PubMed Health⌕ Search

Biomedical subjects

M Höllwarth

Publications and source records attributed to M Höllwarth.

At least 37 records · Page 2Linked to original sources
PubMed1984

Problems of anal continence operations.

After operation for high rectal atresia, incontinence is common. The various operations that are used to cure incontinence can undoubtedly produce considerable improvement. Our own experience and the results published in the literature show that improvement in continence is mainly due to the creation of an elastic barrier that will induce the development of ampullary function in the neorectum. In this connection the mental development of the child is of great importance, as he or she has to become aware of the afferent impulses and act accordingly.

Adolescent↗
PubMed1982

[Hemarthrosis of the knee joint in children (author's transl)].

After injury of the knee resulting in hemarthros without any bone involvement the follow up examination showed in one third of the 28 children minor subjective complaints or minor physical or radiological abnormalities. Consistent with the literature we concluded, the routine arthroscopy after hemarthros of unknown origin in childhood is not indicated. If there are any signs of a possible serious traumatic lesion of the knee which cannot be diagnosed physically or radiologically arthroscopy is still necessary.

Adolescent↗
PubMed1982

Endoscopic esophageal anastomosis.

This paper describes four cases of esophageal atresia without a lower fistula in which a perlon thread was inserted through the two esophageal segments by an endoscopic method. With the aid of the thread and two metal olives the segments were drawn closer together and finally a communication was established without an operation. The method of introducing the thread and the olive technique are demonstrated in a series of drawings, and the results achieved in the case of four children are also presented.

Dilatation↗
PubMed1981

[Water syphon test and gastro-oesophageal reflux during childhood (correlation with the clinical findings and oesophageal manometry) ].

The water syphon test is a simple and easily performed method for demonstrating gastro-oesophageal reflux with a high degree of reliability. It is carried out following a conventional barium swallow. Compared with clinical findings and oesophageal manometry, the water syphon test is very reliable for demonstrating gastro-oesophageal reflux during childhood. Prolonged irradiation in order to see spontaneous reflux becomes unnecessary. This results in a significant reduction in radiation dose. Barium swallow and the water syphon test are the most useful initial examinations in children with symptoms which suggest reflux.

Adolescent↗
PubMed1981

[Delayed splenic rupture and fat embolism in childhood (author's transl)].

The authors present the history of a seven-year-old male child suffering from delayed splenic rupture and fat embolism syndrome simultaneously. The conservative treatment of splenic ruptures as well as incidence and early diagnosis of fat embolism syndrome in childhood will be discussed.

Accidents, Traffic↗
PubMed1981

[Laryngo-tracheo-oesophageal cleft and G-syndrome--interposition of a flap from the sternocleidomastoid muscle (author's transl)].

A 7-month-old dystrophic infant weighing 3.8 kg was investigated endoscopically in relation to recurrent pneumonia. A tracheo-esophageal cleft was demonstrated. The situation was complicated by the coexistence of achalasia of the cardia. There was also hypertelorism and malformation of the urinary tract, so that this would appear to be a case of the G-Syndrome. A Heller's operation with fundoplication and gastrostomy was performed and only after this was the tracheooesophageal cleft closed. A flap of sternomastoid muscle was interposed between the trachea and oesophagus. Stenosis was treated by dilatation.

Abnormalities, Multiple↗
PubMed1981

[Megaoesophagus -- differential diagnosis and therapy (author's transl)].

Functional hindrances in passage of the oesophageal tract are particularly recognised in achalasia, which occurs in less than 5% of children. The megaoesophagus accompanying massive gastro-oesophageal reflux can also be a consequence of functional disturbances. In addition, peptic stenosis of the oesophagus usually causes dilatation of this organ. Other organic stenoses are just as rare, whether they are congenital membranous or fibromuscular stenoses, or occur as secondary narrowing of the oesophagus, following accidental acid-burns. Treatment of choice in achalasia is cardiomyotomy with insertion of a fundus patch. Gastro-oesophageal reflux is usually treated conservatively at first. Operation and fundoplication is indicated only when this treatment is unsuccessful, or primarily in peptic stenosis. In congenital membranous stenosis or acid-burn stenosis, forceful treatment with bougies usually attains the desired ends. On the other hand, congenital fibromuscular narrowing generally requires operative resection.

Adolescent↗
PubMed1981

[Agricultural accidents in children. Causes, consequences and possibilities of prevention].

Agricultural accidents in childhood not seldom lead to mutilation and invalidity. At the Pediatric Surgical Hospital in Graz 272 children were treated because of agricultural accidents between 1975 and 1978. Children younger than ten years of age, especially preschool children, are mostly afflicted. 56 percent of the injuries, most of them serious, happened by the use of agricultural machines, tractors included. Proposals for the prevention of agricultural accidents in childhood are presented.

Accidents, Occupational↗
PubMed1981

[Biphasic splenic rupture in a hemophilic child (author's transl)].

This report describes a biphasic splenic rupture following trauma in a 12 1/2 years old boy with the severe form of hemophilia B. Immediately after the trauma the boy was treated with only one single dose of factor IX concentrate. He stayed free of symptoms for 9 days until finally severe abdominal bleeding occurred.

Child↗
PubMed1980

[Importance of bone scanning and osteoscintimetry for assessing development of acute haematogenic childhood osteomyelitis (author's transl)].

Bone scanning with 99m-Tc-MDP is generally used for the early diagnosis of acute haematogenic childhood osteomyelitis. The combination of this method with radionuclide osteoscintimetry and the evaluation of the relative uptake ratio supply objective criteria for assessing the development of the disease. They permit statements as to the morphological and functional aspects of the disease and thus facilitate clinical assessment.

Acute Disease↗
PubMed1980

[Conservative treatment of traumatic splenic rupture in childhood (author's transl)].

In childhood there exists a considerable risk of overwhelming sepsis after splenectomy with a high mortality rate. To prevent this complication conservative treatment of traumatic splenic rupture should be attempted. Peritoneoscopy is an important diagnostic aid and facilitates the indication for conservative treatment. If laparotomy is necessary, splenorraphy is often possible. The authors' experiences are reported.

Child↗