Biomedical subjects
Publications and source records attributed to G G Wyllie.
In some boys varicocele develops before puberty, when the testis is immature and vulnerable. Based on testicular size, evidence suggests that the time of development of a varicocele in relation to puberty may be the critical factor in the subsequent development of infertility. The recognition and treatment of an early-developing varicocele may help to reduce the infertility associated with this condition.
One hundred boys who had a retractile testis on one side were followed up for five years. The position of the retractile testis became higher (in some, it left the scrotum) in 42 boys and the development of this testis was adversely affected in 49. Because of this, regular review of boys with retractile testes should be continued as long as retraction persists.
The injection of 5% phenol in oil into the rectal submucosa cured persistent rectal prolapse in 91 of 100 young children. This result supports the view that the common form of rectal prolapse in otherwise-healthy children primarily involves the mucosa and the muscular wall is only secondarily involved.
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Non-operative management of splenic trauma is not a widely accepted method of treatment. During the period 1964 to 1976, 39 children were treated in the Adelaide Children's Hospital for splenic trauma. Twenty-four were managed without operation, while 15 were treated by splenectomy. Recently, splenic scan has helped in the diagnosis and management of splenic injuries. From our observations, it appears that non-operative treatment of a proven splenic injury is safe and the ideal initial treatment in the paediatric age group, when the spleen is the only intraabdominal organ injured, and the vital signs are stable with the application of adequate resuscitative measures.
To elucidate a child's symptoms one must understand the child. A wide range of medical conditions may present to the consultant paediatric surgeon, so that he must be qualified by training to recognize them. Within a children's hospital he is aptly trained and placed to act as a focal point whenever disease or injury involves a number of surgical specialties.
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Explore the source record for details and available documents.