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Biomedical subjects

H D Unrein

Publications and source records attributed to H D Unrein.

At least 19 recordsLinked to original sources
PubMed1980

[Surgical management of double kidney in children].

In 48 patients a heminephrectomy was carried out on account of a chronic relapsing pyelonephritis when a double kidney was present which for the largest part was combined with vesico-ureteral reflux, pyelectasia and hypertension. The partly severe histologic changes found in more than 80% in the resection preparation confirmed the supposition that in the majority of the cases the chronic relapsing inflammation issues from the hypoplastic renal pole with a decreased function. Also the courses observed in more than 3/4 which had no recidivation after operation show the possibility of the causal-surgical therapy in chronic relapsing pyelonephritis with double kidney, when the indication is correct.

Adolescent↗
PubMed1978

[Surgical treatment of nephroptosis in children].

By a nephroptosis already in childhood an obstruction of the urine flow with reduction of the drainage effect and thus the appearance of a pyelonephritis may develop. Changes at the vascular pedicle are also possible on account of the abnormal mobility of the kidneys so that without treatment from there may result parenchymatous and functional lesions which, as a rule, become manifest only at adult age. On the basis of own experiences which support themselves on the results of 29 children with nephroptosis we recommend the nephropexy in childhood. The operation is an active prophylaxis of the pyelonephritis caused by nephroptosis with its deleterious sequelae.

Child↗