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PubMed1996

Population review: (7). Review of children.

The size of the child population of the United Kingdom, and the size and type of families and homes children live in, are described in this article. Data are presented on childcare and education, and from the various surveys undertaken into children's diet, height, weight, exercise and health. The problems and behaviour which can affect health are also discussed prior to a concluding discussion on the major causes of death and morbidity, and the welcome reduction in childrens' mortality.

Adolescent↗
PubMed1997

[Conservative surgical treatment of a spontaneous splenic rupture during infectious mononucleosis. Report of a case and review of the [Conservative surgical treatment of a spontaneous splenic rupture during infectious mononucleosis. Case report and literature review].

A spontaneous splenic rupture occurred in a 31 year old patient suffering from infectious mononucleosis. An echography and an abdominal CT Scan revealed a rupture of the inferior pole of the spleen with a hemoperitoneum. A conservative surgical treatment was performed. Postoperative course was uneventful. This case-report draws the attention to the possibility of a conservative surgical treatment of a splenic rupture in the course of infectious mononucleosis. This attitude avoids the complications of splenectomy.

Adult↗
PubMed1997

[Update mid-term review of the pedicular extension in reverse YV flow. Review of a 7-year experience].

Since 1990, the authors use a surgical procedure called reverse flow YV pedicle extension to transfer a flap distally to its donor site. Their clinical experience, based on of 8 different applications and more than 80 clinical cases, demonstrates the reliability of the procedure. Nevertheless, the latissimus dorsi transfer, based on scapular vessels, must be an exceptional indication due to the need to achieve a venous microanastomosis. Moreover, the "extreme lateral arm flap" is considered to require a precise preoperative anatomical assessment because of the variants of the pedicle bifurcation. The authors are convinced that further applications will extend their experience of this procedure.

Humans↗
PubMed2006

A review of the surgical treatment of vulval lymphangioma and lymphangiectasia: four case reviews.

OBJECTIVE: To evaluate whether surgical management of vulval lymphoedema and/or lymphangiectasia conveys any longstanding patient benefit. PATIENT AND METHODS: A qualitative analysis of signs and symptoms that occurred before and after surgical treatment for vulval lymphoedema and/or lymphangiectasia was performed. This was done by analysis of patient notes and telephone conducted interview. RESULTS: From a hospital database search, four patients were found to have had surgical treatment--three for lymphangioma and one for lymphangiectasia. Overall there was a clear improvement in the signs and symptoms associated with these conditions. In particular, all patients reported an improvement (i.e. a reduction or elimination) in the amount of oedema following surgery. CONCLUSION: Carbon dioxide laser therapy and superficial radiotherapy have been previously described for the management of vulval lymphangioma and lymphangiectasia with limited success, whereas our data suggests surgery offers a more permanent solution. In particular, labial reduction seems to be more successful than methods such as lymphovenous anastomoses and lymphangioplasties. A single operation may provide benefit for up to ten years. This approach has the potential to allow patients to be rehabilitated to normal life and activity.

Adolescent↗
PubMed2006

Commentary regarding the publication "Fractures of the mandibular condyle--a review of 466 cases. Literature review, reflections on treatment and proposals" by N. Zachariades et al.

The paper by Zachariades et al. presents a considerable contribution with regards to the epidemiology of condylar fractures. Hence, it is not possible to draw conclusions from this study with regards to the indication of open reduction or closed treatment. Only well-documented prospective and, if possible, randomized studies will be able to help us in the fracture. In the first prospective randomized study [Eckelt U, Schneider M, Erasmus F, Gerlach KL, Kuhlisch E, Loukota R, Rasse M, Schubert J, Terheyden H: Open versus closed treatment of fractures of the mandibular condylar process - a prospective randomized multi-centre study. J Cranio Maxillofac Surg 34: 306-314, 2006], advantages were observed for the open reduction and fixation of displaced fractures with stable osteosynthesis.

Fracture Fixation↗