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Portacaval shunt in two patients with homozygous type II hyperlipoproteinaemia
138
ABSTRACTS
does not form adhesions. In 18 children treated for gastrochisis, exomphalos, prune-belly-syndrome, diaphragmatic hernia, recta-vaginal fistula, and reconstruction of the abdominal wall after excision of a desmoid-tumor, dura implantations were used. One and a half years postoperatively dura implants showed good healing and excellent results.-Karl-Ludwig Waag
Resectoble Hepatic Hemangioma
in the New-
born Infant. S. Tuonanen, H.-E. Klintrup, kinen and E. Mx~la.
2 Kinderchirurgie
E. Heik-
18/3:265-
Histopathological Studies on lntrahepatic Bile Ducts in the Vicinity of Porta Hepatis in Biliary Atresia. TsuneoChibo, Mario Kosoi, and Nobuoki
Sosano. Tohoku J Exp Med 118:199-207,
1976.
Intrahepatic bile ducts in the vicinity of the porta hepatis were histologically investigated in 9 cases of biliary atresia and the pattern of bile duct was divided into two groups. In the first group, there were a few large bile ducts which had continuity to the extrahepatic bile duct. In the second group, many small bile ducts were histologically observed, but there was no large bile duct at the porta hepatis.-Si. L. Guns
27C, 1976. The cavernous hepatic hemangioma has a spontaneous involution and healing tendency during the first year of life. Before spontaneous cardiac decompensation, regression occurs, rupture, and thrombocytopenia with coagulopathy may result in fatal complications. Surgical treatment consists of removal of the tumor by resection or hepatic lobectomy. Conservative therapy should be carried out in cases with diffuse tumors or tumors extending over both hepatic lobes. Cortisone-therapy, irradiation, and ligation of the hepatic artery have been described. The authors add one case treated successfully by left-lobe resection of the liver including the spleen and the omentum. In the literature 15 patients underwent successful surgery. In nonoperative cases there was a 907” fatality.-Karl-Ludwig Waag
Lympho-Digestive Bile Drainage
at the Porta
Hepatis in Extrahepatic Biliary Atresia. Experimental Study. P. Schweizer ond A. Noch. 2 Kinderchirurgie 18/3:291-293, 1976.
In experimentally produced cases of extrahepatic biliary atresia. the bile can drain through the lymphatics from the porta hepatis to a small bowel segment, which is not opened but only denuded of the serosa. The surgical technique is described. The method is compared with Kasai’s hepato-porto-jejunostomy. The disadvantage of the new method consists in the long time which is necessary to develop biledrainage; liver-cirrhosis will not be prevented.Karl-Ludwig
Waag
Three Cases of Extrahepatic Biliary Atresia; late Results. A.
Pint&,
1. Pifaszanovich, Gy. Kustos, Gyermekgyogyaszat
J. Schiifer and .I. Weisenboch. Hepatic Veins
and their Surgical Significance.
N. Rongabhoshyom
ond S. S. A. Rohim. Ind J Surg
38:6-l 1 (Jan), 1976 This is a study of the gross anatomy of hepatic veins in 50 fresh adult liver, 50 embalmed adult livers, and 50 neonatal and fetal livers. Ten per cent of cellulose acetate butyrate in acetone was injected in the inferior vena cava of the fresh livers and corrosion casts were prepared after fixing. Authors have described and named 20 hepatic vein branches and have also described important variations. For example, they have noted that in 17’4 of the dissections and casts, the middle or central hepatic venous trunk. which drains the anterior segments of the right lobe and medial segments of the left lobe, opens directly on the anterior aspect of the inferior cava near the raw area of the liver. Normally this vein crosses the inferior lobe fissure to open into the left hepatic vein.- k’asun~ Talwalker
27~18%190,
1976.
During a period of 20 yr 27 infants were operated on for biliary atresia. In 3 patients corrective procedures were possible. They have been followed up clinically and radiologically. In a girl who is now 9 yr old, a cholecystduodenostomy was performed. She is thriving but has had three attacks of cholangitis. The second patient. in whom a membraneous occlusion at the level of the ampulla of Vater was incised, dilatated and intubated for 11 days, is now 8 yr old; he is well developed and totally free of complaints. In the last patient a choledocho-duodenostomy was performed 2 yr ago; the bile flow is free. The surgical interventions were carried out at the age of 15. 38 and 46 days of life, respectively.-Andrew Pi&r Portacavol Shunt in Two Patients with Homozygous Type II Hyperlipoprotdnaemia.
