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Biomedical subjects

N R Feins

Publications and source records attributed to N R Feins.

12 recordsLinked to original sources
PubMed1990

Subsequent asynchronous torsion of normal adnexa in children.

Children who have suffered from ovarian torsion may be at increased risk for a repetitive event. Torsion in a normal adnexa may be due to excessive mobility resulting from congenitally long supportive ligaments. Oophoropexy or shortening of the ligamentous support of the remaining functional ovary after torsion is recommended in attempt to prevent a subsequent torsion. The evaluation of young females with abdominal pain should always include the consideration of ovarian torsion. Preoperative ultrasonography is not invasive and could lead to earlier operative intervention resulting in salvage of ovarian tissue. Observation in these same children may allow a torsed edematous ovary to convert to a nonviable necrotic tissue necessitating oophorectomy. Laparoscopy is useful in cases in which the diagnosis is unclear.

Child↗
PubMed1988

Pediatric lateral ventral (spigelian) hernias.

Lateral ventral (spigelian) hernias may not be recognized if the physician is unaware that they can occur in pediatric patients. Diagnosis depends on finding a protrusion in the spigelian fascia lateral to the rectus sheath at the junction of the arcuate and semilunar lines, below the umbilicus. We report nine such cases, to bring the total number of recorded pediatric cases to 18. Surgical repair involves a layered overlapping closure using interrupted nonabsorbable sutures. Since the rim of the defect is extremely difficult to outline once the child is asleep and relaxed, it must be outlined in indelible ink while the child is awake and straining.

Child↗
PubMed1986

Bladder duplication with one exstrophy and one cloaca.

Bladder duplication is a rare anomaly. Less than 100 cases of all types have been described in the literature. When duplication of the bladder occurs, it has previously been described as a mirror image or as a septate bladder. A newborn female presented with what appeared to be a complete bladder exstrophy, a large ruptured omphalocele with perforated large bowel, an imperforate anus, and a bifid clitoris. Urine was seen emanating from various sites: the bladder mucosa, the mucous fistula constructed at the time of the colostomy, and the left hemiclitoris. The anatomic puzzle was resolved when multiple studies disclosed the problem to be a bladder duplication. The bladder on the anterior abdominal wall was exstrophied, the intraabdominal bladder was a cloaca, and the left hemiclitoris contained a phallic urethra, which drained the intraabdominal bladder. Total correction with normal function was obtained. This patient demonstrates that bladder duplication may present in various ways.

Abnormalities, Multiple↗
PubMed1979

Multiple genitourinary abnormalities in females with unilateral renal agenesis: three cases.

We have the means to identify over 75% of infants and children with unilateral renal agenesis. It has been established that all patients with unilateral renal agenesis must be followed closely because of problems with the remaining kidney and other anomalies. It is apparent from embryologic studies and numerous reports that up to 89% of females with unilateral renal agenesis are likely to have significant accompanying genitourinary abnormalities. Most of these patients' genital problems occur at the time of puberty or pregnancy. Because of our experience with three teenage females who had unilateral renal agenesis and subsequent serious problems, we wish to advocate a prepubertal aggressive investigation.

Abnormalities, Multiple↗
PubMed1979

Multiple trauma.

Explore the source record for details and available documents.

Abdominal Injuries↗
PubMed1978

Voiding cystourethrography in infants and children: a new technique.

A technique for voiding cystourethrography utilizing a small caliber (3.5 Fr.) catheter that is left in place during the entire examination is described and illustrated. Urethral pathology is not obscured. The contrast is infused under pressure applied with a blood administration set. Visualization of voiding can be achieved in all cases.

Child↗
PubMed1977

Surgical management of thirty-nine children with lymphedema.

Thirty-nine children underwent staged excisional surgery for lymphedema. The procedures are described in detail. All the children operated on have improved and have a more normal appearance. The decrease in attacks of cellulitis and lymphangitis is striking. The morbidity of this simple procedure is negligible. The operation is tedious, fatiguing, anatomically unexciting, and has a vague end-point. At this time, staged subcutaneous excision appears to be the procedure of choice in moderate to severe lymphedema in children regardless of etiology or classification. The procedure is not a cure.

Adolescent↗