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Acute Scrotal Swelling as the First Evidence of Intraabdominal Trauma in a Battered Child
1080
PEDIATRIC UROLOGY
Unusual Complications of the Fowler-Stephens Orchidopexy
R. J. BRERETON, Department of Surgery, Queen Elizabeth Hospital for Children, London, England
B. ZEIDAN AND
J. Ped. Surg., 23: 381 (Apr.) 1988 The authors report on a male infant with an intra-abdominal testis who was operated on when he was 4 months old via the Fowler-Stephens technique. The testis was brought down on a wide peritoneal pedicle without tight closure of the remaining peritoneal edges. The patient returned 1 month postoperatively with an inguinal hernia at the same location of the previous orchiopexy. The authors believed that while leaving a broad sheet of peritoneum between the vessels of the vas and the testis is important in the Fowler-Stephens procedure, the surgeon should not leave an unnecessarily wide strip of peritoneum passing through the ring, since this may dilate later and cause an inguinal hernia. 9 references William J. Cromie, M.D. Albany, New York
Drainage from the umbilicus in the early weeks of life following separation of the umbilical cord usually is related to an omphalomesenteric duct remnant or a patent urachus. A 20day-old female newborn had persistent umbilical drainage due to infection of the left umbilical artery, which ruptured at the base of the umbilicus and formed an open umbilicoperitoneal communication. The diagnosis was made by sinus injection study using water soluble contrast agents. Treatment was complete excision of this artery at the nearest junction with the internal iliac artery. 1 figure, 4 references William J. Cromie, M.D. Albany, New York
Use of Tissue Adhesives in the Repair of Lacerations in Children
S.
MIZRAHI, A. BICKEL AND E. BEN-LAYISH, Department of General Surgery, Regional Hospital of Western Galilee, Nahariya, Israel
J. Ped. Surg., 23: 312-313 (Apr.) 1988
Acute Scrotal Swelling as the First Evidence of Intraabdominal Trauma in a Battered Child S.
K. SUJKA, T. C. JEWETT, JR. AND M. P. KARP, Departments of Pediatric Surgery, The Children's Hospital of Buffalo, The University at Buffalo, State University of New York, Buffalo, New York
J. Ped. Surg., 23: 380 (Apr.) 1988 Child abuse is a growing concern in the United States and early recognition of signs of child abuse will lead to expeditious management. The authors report a case of bluish discolorations of the scrotum in a 3-week-old child that resulted from intraperitoneal hemorrhage. At exploration a stellate laceration of the liver with hemoperitoneum was identified. The left hernia sac was noted and the patent processus vaginalis allowed the hemiscrotum to be filled with blood. 8 references William J. Cromie, M.D. Albany, New York
During the last 5 years more than 1,500 minor lacerations in children were treated at the emergency room using a tissue adhesive with gratifying results. The compound is supplied in a plastic vial and is composed of the active adhesive agent nbutyl-2-cyanoacrylate. This compound polymerizes rapidly into a firm adhesive bond in the presence of hydroxyl ions. In each case the wound edges were cleansed with povidone-iodine solution, the edges of the wounds were pressed together and the adhesive compound was applied. After approximately 60 seconds the wound was sealed. When the adhesive compound comes in contact with tissue moisture the polymerization produces heat. This does not injure the surrounding tissue but it does generate a momentary local feeling of burning. Of the 1,500 lacerations treated only 10 required further suture for failure of adherence and at 1 week after treatment only 28 patients had local wound infections. 2 figures William J. Cromie, M.D. Albany, New York
What's New in Pediatric Surgery
Editorial comment. We have ourselves encountered a male infant in whom rupture of the right testis was due to intentional trauma. Physical abuse of infants and children is far more common than the average physician would believe. Pediatricians are now alert to the possibility and the rest of us should become so. Lowell R. King, M.D. Durham, North Carolina
Purulent Umbilical Drainage From Infection of Left Umbilical Artery Associated With Open Umbilicoperitoneal Communication
S.-0. CHOI, W.-H. PARK AND J.-S. KANG, Division of Pediatric Surgery, Department of Surgery, Keimyung University, School of Medicine, Taegu, Korea J. Ped. Surg., 23: 382-383 (Apr.) 1988
R.
J. TOULOUKIAN, Pediatric Surgery, Yale University School of Medicine, New Haven, Connecticut
Pediatrics, 81: 692-696 (May) 1988 Significant new contributions presented at previous meetings of pediatric surgical organizations, including the 56th annual meeting of the Surgical Section of the American Academy of Pediatrics, are summarized. Prenatal diagnosis/fetal surgery. Of 74 cases of catheter decompression for fetal hydronephrosis reported by Manning and associates to the International Fetal Surgery Register 41 per cent with urinary obstruction survived, with a procedure-related death rate of 4.6 per cent. Among those with ventriculoamniotic shunts for hydrocephalus procedure-related mortality was 10 per cent and more than 50 per cent of the survivors had serious neurological handicaps. Based on the experimental work of Sauer and associates the author suggests that prenatal catheter decompression should be limited to the fetus with oliogohydramnios.
