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Biomedical subjects

J Gierup

Publications and source records attributed to J Gierup.

At least 37 records · Page 2Linked to original sources
PubMed1978

A new treatment of anal incontinence in children: free autogenous muscle transplantation.

A new method is presented for the treatment of anal incontinence in children, including free autogenous muscle transplantation. The primary step is denervation of a skeletal muscle, which 2 wk later is transplanted and placed as a U-sling around the rectum, imitating the position and function of the puborectalis muscle. The transplant is placed in close contact with innervated muscles, which act as reinnervation sources. The results in five consecutive patients are highly promising. An early sign of improvement is the occurrence of a sensation of rectal fullness. All the patients reached an acceptable degree of continence, including abandonment of the use of napkins, 4-12 mo after surgery.

Adolescent↗
PubMed1978

Urodynamic studies in boys with disorders of the lower urinary tract. IV. Congenital bladder neck obstruction. A pre- and postoperative study.

Eighteen boys with diagnose of bladder neck obstruction, based on roentgenological criteria, underwent urodynamic investigations. In the majority of patients, urodynamics clearly deviated from the normal range, substantiating that bladder neck obstruction, although rare, really exists in male infants and children. A rather uniform radiographic appearance of the bladder neck was associated with different urodynamic patterns, suggesting that various pathophysiological mechanisms may be involved.

Child↗
PubMed1977

Urodynamic studies in boys with disorders of the lower urinary tract. I. Urethral strictures. A pre-and postoperative study.

Sixteen boys with urethral strictures underwent urodynamic investigation pre- and postoperatively. The intravesical pressure preoperatively showed wide variations during micturition and was increased in only half of the patients. The urinary flow pre-operatively displayed a uniform picture with a decreased maximum flow in all the patients, plateau-formation and slow initiation of the flow curve. The maximum exit velocity of the urinary stream was decreased and the urethral energy losses were very high. After treatment, the out-flow situation was generally improved, but restored to normal only in some cases. Patients with short strictures showed the highest degree of urethral obstruction, but they also seemed to have the best prognosis, some of them even reaching supernormal flows. Flow measurement alone is recommended in the long-term follow-u, which is necessary in these patients. After-contraction was not present in any of the patients pre-operatively, blt occurred in about half of them postoperatively. This and some other findings may indicate the existence of functional changes in the bladder neck in patients with urethral stricture. On case with partial detrusor muscle insufficiency is reported.

Child↗
PubMed1977

Urodynamic studies in boys with disorders of the lower urinary tract. II. Stenosis of the external urethral meatus. A pre- and postoperative study.

Nineteen boys with stenosis of the external urethral meatus underwent urodynamic investigation. The intravesical pressure pre-operatively was essentially normal in all but two patients. The urinary flow preoperatively was characterized by slow initiation, plateauformation in the flow curve and, in all but two patients, a decreased maximum flow. The urethral resistance was increased in all patients. The maximum exit velocity of the urinary stream was generally increased and the urethral energy losses essentially within normal limits. Urodynamic investigation proved to be of value in respect of diagnosis and follow-up. The outflow situation was satisfactorily improved in most patients after treatment, but in one third there was little or no change for the better.

Child↗
PubMed1976

Incidence and nature of horse-riding injuries. A one-year prospective study.

A prospective one-year study of horse-riding accidents was performed in an area with a very high frequency of amateur riding. Totally 174 patients with riding injuries were registered--66% children--making an incidence of only 0.7 per thousand riding occasions. However, many of these injuries were of a severe nature, one leading to death and 27 of the patients reporting persisting symptoms at follow-up one year after the accident. Eleven per cent of the accidents lead to cerebral injuries and 44% to fractures, mainly of the upper extremities. Eleven per cent required hospitalization and 17% operation under general anaesthesia. Clarification of the circumstances concerning the accidents indicated that many of the severe injuries could probably have been avoided by use of better safety equipment.

Adolescent↗
PubMed1975

Acute non-specific epididymitis in boys. A survey based on 48 consecutive cases.

A series of 48 boys with acute non-specific epididymitis is presented, indicating that this disease is probably not so rare as has been claimed. Our material consisted of two major groups: infants and boys between 10 and 15 years of age. Surgical exploration was made in 22 cases, predominantly infants. Diagnosis could be made from the clinical picture in most of the older boys. In the younger boys, wide indications for surgical exploration are necessary in order not to overlook a torsion of the testis. One third of the patients had significant growth of bacteriae in the urine. Bacteriuria was more often found in infants than in older children. The possible source of the epididymitis could be found in only a small proportion of the cases. A follow-up investigation 3-20 years after the initial attack showed that the prognosis is favourable in boys.

Acute Disease↗
PubMed1975

Aspects on appendiceal abscess in children with special reference to delayed appendectomy.

A series of 52 children with appendiceal abscess is presented. The general policy of treatment was initially conservative regime followed by delayed elective appendectomy. Ten patients had a recurrence before appendectomy was performed. In 2 patients, potentially malignant conditions were discovered at appendectomy. There were no significant postoperative complications. Delayed elective appendectomy is recommended after an interval of 4-6 weeks.

Adolescent↗