[Transintestinal cutaneous ureterostomy for bladder exstrophy: 17 cases of which 13 use an ileal intraperitoneal loop and 4 a sigmoid loop].
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Biomedical subjects
Publications and source records attributed to D Pellerin.
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Resolutely convinced of the necessity to preserve the spleen in all circumstances, the authors detail the indications and possibilities of non operative management and conservative surgery that allow the injured spleen to be salvaged. Of 55 cases observed from 1978 to 1982, only 22 required splenectomy because of our new experience; 13 of the remaining cases were treated non operatively and 20 had a conservative surgery. It is concluded that unless the child prognosis is directly and immediately involved, by the splenic injury (such cases require splenectomy or better still partial resection) every effort should be made to preserve a traumatized spleen.
From 1957 to 1978, 211 intestinal obstructions were treated at Hôpital des Enfants malades, Paris: 103 coming from our own surgery, 108 from other surgical centers. 24,6% cases are observed in children less than one year old, after neo-natal surgery. 41% are observed between 5 and 9 years of age, at the "appendicitis period". 61% obstructions follow an appendicectomy. 74% of obstructions happen in the first year after surgery, of which 32% in the first month (the early mechanical intestinal obstruction between 8 days and 7 years after the first obstruction: 72% in the first year, of which 30,5% within the first month. Some precisions are given about clinical symptoms, site and intestinal lesions. The study of the preventive surgical procedures (Noble's, or Child-Philip's technics) are not included in this paper.
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A 20 month-old girl with Thalassemia major presented with a pseudotumoral mesenteric lymphadenitis due to Yersinia enterocolitica. The authors stress the rarity of this type of Yersinia infection. The clinical and bacteriological diagnosis is difficult and is based on the early isolation and identification of the bacterial strain, thus allowing an efficient antibiotic treatment. The frequency of such a Yersinia infection in thalassemic children is further discussed.
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