Biomedical subjects

V Bartl

Publications and source records attributed to V Bartl.

16 recordsLinked to original sources

PubMed2005

[Endoscopic investigations in children under 3 years of age at the clinic of paediatric surgery].

BACKGROUND: Retrospective study of gastroscopic investigations in children under 3 years of age. METHODS AND RESULTS: Since 1.1.2002 till 31.10.2004 we performed 119 endoscopic investigations in children of this age. 21 patients were excluded because of missed documentation. The average weight of our children was 11.8 kg. (min. 2.8, max 20 kg). In 55 cases suspicion for the oesophageal or gastric corrosion was the reason of investigations. in 24 cases swallowed alien bodies, in 10 patients we performed dilatation of oesophageal stenosis in repeated sessions in 1-6 moths periods. In 4 children we introduced percutaneous endoscopic gastrostomy (PEG), in 3 children ERCP was performed because of cystic dilatation of the bile duct. In I child the supposed hematemesis was the reason of gastroscopy (negative) and in one patient oesophageal varicula were assumed (negative). CONCLUSIONS: Oesophageal or gastric corrosions were assured in 12 cases (Grade 1.-2.:20.2%). 5 alien bodies couldn't be removed because of peristalsis, 1 object because of its dimensions (25% failures). Our dilations were performed in oesophageal stenosis with bougies or balloon dilator. 9 children were first operated for oesophageal atresia (Vogt IIIb), 1 child was after an operation for oesophageal corrosion with perforation.

Child, Preschool↗

PubMed2004

[Percutaneous endoscopic gastrostomy in children].

AIM: The authors evaluate their experience with percutaneous endoscopic gastrostomy in children at the age of three months to 14 years. COHORT: Forty three patients treated with this method in the years 1995-2002. METHODS: The percutaneous endoscopic gastrostomy is applied in children under general anesthesia. In two patients only it proved to be necessary to convert to open or laparoscopic gastrostomy. RESULTS: Only minor complications were encountered. CONCLUSIONS: It became obvious that percutaneous endoscopic gastrostomy is a suitable method to provide long-term enteral nutrition in children of child age who may not be nourished sufficiently by natural ways.

Adolescent↗

PubMed2002

[Treatment of redislocated fragments of long bones using plaster cast wedging].

The authors wish to remind of the advantages of an old conservative therapeutic method used in redislocated long bone fractures--cast wedging, Gipskeilung. This mode of treatment makes it possible to restore axial as well as planar dislocation and it is used in corrections of redislocated fractures of the leg and is applied during the last 3 years also in the treatment of fractures of the forearm in children. In 1997-2000 this procedure was used for treatment at the Clinic of Paediatric Surgery, Orthopaedics and Traumatology, 33 children aged 3-16 years, with a redislocated fracture of the leg, 21 children aged 3-16 years, mean age 9.8 years, and with a redislocated fracture of the forearm 12 children aged 5-15 years, mean age 10.2 years. In no instance this treatment failed or was associated with serious complications. According to experience with our group of patients a method is involved which in correct indications holds a justified place in treatment of fractures of the leg and forearm in traumatology of child an adolescent age.

Adolescent↗

PubMed2001

[Injuries of the cervical spine in children--2 case reports].

Helical CT of the spine was done for suspicion of injury in 22 children (from July 1999 to December 2000): cervical spine in 7 children (average age 12.1 years), thoracic spine in 10 children (average age 11.9 years), lumbar spine in 5 children (average age 14.6 years). MR examination were done in 23 children: cervical spine in 3 children (average age 7.5 years), thoracic spine in 16 children (average age 10.5 years), lumbar spine in 4 children (average age 13.3 years). (There were no differences between the distribution of boys and girls in thoracic spine injuries; in cervical and lumbar spine injuries girls predominate). 2 case reports are described.

Cervical Vertebrae↗

PubMed2000

[Mini-invasive osteosynthesis in injuries of the metacarpal bones in children].

Injuries of the metacarpal bones in child and adolescent age are much less frequent than in adult age. Most frequently the IVth and Vth metacarpal bone are affected where paradoxically in the distal area metaphyseal fractures predominate over injuries of the physes. During the period between 1994-1998 on account of this injury in our department a total of 11 patients were treated by the method of miniinvasive osteosynthesis. In 7 instances treatment by means of a Kirschner wire was used in injuries of the base of the 1st metacarpal bone, incl. four cases where a physeal separation of the Salter-Harris II type was involved, once a physeal fracture of the Salter-Harris III type and twice a metaphyseal injury. In four patients the subcapital fracture of the metacarpal bone was transfixed. In all instances one implant was used. A total of 11 excellent results were recorded. In one injury of the 1st metacarpal bone slight restriction of movements in the metacarpophalangeal joint occurred. Miniinvasive osteosynthesis, if indicated, is a reliable and simple method with excellent results. A thin Kirschner wire which should be always inserted, avoiding adjacent joints, is a satisfactory implant.

