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Biomedical subjects

W Serlo

Publications and source records attributed to W Serlo.

61 records · Page 4Linked to original sources
PubMed1985

Regional anaesthesia in paediatric surgery.

The use of regional anaesthesia in paediatric surgery remains controversial although the pharmacological and technical aspects, even in this age group, have been described. Many authors regard regional anaesthesia as contra-indicated, and consequently general anaesthesia is preferred in paediatric surgery. In the present study regional anaesthesia was used in the form of supraclavicular, interscalene brachial plexus blockade, axillary brachial plexus blockade, lumbar epidural and spinal blockade in altogether 199 patients in the paediatric age group. Surgically excellent or satisfactory analgesia was achieved in 92-100% of the blocks. No complications were observed.

Adolescent↗
PubMed1985

Group A streptococcal peritonitis in infancy.

Primary peritonitis in infancy is a rare condition. It is usually associated with a severe pathological process, such as nephrotic syndrome. When it affects previously healthy infants it causes diagnostic and therapeutic difficulties. Pneumococci, streptococci and Haemophilus influenzae are possible causative agents, other causes are rare. The clinical course of two infants with group A streptococcal peritonitis is described.

Humans↗
PubMed1984

Total rupture of giant sacrococcygeal teratoma.

Sacrococcygeal teratomata exceeding 20% of the infant's weight are rare. These tumours often cause problems during delivery such as obstruction and rupture of the tumour. By means of prenatal ultrasound screening programmes this condition can be diagnosed in utero and the delivery can take place safely. When dealing with an infant with ruptured giant sacrococcygeal teratoma the condition of the child is incorrectly regarded as too poor to warrant surgery. By prompt correction of fluid and electrolyte disturbance and emergency ligation of the bleeding vessels the infant can, however, be saved with an excellent later prognosis.

Emergencies↗
PubMedDate not supplied

Preoperative Russell traction in Legg-Calvé-Perthes disease.

Divergent opinions about the pathophysiology and the optimal time and methods for the treatment of Legg-Calvé-Perthes (LCP) disease exist. Synovitis causing restriction of hip motions may be hazardous to the circulation to the femoral head. We studied 23 children (24 hips) in the initial phase of LCP disease. Seven to 14 days of Russell traction decreased the intraosseous pressure significantly (p less than 0.001) and increased the hip motion a mean of 33.6 degrees. As assessed by osteovenography, the venous congestion decreased in almost every hip during Russell traction.

Child↗
PubMedDate not supplied

Operative realignment of patellar malalignment in children.

Realignment operations were performed on 57 knees to correct patellar malalignment in children between 1985 and 1991. Three different operative techniques were used: the lateral release, the lateral release and medial reefment, and the Roux-Goldthwait patellar tendon transposition. Roentgenographic values were measured before and after the operation by Laurin's method. The mean follow-up time was 4 years 2 months, after which 20 knees were excellent, 20 good, 11 fair, and six poor, according to Insall's criteria. The effect of the operation on pathological roentgenographic values was obvious, and the malalignment of the patella was in most cases corrected. There are differences in the improvement effected by these three techniques. The lateral release and medial reefment correct the patellar tilt most effectively, and the Roux-Goldthwait operation, the lateral patellar deviation. The lateral release seems to be the appropriate technique for mild malalignment.

Adolescent↗
PubMedDate not supplied

The changing panorama of shunt complications. Twenty-five years' experience.

The distribution of shunt complications is analyzed in a series of 226 children and infants out of a total of 978 shunt operations performed between the years 1965 and 1989. The rate of shunt infections and obstructions has decreased significantly during the last ten years while the rate of CSF overdrainage complications has increased. A policy of active, elective shunt revisions has led to a reduction in the total rate of shunt revisions required. As only minor changes in the shunts available and used have taken place during the period converted, it is concluded that the main reason for the changing panorama of shunt revisions lies in improved neuroimaging and a better knowledge of complying with shunt complications.

Cerebrospinal Fluid Shunts↗