[Hepatoportojejunostomy in an infant with congenital atresia of the biliary tract].
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Biomedical subjects
Publications and source records attributed to J Kansy.
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A modification of the operation for megaureter is described. The dilated lower ureter segment is folded and reimplanted submucosally.
Two typical cases of Jadassohn's Naevus Phakomatosis are reported, with full clinical details, history and the results of investigations. Neurosurgery was necessary in one case so that the macroscopical appearance of the brain and histological findings of portions of the brain removed are described.
Posterior urethral valves were treated in 9 children by rupture with a Foley catheter. The interest and advantages of this simple method are underlined especially in newborns where the infant resectoscope can be traumatic and difficult to use.
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It was Hendren's contribution to introduce an aggressive restorative procedure for the entire urinary tract in children with the megaureter syndrome. Our own experience in applying this method enabled us to more critically assess its value and prompted us to introduce some modifications. Instead of longitudinally resecting the dilated ureter we applied a method in which the dilated ureter wall is folded. This prevents injury to the ureter wall and its necrosis. We have given up excessive shortening of the elongated ureter, since the elongation proved to be spurious. We have also given up reconstruction of the upper part of the ureter.
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