Adolescent↗

PubMed2000

[Mini-invasive osteosynthesis in injuries of the finger phalangeal bones in children].

Injuries of the skeleton of phalanges of the fingers are along with injuries of the forearm the most frequent fractures in childhood and in the great majority conservative treatment is possible. Only exceptionally primary surgery is needed and if it fails and redislocation occurs, surgical treatment is indicated. Then the method of choice is miniinvasive osteosynthesis--percutaneous fixation. During the period between 1994 and 1998 the authors treated thus 22 patients on account of skeletal injuries of the phalanges. Primarily the method was used in 16 cases, 6x after redislocation of fragments. In 9 instances thus diaphyseal injuries were treated, in 7 cases intercondylar fractures and in 6 instances fractures of the base of the distal fragment. In 18 instances Kirschner wire was used and four times a fragment fixation screw. The general results of treatment were in 16 patients excellent, in 4 instances satisfactory and in two cases unsatisfactory. In one case marked restriction of mobility and stiffness of the joint developed after fixation of an intercondylar fracture and in one instance a mallet finger developed. No serious suppurative complications were observed nor any serious neurovascular complications. The apparent trivial character of the injury and its fixation must not lead to underrating of this type of fracture as it may have permanent sequelae. The latter are not very serious but are a certain handicap. In particular in conjunction with some professions (music) they can have a marked influence on the patient's future.

Child↗

PubMed2000

[Hemodynamic changes after sclerotherapy of esophageal varices in children].

The authors present an account on favourable late results of sclerotization of oesophageal varices in children. After sclerotization not only an immediate effect can be observed such as arrest of haemorrhage but also long-term favourable effects are found in the venous circulation of the splanchnic area.

Child↗

PubMed1999

[Treatment of fractures in the elbow region in children using the Fragment Fixation System--initial experience].

In child traumatology among implants an irreplaceable place is held by Kirschner wires. An improved version of this implant is the Orthofix Fragment Fixation System (FFS) of Kendall Co. which combines the advantages of Kirschner wires with the compressive properties of a screw. During the past two years at the Clinic of Child Surgery and Traumatology in Brno by osteosynthesis, using FFS implants, a total of 21 patients were treated incl. 19 under the age of 15 years. On account of injuries of the elbow 15 children were treated (radial physis of the humerus--9x, ulnar epicondyle--4x, fracture of the ulnar olecranon--2x). The authors present an account of the hitherto assembled favourable experience and results of this method in the treatment of injuries of the elbow in children.

Adolescent↗

PubMed1996

[Personal experience with elastic stable intramedullary osteosynthesis in children].

Derived from Ender's elastic nail and from other fixation techniques, elastic stable intramedullary nailing (ESIN) provides a combination of elastic mobility and stability. The operation uses only small incisions, is rapid, blood loos is minimal and physeal area stands intact. Mobilisation using crutches but without-bearing is allowed as soon as the fracture is painfree and from third week starts partial weight-bearing. Between November 1994 and May 1996 21 children with femoral shaft fracture, 7 children with tibial shaft fracture and 1 child with humeral shaft fracture were admitted to the Pediatric Hospital in Brno and treated with ESIN. The guider and the nails from finest quality steel were made for us by the czech firm Medin, a. s. to order. We report about our good experiences with the ESIN-method.

Child↗

PubMed1989

[Pediatric polytrauma].

Based on earlier knowledge, the severe multiple injuries are classified according to dominating symptoms into several groups. Of the total number of 277 cases of polytraumatism treated in our clinic in 1977-1986, the highest mortality (i.e. 75%) occurred in the group without a dominating injury in which a severe trauma affects different organs and or body systems so that it is not possible to decide which of them ist the most important. The second group of patients with injured head and chest was classified (56% of mortality); in these patients a limited ventilation capacity, hypoxia, increased level of CO2 and acidosis caused the brain oedema. The definition of a proper sequence of reconstruction of individual damaged organs is of cardinal importance for the survival of patients. Interventions of vital indication must be performed in time even under unfavourable conditions because no resuscitation can replace a causal surgical intervention.

Child↗

PubMed1989

[Incidence of multiple injuries in children 1977-1986].

The authors give an account of multiple injuries in children during a ten-year period. Injuries are divided into different groups according to the dominating injury--head, chest, abdomen, pelvis, urogenital system, extremities and injuries without a dominant. From the total number of 277 casualties there were 101 with a predominating injury of the head, 35 of the chest, 41 of the abdomen, 24 of the pelvis and urogenital system, 71 of the extremities and 4 without a dominant. Deaths were recorded after dominating head injuries in 11.8%, after dominating abdominal injuries in 7.3% and in the group without a dominant in 75%. In the remaining group no deaths were recorded. Attention is paid also to the diagnosis and therapeutic tactics of these serious conditions and the necessity to establish the order in which to implement therapeutic procedures in multiple injuries.

Adolescent↗

PubMed1988