S. Cywes,
M. R. Q. Davies, J. H. Louw, G. M. 6. Berger, F.
139
ABSTRACTS
Bonnici end H. S. J&e. (February), 1976.
SA Medical Journal 50239
The clinical and biochemical course of two patients who underwent portacaval shunting for the relief of homozygous type I I hyperlipoproteinemia are reported. In one, the unusual complication of blockage of the surgically created portacaval bypass is reported. As expected, no postoperative relief of symptomatology was seen in this patient. In the second case, both a dramatic relief in symptoms as well as a significant fall in the plasma cholesterol concentration was seen. The present role of portacaval shunts in the management of this condition is discussed.-A4, R. Q. Davies.
GENITOURINARY Parent-to-Child
and
TRACT
Child-to-Patient
Kidney
Transplants. I?.1. Simmons, Jane Thompson, C. W.
Kjellstrand, E. J. Yunis, R. M. Condie, S. M. Mouer, 7. J. Buselmeier, end J. S. Nojorion. Loncet 1:321324 (February), 1976. This article reports the follow up of 101 parent to child or child to parent renal transplants performed for end stage renal failure at the University Departments in Minneapolis, Minnesota. The two year functional kidney rate was 79”/, and the absolute patient survival rate was 884;. There was no significant difference in resuits in either group, or at any particular age. In the authors’ view the poor results of cadaver transplantation and the high personal motivation to donate in these groups strongly support informing potential recipients of the benefits of this type of donation.--M. H. Cough A
Surgical
nephroma
Approach
to
Bilateral
Using “Benchwork”
Hyper-
Excision and
Autotransplantation.
R. S. Hollobaugh, R. C. Cheek and K. D. Sellers. The Amer Surg 42/6:41 l415 (June), 1976. A case of bilateral hypernephroma in a 10 yr old girl treated by right heminephrectomy in situ and benchwork excision of two tumors from the left kidney followed by autotransplantation has been followed for one year. One year following surgery, bowel obstruction occurred requiring resection and at that time there was no evidence of recurrence.--E. J. Berman Colic as the Sole Symptom of Urinary Tract lnfection in Infants. JosephN. H. Du. Canadian Med Assoc J 115:334-337 (August), 1976.
Four infants
are reported
whose
only
symp-
tom was persistent recurrent intestinal colic. In all, urinary tract infection was diagnosed, with complete relief of the colic following appropriate treatment of the urinary problem.-Co/in C. Ferguson Improved Repairs in 100 Cases of Penile Hypospadias. F. V. Nice&. Br J Plastic Surg 29:150-
157 (April), 1976. This paper describes a technique which embodies aspects of those of Byars (1955) and Cloutier (1961). In Stage I a circumcision is done, and the chordee is released. All fibrous tissue is excised. The desired site of the new external meatus is then marked and the penis is cleft from this point to the existing meatus. This cleft lies between the corpora cavernosa. The excised preputial skin is then used as a free full thickness skin graft to the raw area. A pressure dressing is held in place with sutures and a urethral catheter is used. After 4-6 mo a Byar’s type of repair with a perineal urethrostomy is done. A tourniquet is used in both stages, One hundred cases have been operated on, and 3 yr of age is regarded as the optimum. The complication rate is low and included 5 urinary fistulas. All the free grafts were successful. The urethral meatus at the tip of the glans produces a well projected stream and there is no evidence of interference with erections.--d. Jolleys Hypospadias-Reappraisal nique. N. J. Bedermon.
of a Simple
Tech-
Plos and Recon Surg 58:
55-59 (July), 1976. The paper describes the Cloutier technique of two staged hypospadias repair in I88 patients. The only modification offered was a tubing of the buried skin at the second stage. The article details the principles of repair, the types of hypospadias, as well as a very detailed report on family history and associated coneenital Y anomalies. Regarding the latter, there was a positive family history in l2:/ with a sibling being the commonest relationship. Congenital malformations were noted in ISo/, and of these, 639,> occurred within the genito-urinary tract. Total satisfaction occured in 5696 of the patients. No complications occured in 61”;, of the remaining, most (32’;) were fistula formation. I50 patients required modifications of at least one additional procedure. An interesting comparision is reported in 173 patients listing the types of surgeons doing the repair. Plastic surgeons accounted for the repairs in 89 cases and
ABSTRACTS
does not form adhesions. In 18 children treated for gastrochisis, exomphalos, prune-belly-syndrome, diaphragmatic hernia, recta-vaginal fistula, and reconstruction of the abdominal wall after excision of a desmoid-tumor, dura implantations were used. One and a half years postoperatively dura implants showed good healing and excellent results.-Karl-Ludwig Waag
Resectoble Hepatic Hemangioma
in the New-
born Infant. S. Tuonanen, H.-E. Klintrup, kinen and E. Mx~la.
