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Biomedical subjects

R Gysler

Publications and source records attributed to R Gysler.

18 recordsLinked to original sources
PubMed1993

Congenital intracranial cysts: clinical findings, diagnosis, treatment and follow-up. A multicenter, retrospective long-term evaluation of 72 children.

A multicenter, retrospective evaluation of 72 children born between 1973 and 1987 with intracranial cysts was performed: 37 had an arachnoid cyst, 25 a Dandy-Walker malformation and 10 a porencephalic cyst. The following criteria were evaluated: history, clinical findings, diagnostic work-up (neuroradiology, CSF and intracystic pressures), surgical therapy and follow-up (outcome and cyst volumes).

Adolescent↗
PubMed1989

[The clinical problem of the tethered cord syndrome--a report of 3 personal cases].

Tethered cord syndrome is defined as a low state of the conus medullaris below the lumbar vertebra 2 after the neonatal period. Possible causes are: short thickened filum terminale, fibrotic ligaments, intradural lipomas. The clinical course is characterised by motoric and sensory deficits, disturbances of balance, neurogenic bladder disturbances, foot deformities and backache. A 3-year-old boy after operation of a lipomyelomeningocele at 2 months showed a one-sided leg shortening and a progressive neurogenic bladder and intestinal disturbance. The cause was a low state of the conus with a shortened filum terminale and a remainder of a lipoma. A 7-year-old boy after operation of a thoraco-lumbar meningomyelocele developed a progressive asymmetric paraspastic state with contractures. The neuro-radiological diagnosis of an intradural dermoid was verified on operation. A 10-year-old boy after operation of a covered lumbosacral meningocele showed a progressive backache which was connected with flexion. We found a low state of the conus through adhesions caused by scars which could be removed operatively. A collaborative treatment by the paediatric surgeon and the neuro-paediatrician of patients with dysraphic disturbances can prevent the severe consequences of the tethered cord problems with the co-operation and early intervention of the neuropaediatric surgeon.

Cauda Equina↗
PubMed1989

[Sclerosing treatment with ethoxysclerol in anal prolapse in children].

In 1980 we began the perianal injection treatment in children with anorectal prolapse. We can now report on 31 patients. In 1982 we reported on our first experiences with 6 children. We treat the children in hospital and inject aethoxysklerol mostly twice at an interval of three days. On the whole there were two relapses, both children were over 6 years old. A second injection treatment with the same method was again unsuccessful. In relation to the perianal cerclage according to Thiersch-Ombrédanne - the method we used before - the injection treatment gives almost only advantages: Simple technique, shorter hospitalisation, fast healing without burdening the patients, no complications.

Child↗
PubMed1988

[Traumatic hip dislocation in the child].

We report on 20 own cases of the past 20 years. Traumatic hip dislocation in children, which is a rare event, should be primarily reduced under anaesthesia as quickly as possible. An open reduction is only necessary with the luxatio obturatoria if a sole conservative reduction attempt is unsuccessful. A possible ipsilateral femur shaft fracture must be treated operatively at the same time.

Anesthesia, General↗
PubMed1988

[Surgical treatment of necrotizing enterocolitis--a retrospective study from 1975 to 1987].

Between 1975 and 1987 15 patients were operatively treated at the St. Gallen Children's Hospital for necrotising enterocolitis. The number of patients cured and those who died, as well as the time of outbreak of the illness, age and treatment are shown in tabular form. Early diagnosis and selective therapy decisively reduce lethality. Long-term results show normal psychomotor development and no intestinal disturbance.

Colostomy↗
PubMed1988

[Congenital hydrocephalus--a long-term study of congenital hydrocephalus].

In long-term follow-up particular attention is given to the psychomotor development, shunt function and the required shunt revisions. With regard to these details an attempt is made to establish the prognosis. It seems that this can be derived mostly from the development in the first few months, from the EEG and the original head circumference. Intensive adjuvant therapy can distinctly improve the prognosis, i.e. the development. The number of shunt revisions was 1.3 per patient, and had no influence on the prognosis.

Cephalometry↗
PubMed1983

[Experience with sclerosing treatment in anorectal prolapse in childhood].

Since 1980 we applied to 6 infants of 1-4 years of age the sclerosing, perianal injection treatment with 0.5 per cent Ethoxysclerol (hydroxy--polyethoxy--dodecane) instead of the perianal cerclage according to Thiersch/Ombredanne. All the patients remained free from relapse for 1-2 years, after an injection treatment twice repeated at an interval of 5 days. Two to three days after the treatment all the infants were without symptoms, a major advantage with respect to the above-mentioned cerclage method. The details of the injection are described.

Age Factors↗
PubMed1983

Favourable course in a case of cancer of the thyroid body.

We report an 8 1/2 year old girl with cancer of the thyroid body who had profuse lung metastases on her first admission to hospital. The child was first operated and then treated with radioactive iodine. Six years later, radioactive iodine therapy was carried out again, although there was no longer any cumulation in the metastases even after stimulation with TSH, as the patient was in critical condition. Surprisingly, she recovered and has remained free of subjective symptoms despite persistence of the lung metastases.

Child↗
PubMed1983

[Treatment of burns in childhood].

Management of burns in children depends above all on infusion therapy, i.e. replacement of the plasma, water and electrolytes of which the circulation and tissue have been deprived as a result of exudation into the wound area, increased evaporation of water, and edema. The inexperienced therapist tends to underestimate these losses in the case of children. In infants and older children with burns covering upwards of 5% and 10% respectively of body surface there is a danger of shock developing, with peripheral vasoconstriction, acidosis, cerebral edema and renal failure. Infusion therapy should therefore be instituted as early as possible. Fusidic acid has proved very valuable in topical treatment of burns in children. Concomitant antimicrobial treatment can be dispensed with in the majority of patients. Keloid overgrowths are now more effectively prevented by means of Lycra pressure dressings.

Burns↗
PubMed1982

[Experience with artificial urine diversion in children by means of an ileum bladder on the basis of 22 cases (author's transl)].

We report on the problem of artificial urine diversion in children on the basis of 22 cases in which we carried out cutaneous uretero-ileostomies according to Bricker. One patient died as a consequence of an pre-existing renal insufficiency. We were able to monitor all other 21 patients subsequently. The patients were questioned on general development and social integration; stoma and the surrounding skin were assessed locally. We examined renal function by means of laboratory parameters and the isotope nephrogram. In summary, it can be said that few problems arise in respect of care and social integration, and that lasting kidney damage can also be reduced by strict monitoring and long-term antibiotic treatment.

Anti-Bacterial Agents↗
PubMed1980

Morphological changes after surgical treatment of urinary incontinence stages II and III.

We performed 82 operations for stage II or stage III urinary incontinence between January 1974 and August 1977. These patients were followed up after operation and examined by lateral urethrocystography. Significant morphological changes could be found in all four types of operations. There were no positive correlations between outcome of operation and alternations in the angles alpha and beta(Green). However, elevation and ventral dislocation of the apex of the angle beta seemed to be of importance in succesful surgery for urinary incontinence.

Female↗
PubMed1978

[Premature rupture of fetal membranes].

Our investigations on premature rupture of the fetal membranes (PROM) show that prematurity represents a higher risk for the fetus than infection does. Therefore we tend to be expectant in case of PROM combined with prematurity. On the other hand latency between rupture of the membranes and onset of labor should not exceed 24 hours for a mature fetus (gestational age greater than 37 weeks, estimated weight greater than 2500 g, L/S-ratio greater than 2). Antibiotics are applied only in case of manifest infection and at the onset of labor following a latency longer than 24 hours.

Acidosis↗