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Biomedical subjects

V G Gel'dt

Publications and source records attributed to V G Gel'dt.

At least 19 recordsLinked to original sources
PubMed1991

[Endourethral correction of valvular obstruction in children].

Endourethral dissection of valvular cusps was carried out by means of an urethrotome in 34 boys with Type I and III valves of the posterior urethra. The indications for and the techniques of the dissection on depending on the type of the valve are discussed and measures for preventing complications are suggested. Endoscopic, radiological, and urodynamic methods of examination of the lower urinary tract determined the therapeutic tactics and help in evaluation of the efficacy of the operative treatment. The method allows correction in patients with valves to be performed in one stage in the compensated stage of the disease and after preliminary derivation of urine in the decompensated stage. The authors recommend optic urethrotomy for the treatment of children with valves of the posterior urethra.

Child↗
PubMed1990

[Prolapse of the urethral mucosa in girls].

In the recent 9 years 39 girls aged from 2 to 10 years were treated at the clinic for prolapse of the urethral mucosa. Among them 24 had circular and 15 had segmental prolapse. The disease was encountered most frequently between 6 and 10 years of age, predominantly in the summer. Complex treatment was started with nonoperative measures which were followed by operation if the prolapse persisted or recurred. Spontaneous reduction of the mucosa occurred in 6 of 22 children who were treated by nonoperative measures, in 3 cases the effect was temporary and a recurrence developed. Operative excision of the mucosa was carried out in 36 girls. The results were good. The article discusses the etiopathogenesis of the disease and analyses the morphological changes in the removed urethral mucosa.

Age Factors↗
PubMed1990

[Urinary diversion in infants].

The article generalizes the experience in the treatment of over 500 children, aged from hours to 5 months, with various developmental anomalies of the urinary system. Different variants for draining off the urine were applied in 142 patients. Urethral, vesical, and supravesical methods are characterized. The indications for their use in the newborns and infants are formulated. Preference is given to the supravesical methods, among which T-ureterocutaneostomy and suspended ureteropyelostomy are optimal. The operative techniques are described. Complications occurred in 10 children: urinary dermatitis (3), cicatrization of the stoma (2), separation of the sutures of the main wound (2), stenosis of the stoma (1). The author concludes that draining off urine in the newborn with obstructive uropathy is advisable before radical correction of the anomaly.

Humans↗
PubMed1982

[Diagnostic stages and special study methods in surgical diseases of children].

The surgery in children should take into consideration 6 steps of diagnosing: initial, exact, subnarcotic, intraoperative, immediate postoperative and late postoperative steps when the growth of the child's organs and systems enable the final diagnosis to be established. Close attention to physically revealed symptoms of the disease may restrict the application of special methods and shows the skill of the physician.

Adolescent↗
PubMedDate not supplied

[The classification of the urological diseases of newborn and nursing infants].

In the attempt to classify most common urological diseases in neonates the authors have summarized more than 700 cases. The examinees' age ranged from a few hours to four months. The diagnosis was made antenatally or early in postnatal life according to the leading symptoms of abdominal, uropoietic, urination and urine quality defects. Depending on the urinary damage at different stages of intra- and extrauterine development and time of primary symptoms recognition, the authors propose to distinguish antenatal, intranatal and postnatal lesions. These include congenital conditions, dysfunctions, conditions caused by tissue and system immaturity, etc. Instructions on the choice of optimal therapeutic policy for each group are given.

Fetal Diseases↗