PEDIATRIC UROLOGY
Unusual Complications of the Fowler-Stephens Orchidopexy
R. J. BRERETON, Department of Surgery, Queen Elizabeth Hospital for Children, London, England
B. ZEIDAN AND
J. Ped. Surg., 23: 381 (Apr.) 1988 The authors report on a male infant with an intra-abdominal testis who was operated on when he was 4 months old via the Fowler-Stephens technique. The testis was brought down on a wide peritoneal pedicle without tight closure of the remaining peritoneal edges. The patient returned 1 month postoperatively with an inguinal hernia at the same location of the previous orchiopexy. The authors believed that while leaving a broad sheet of peritoneum between the vessels of the vas and the testis is important in the Fowler-Stephens procedure, the surgeon should not leave an unnecessarily wide strip of peritoneum passing through the ring, since this may dilate later and cause an inguinal hernia. 9 references William J. Cromie, M.D. Albany, New York
Drainage from the umbilicus in the early weeks of life following separation of the umbilical cord usually is related to an omphalomesenteric duct remnant or a patent urachus. A 20day-old female newborn had persistent umbilical drainage due to infection of the left umbilical artery, which ruptured at the base of the umbilicus and formed an open umbilicoperitoneal communication. The diagnosis was made by sinus injection study using water soluble contrast agents. Treatment was complete excision of this artery at the nearest junction with the internal iliac artery. 1 figure, 4 references William J. Cromie, M.D. Albany, New York
Use of Tissue Adhesives in the Repair of Lacerations in Children
S.
MIZRAHI, A. BICKEL AND E. BEN-LAYISH, Department of General Surgery, Regional Hospital of Western Galilee, Nahariya, Israel
J. Ped. Surg., 23: 312-313 (Apr.) 1988
Acute Scrotal Swelling as the First Evidence of Intraabdominal Trauma in a Battered Child S.
K. SUJKA, T. C. JEWETT, JR. AND M. P. KARP, Departments of Pediatric Surgery, The Children's Hospital of Buffalo, The University at Buffalo, State University of New York, Buffalo, New York
J. Ped. Surg., 23: 380 (Apr.) 1988 Child abuse is a growing concern in the United States and early recognition of signs of child abuse will lead to expeditious management. The authors report a case of bluish discolorations of the scrotum in a 3-week-old child that resulted from intraperitoneal hemorrhage. At exploration a stellate laceration of the liver with hemoperitoneum was identified. The left hernia sac was noted and the patent processus vaginalis allowed the hemiscrotum to be filled with blood. 8 references William J. Cromie, M.D. Albany, New York
During the last 5 years more than 1,500 minor lacerations in children were treated at the emergency room using a tissue adhesive with gratifying results. The compound is supplied in a plastic vial and is composed of the active adhesive agent nbutyl-2-cyanoacrylate. This compound polymerizes rapidly into a firm adhesive bond in the presence of hydroxyl ions. In each case the wound edges were cleansed with povidone-iodine solution, the edges of the wounds were pressed together and the adhesive compound was applied. After approximately 60 seconds the wound was sealed. When the adhesive compound comes in contact with tissue moisture the polymerization produces heat. This does not injure the surrounding tissue but it does generate a momentary local feeling of burning. Of the 1,500 lacerations treated only 10 required further suture for failure of adherence and at 1 week after treatment only 28 patients had local wound infections. 2 figures William J. Cromie, M.D. Albany, New York
What's New in Pediatric Surgery
Editorial comment. We have ourselves encountered a male infant in whom rupture of the right testis was due to intentional trauma. Physical abuse of infants and children is far more common than the average physician would believe. Pediatricians are now alert to the possibility and the rest of us should become so. Lowell R. King, M.D. Durham, North Carolina
Purulent Umbilical Drainage From Infection of Left Umbilical Artery Associated With Open Umbilicoperitoneal Communication
S.-0. CHOI, W.-H. PARK AND J.-S. KANG, Division of Pediatric Surgery, Department of Surgery, Keimyung University, School of Medicine, Taegu, Korea J. Ped. Surg., 23: 382-383 (Apr.) 1988
R.
J. TOULOUKIAN, Pediatric Surgery, Yale University School of Medicine, New Haven, Connecticut
Pediatrics, 81: 692-696 (May) 1988 Significant new contributions presented at previous meetings of pediatric surgical organizations, including the 56th annual meeting of the Surgical Section of the American Academy of Pediatrics, are summarized. Prenatal diagnosis/fetal surgery. Of 74 cases of catheter decompression for fetal hydronephrosis reported by Manning and associates to the International Fetal Surgery Register 41 per cent with urinary obstruction survived, with a procedure-related death rate of 4.6 per cent. Among those with ventriculoamniotic shunts for hydrocephalus procedure-related mortality was 10 per cent and more than 50 per cent of the survivors had serious neurological handicaps. Based on the experimental work of Sauer and associates the author suggests that prenatal catheter decompression should be limited to the fetus with oliogohydramnios.