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Biomedical subjects

R Morger

Publications and source records attributed to R Morger.

At least 37 records · Page 2Linked to original sources
PubMed1985

[Uterus duplication abnormalities with unilateral kidney agenesis, a report on 5 cases].

Uterus malformation with renal agenesis at the same time are rare but well-known in literature. The leading symptom is dysmenorrhoea, pain in the lower abdomen increasing with each menstruation and a growing tumour in the small pelvis. We consider sonography of the small pelvis as being the optimal diagnostic examination. Once the diagnosis has been made, a laparotomy is indispensable. Further proceedings depend on the intraoperative result, whether a reconstruction and/or a partial removement of the inner female genital organs is possible or necessary. We could successfully treat 5 cases of genital malformation with ipsilateral renal agenesis.

Adolescent↗
PubMed1984

[Conservative and operative treatment of the funnel chest].

For the last 30 years, interest in chest wall anomalies has been growing. On the one hand physicians and patients were seeking advice and help from specialists, whereas on the other hand the media devoted more time and space to this subject. The present contribution deals with the funnel chest (cobblers' chest). In infancy the funnel chest can be treated in a conservative way. The favourable age periods for surgical treatment are between 6 and 8 and after 12 years of age. We reached this conclusion on the basis of 171 follow-up examinations of patients during the period 1966-1982.

Adolescent↗
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

[Adrenal hemorrhage in a newborn infant].

We report on a case of an adrenal haemorrhage cyst In new-born which caused special differential diagnostic problems. The examinations undertaken for diagnostic purposes as well as the outcome under the operatiOn led us to assume the presence of an adrenal tumor, and hence an epinephrectomy was consequently performed.

Adrenal Gland Diseases↗
PubMed1983

Surgical operations on the pancreas in malignant disease in children.

Because of the danger of irreversible brain damage in children, effective therapy for hypoglycaemia must be initiated as rapidly as possible. If drug therapy fails, only surgery remains after thorough metabolic, endocrinological and radiological investigations to completely cure B-cell adenoma. I conclude with a quotation from Sauerbruch (15), who had successfully removed an insulinoma from a 7-year-old girl: If in medicine we can speak about causally induced disorders, then it is justified here. A tangible, anatomically unequivocal finding causes a localized disease, which disappears without trace after the removal of a small tumour. Other endocrine disorders cannot be detected with such convincing clarity and interpreted in the same way, nor can they be as successfully treated as this.

Child↗
PubMed1983

Successful treatment of an adrenocortical carcinoma.

Carcinomas of the adrenal cortex show a high degree of malignancy. Although one would expect their endocrinal activity to permit early diagnosis, reports of complete cures are rare, despite radical removal of the primary tumour. We are reporting on the case of a boy, born in 1965, who 12 years after removal of a carcinoma from the left adrenal cortex may be regarded as cured.

Adolescent↗
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

[Chronic, septic granulomatosis (author's transl)].

A case report is presented on an 18-month-old boy who suffered from recurrent infections from early infancy. He was hospitalised for osteomyelitis in the left elbow; differential diagnosis also raised the possibility of a Ewing sarcoma. We were, however, able to eliminate this possibility on the basis of clinical data. Together with the immunologist, we discovered a malfunction of the granulocytes, consisting essentially in the fact that certain bacteria, although phagocytised, cannot be killed off within the cells. This has therapeutic consequences, which are discussed in this paper together with questions of prognosis.

Diagnosis, Differential↗
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↗
PubMed1981

[Congenital non-union of the clavicle (author's transl)].

The isolated congenital non-union of the clavicle is an extremely rare condition. We report on of one case of bilateral congenital non-union of the clavicle in which the left side became painful. Treatment with compression plate osteosynthesis and homologous cancellous bone grafting was successful. Surgical treatment of this rare condition is only indicated when the non-union becomes painful.

Adolescent↗