of sensitive tissue is considered essential as well as an introitus of sufficient width. These demands are met by that method, as is the cosmetic result. Problems arise in case of high junction between urethra and vagina.
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