[Acute intussusception in the newborn infant and infant. Analysis of a statistic: 160 cases].
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Biomedical subjects
Publications and source records attributed to J M Guys.
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Over a period of 3 years. 10 cases of enterocystoplasties have been done in congenital neurologic bladder in children. Seven patients have been operated using sigmoide (6), caecum (1) in their tubular form. In the last 3 cases sigmoide was used as a patch without any resection of the bladder. Post-operative urodynamic testings were better with sigmoide patch. The authors pointed out this technique.
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Out of series of 95 ureteroceles in a 15 years period, 17 cases have been treated by simplified method, either endoscopic (7 cases) or polar nephrectomy alone (9 cases). Endoscopic incision alone can be used. In neonates with ureterocele simplex (4 cases cured with no secondary reflux). To assess upper pole function in ureterocele duplex (followed by reconstruction or nephrectomy). To drain some very difficult cases (bilateral, infected). In our experience, the upper heminephrectomy alone as a simplified approach of this pathology has failed in the vast majority of cases, leading to a secondary intervention to cure the intra vesical pathology. It is our opinion that this approach must be restrained to the cases of intra cervical or intra ureteral, the secondary pathology will almost lead to a secondary trans vesical approach with is neither more difficult nor easier that a primary one. Herein is described the present position of the authors concerning rare indication of these simplified approach.
Esophageal replacement using transverse colon with left colic pedicle is reviewed. 18 were done for caustic stenosis with one death, 4 for atresia without mortality. For caustic stenosis the authors advocate early transplant since the third month if dilatations failed. Improvement of technique using staplers prevented any complication in the last 8 patients. These good results allowed the authors to switch to isoperistaltic gastric tube. In esophageal atresias, the authors did not find any indication of replacement in the 12 last years.
On the basis of 10 observations, the authors report their experience of the continent appendicovesicostomy (Mitrofanoff technique). Indications, techniques and results are discussed. The authors also present a technique of transureteral continent cystostomy.
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Three cases of sleeve fractures of the patella are reported. These lesions are epiphyseal fractures. Attention is drawn to the fact that the diagnosis may be missed. Surgical treatment is necessary to attaining and maintaining reduction. The authors focus on that avascular necrosis is important in sleeve fractures and the open reduction increases this risk.
The authors presented herein three cases of utricular diverticuli in children. With a brief survey of anatomy and classification as well as the pathology they provoked: urinary infection and incontinence. Endoscopic and perineal approach have been proposed in the past when ablation of the cyst is considered to be necessary. In two cases, trans vesical surgery has proved to be a carry, safe and reliable method in this age group.
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