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Biomedical subjects

G Menardi

Publications and source records attributed to G Menardi.

At least 73 records · Page 4Linked to original sources
PubMed1983

[Results of total colectomy in childhood].

In nineteen colectomized children operated for Hirschsprung's disease in most instances, size and weight were within normal ranges about six years after surgery. They passed stools, mostly of pulpy consistence, once to ten-times a day, on average four times a day. Eleven children suffered from continence disturbances. Seven developed severe recurrent enteritis. These results as well as those of three children operated according to Martin's technique are compared with those in the literature.

Adolescent↗
PubMed1983

[Staging of Hodgkin's disease in childhood].

Any therapy of the Morbus Hodgkin depends on an exact staging. Until 1969 staging was done after evaluation of different parameters such as histological examination of lymph nodes, scintigraphy of liver and spleen, laboratory tests, and finally the clinical picture. Classification of lymphogranulomatosis was quite ameliorated after introduction of the staging laparotomy with or without splenectomy as a diagnostic routine procedure by Glatstein and Coworkers in 1969. And today any adequate therapy is based on this surgical staging. Before planning the laparotomy some questions are important for the pediatric surgeon and the oncologist: Which complication are to be expected? Should there always be a splenectomy, and does it have dangerous sequelae? Are simultaneous surgical intervention indicated? Which is the right timing for the staging laparotomy?

Biopsy↗
PubMed1983

Results of postoperative treatment of ileus in infants and children by means of gastrocecal tube splinting of the intestine.

Since 1966, gastrocecal tube splinting of the small intestine has been used in 77 instances of postoperative ileus, the over-all mortality being 5.2 per cent. Six to seven patients in whom the operation had been performed at least one year ago, a mean value of 3.5 years, had follow-up examinations. One child had a recurrence of ileus, and in one patient, postoperative invagination was observed. Seventy per cent of the children having follow-up examinations were completely asymptomatic, 24 per cent had slight complaints and 6 per cent did not respond. The method described can, therefore, be recommended for the prevention and therapy of postoperative ileus, provided these contraindications are observed: severe disturbances of intestinal circulation; enterocolitis and ulcerations of intestinal mucosa; meconium ileus, in primary operations, and gastroschisis, in primary operations.

Child↗
PubMed1982

[The chronically altered appendix in children. Cooperative work of the Austrian Society for Pediatric Surgery].

In this multicentric study the anamnestic data and parents questionaires of 2-29 children were evaluated, whose appendix vermiformis at the time of operation showed no signs of inflammation. 31,1% macroscopically showed cicatrisation or fasciation, in 13,7% other enteral or gynaecological (1%) findings were present. In 1194 of the cases of patho-histological examination of the appendix had been made of which 36.4% were negative, 37.7% showed cicatrisation, 15,0% oxyuriasis and 10,4% coproliths. In the discussion of the significance of the chronically altered non-inflamed appendix we compared patients with and without macroscopical or microscopical alterations. We came to the conclusion that the probability-index as to sex, duration of symptoms, complexity of symptoms, incidence of postoperative well-being, proved the chronically altered appendix not to be an illness per se, but the result of spontaneously arrested inflammation. Since the rate of children admitted with a perforated appendix is high (15-20%) in comparison with the rate of complications after removal of non-inflamed appendices (2,9%), we believe that according to the diagnostical problems the principle can be maintained: in dubio pro operatione.

Adolescent↗
PubMed1981

[Treatment of Wilms' tumor (author's transl)].

Uniform treatment based on the therapeutic approach of the 1st and 2nd US National Wilms' Tumor Study was decided on in March 1976 by paediatricians, surgeons, urologists and radiotherapists in Austria. Wilms' tumour was diagnosed in 34 children between 1 january 1976 an 29 february 1980 (stage I: n = 11, stage II: n = 8, stage III: n = 8, stage IV: n = 7). Parents of two children refused treatments; both children have since died of metastases. Of the remaining 32 children 29 (90.6%) are alive, 10 for more than 4, 15 for more than 3 and 19 for more than 2 years after diagnosis. 21 children are without need of treatment. Three children have died, one due to postoperative complications, one due to haemorrhagic chickenpox, but free of tumour, and one after insufficient treatment. Two of the five children with a recurrence between 2 1/4 to 15 months after diagnosis had been treated inadequately in the initial phase. The tumour free survival rate in 74.2%. Two children with early occurring or recurrent lung metastases have survived for 53 1/2 and 54 months up to now.

Age Factors↗
PubMed1981

Late results after surgical treatment of maldescended testes with special regard to exocrine and endocrine testicular function.

Testicular volumes and exocrine testicular function were determined in 82 men who had undergone orchidopexy (36 bilateral, 46 unilateral) at 5-18 years of age. The testicular volumes in unilateral and bilateral orchdopexied patients correspond to those on normal mature males. Semen analyses in unilateral cryptorchidism were normal in 13, doubtful in 23 and pathological in 10 patients. Out of a total of 36 patients who have undergone bilateral orchidopexy, 3 patients were found to have normal, 7 patients doubtful and 26 patients pathological sperm analyses. Endocrine evaluation in bilateral cryptorchidism (prepuberal, puberal and postpuberal) showed no differences in testosterone levels compared to control groups. Some postpuberal patients with pathological sperm analyses were found to have elevated LH and FSH levels; 22 postpuberal patients with pathological sperm analyses showed hypergonadotropism with markedly elevated LH and FSH levels after GnRH.

Adolescent↗
PubMed1980

[Childrens opinions of hospitals (author's transl)].

57 children aged 5 to 13 years who were hospitalized for minor surgical interventions were asked to express any positive or negative criticism about their stay. One month later the parents were asked to tell us about any behavioural changes they noticed in their children. The surprisingly positive answers are discussed.

Adolescent↗