2 Kinderchirurgie
E. Heik-
18/3:265-
Histopathological Studies on lntrahepatic Bile Ducts in the Vicinity of Porta Hepatis in Biliary Atresia. TsuneoChibo, Mario Kosoi, and Nobuoki
Sosano. Tohoku J Exp Med 118:199-207,
1976.
Intrahepatic bile ducts in the vicinity of the porta hepatis were histologically investigated in 9 cases of biliary atresia and the pattern of bile duct was divided into two groups. In the first group, there were a few large bile ducts which had continuity to the extrahepatic bile duct. In the second group, many small bile ducts were histologically observed, but there was no large bile duct at the porta hepatis.-Si. L. Guns
27C, 1976. The cavernous hepatic hemangioma has a spontaneous involution and healing tendency during the first year of life. Before spontaneous cardiac decompensation, regression occurs, rupture, and thrombocytopenia with coagulopathy may result in fatal complications. Surgical treatment consists of removal of the tumor by resection or hepatic lobectomy. Conservative therapy should be carried out in cases with diffuse tumors or tumors extending over both hepatic lobes. Cortisone-therapy, irradiation, and ligation of the hepatic artery have been described. The authors add one case treated successfully by left-lobe resection of the liver including the spleen and the omentum. In the literature 15 patients underwent successful surgery. In nonoperative cases there was a 907” fatality.-Karl-Ludwig Waag
Lympho-Digestive Bile Drainage
at the Porta
Hepatis in Extrahepatic Biliary Atresia. Experimental Study. P. Schweizer ond A. Noch. 2 Kinderchirurgie 18/3:291-293, 1976.
In experimentally produced cases of extrahepatic biliary atresia. the bile can drain through the lymphatics from the porta hepatis to a small bowel segment, which is not opened but only denuded of the serosa. The surgical technique is described. The method is compared with Kasai’s hepato-porto-jejunostomy. The disadvantage of the new method consists in the long time which is necessary to develop biledrainage; liver-cirrhosis will not be prevented.Karl-Ludwig
Waag
Three Cases of Extrahepatic Biliary Atresia; late Results. A.
Pint&,
1. Pifaszanovich, Gy. Kustos, Gyermekgyogyaszat
J. Schiifer and .I. Weisenboch. Hepatic Veins
and their Surgical Significance.
N. Rongabhoshyom
ond S. S. A. Rohim. Ind J Surg
38:6-l 1 (Jan), 1976 This is a study of the gross anatomy of hepatic veins in 50 fresh adult liver, 50 embalmed adult livers, and 50 neonatal and fetal livers. Ten per cent of cellulose acetate butyrate in acetone was injected in the inferior vena cava of the fresh livers and corrosion casts were prepared after fixing. Authors have described and named 20 hepatic vein branches and have also described important variations. For example, they have noted that in 17’4 of the dissections and casts, the middle or central hepatic venous trunk. which drains the anterior segments of the right lobe and medial segments of the left lobe, opens directly on the anterior aspect of the inferior cava near the raw area of the liver. Normally this vein crosses the inferior lobe fissure to open into the left hepatic vein.- k’asun~ Talwalker
27~18%190,
1976.
During a period of 20 yr 27 infants were operated on for biliary atresia. In 3 patients corrective procedures were possible. They have been followed up clinically and radiologically. In a girl who is now 9 yr old, a cholecystduodenostomy was performed. She is thriving but has had three attacks of cholangitis. The second patient. in whom a membraneous occlusion at the level of the ampulla of Vater was incised, dilatated and intubated for 11 days, is now 8 yr old; he is well developed and totally free of complaints. In the last patient a choledocho-duodenostomy was performed 2 yr ago; the bile flow is free. The surgical interventions were carried out at the age of 15. 38 and 46 days of life, respectively.-Andrew Pi&r Portacavol Shunt in Two Patients with Homozygous Type II Hyperlipoprotdnaemia.
