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Biomedical subjects

D W Man

Publications and source records attributed to D W Man.

23 records · Page 2Linked to original sources

Experience with meatal advancement and glanuloplasty (MAGPI) hypospadias repair.

Our experience with the procedure of meatal advancement and glanuloplasty (MAGPI) is reviewed with a note on the technique. It was found that MAGPI can improve the position of the urethral meatus, correct meatal stenosis, release associated skin chordee and produce the aesthetic appearance of a normal penis. The fistual rate was zero and there were no other complications. It is recommended as the operative procedure of choice for glanular, coronal and selected cases of subcoronal hypospadias.

Child, Preschool↗

Intussusception in infancy and childhood. A 13-year review of 75 patients.

Our experience of intussusception in 75 patients has been reviewed. The average duration of symptoms from onset to diagnosis was 40 hours. Barium enema was performed in 34 patients and in only six was the intussusception reduced successfully by hydrostatic pressure. Seventy-one laparotomies were performed with no mortality. Resection was carried out in seven patients for gangrenous bowel or presence of a leading point. The main complication was that of wound infection which occurred in eight patients. Incidental appendicectomy was safe and did not increase the complication rate.

Age Factors↗

Percutaneous nephrostomy in pelviureteric junction obstruction in children.

Percutaneous nephrostomy using ultrasound guidance with the pigtail catheter is very useful in dealing with problems associated with pelvic hydronephrosis in children. It is safe, easy to perform and free of complications. Three cases are presented with a note on the technique. The role of percutaneous nephrostomy in pelviureteric junction obstruction in children is outlined.

Child↗

Congenital lobar emphysema: problems in diagnosis and management.

A retrospective study was made of 9 patients with congenital lobar emphysema who presented over the past 13 years. The ages of the patients at diagnosis ranged from 2 weeks to 10 years. The earlier the presentation, the more severe were the symptoms. Two patients were misdiagnosed initially at the referring hospitals with near disastrous results. Pitfalls in diagnosis are outlined and the various investigative procedures discussed. A flow chart for the diagnostic approach is presented. Treatment was usually by lobectomy but 2 older children presenting late with mild symptoms were managed conservatively with satisfactory results.

Child↗