S. Cywes,
M. R. Q. Davies, J. H. Louw, G. M. 6. Berger, F.
139
ABSTRACTS
Bonnici end H. S. J&e. (February), 1976.
SA Medical Journal 50239
The clinical and biochemical course of two patients who underwent portacaval shunting for the relief of homozygous type I I hyperlipoproteinemia are reported. In one, the unusual complication of blockage of the surgically created portacaval bypass is reported. As expected, no postoperative relief of symptomatology was seen in this patient. In the second case, both a dramatic relief in symptoms as well as a significant fall in the plasma cholesterol concentration was seen. The present role of portacaval shunts in the management of this condition is discussed.-A4, R. Q. Davies.
GENITOURINARY Parent-to-Child
and
TRACT
Child-to-Patient
Kidney
Transplants. I?.1. Simmons, Jane Thompson, C. W.
Kjellstrand, E. J. Yunis, R. M. Condie, S. M. Mouer, 7. J. Buselmeier, end J. S. Nojorion. Loncet 1:321324 (February), 1976. This article reports the follow up of 101 parent to child or child to parent renal transplants performed for end stage renal failure at the University Departments in Minneapolis, Minnesota. The two year functional kidney rate was 79”/, and the absolute patient survival rate was 884;. There was no significant difference in resuits in either group, or at any particular age. In the authors’ view the poor results of cadaver transplantation and the high personal motivation to donate in these groups strongly support informing potential recipients of the benefits of this type of donation.--M. H. Cough A
Surgical
nephroma
Approach
to
Bilateral
Using “Benchwork”
Hyper-
Excision and
Autotransplantation.
R. S. Hollobaugh, R. C. Cheek and K. D. Sellers. The Amer Surg 42/6:41 l415 (June), 1976. A case of bilateral hypernephroma in a 10 yr old girl treated by right heminephrectomy in situ and benchwork excision of two tumors from the left kidney followed by autotransplantation has been followed for one year. One year following surgery, bowel obstruction occurred requiring resection and at that time there was no evidence of recurrence.--E. J. Berman Colic as the Sole Symptom of Urinary Tract lnfection in Infants. JosephN. H. Du. Canadian Med Assoc J 115:334-337 (August), 1976.
Four infants
are reported
whose
only
symp-
tom was persistent recurrent intestinal colic. In all, urinary tract infection was diagnosed, with complete relief of the colic following appropriate treatment of the urinary problem.-Co/in C. Ferguson Improved Repairs in 100 Cases of Penile Hypospadias. F. V. Nice&. Br J Plastic Surg 29:150-
157 (April), 1976. This paper describes a technique which embodies aspects of those of Byars (1955) and Cloutier (1961). In Stage I a circumcision is done, and the chordee is released. All fibrous tissue is excised. The desired site of the new external meatus is then marked and the penis is cleft from this point to the existing meatus. This cleft lies between the corpora cavernosa. The excised preputial skin is then used as a free full thickness skin graft to the raw area. A pressure dressing is held in place with sutures and a urethral catheter is used. After 4-6 mo a Byar’s type of repair with a perineal urethrostomy is done. A tourniquet is used in both stages, One hundred cases have been operated on, and 3 yr of age is regarded as the optimum. The complication rate is low and included 5 urinary fistulas. All the free grafts were successful. The urethral meatus at the tip of the glans produces a well projected stream and there is no evidence of interference with erections.--d. Jolleys Hypospadias-Reappraisal nique. N. J. Bedermon.
of a Simple
Tech-
Plos and Recon Surg 58:
55-59 (July), 1976. The paper describes the Cloutier technique of two staged hypospadias repair in I88 patients. The only modification offered was a tubing of the buried skin at the second stage. The article details the principles of repair, the types of hypospadias, as well as a very detailed report on family history and associated coneenital Y anomalies. Regarding the latter, there was a positive family history in l2:/ with a sibling being the commonest relationship. Congenital malformations were noted in ISo/, and of these, 639,> occurred within the genito-urinary tract. Total satisfaction occured in 5696 of the patients. No complications occured in 61”;, of the remaining, most (32’;) were fistula formation. I50 patients required modifications of at least one additional procedure. An interesting comparision is reported in 173 patients listing the types of surgeons doing the repair. Plastic surgeons accounted for the repairs in 89 cases and