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Prosthetic replacement of the esophagus
ABSTRACTS
280
the nature and severity of major associated anomalies before a decision is made about starting treatment of the oesophageal anomaly. In those combinations of anomalies which preclude long-term survival, treatment should be withheld. In this connection 14 of 28 patients with an anorectal anomaly (in both series taken together) had other severe anomalies and 12 of these 14 died, after strenuous and sometimes prolonged efforts had been made to try to save them.-A. J. Dougall Prosthetic Solama.
Replacement
of the Esophogus.
J Thoroc Cardiovasc Surg
(October), Another
f. D.
Hydrocolpos.
prosthetic
replacement
for the esophagus which does not work is presented. This one is of dacron knit covering silicone rubber and was placed in pigs.--Thomas M. Holder
GENITOURINARY Some Observations
TRACT
ond Theories
Ureter ond Hydmnephrosis.
of the congenital
defect is
given. Four categories of surgical correction are detailed. They are: (1) Complete reconstruction using iliac osteotomies, bladder reconstruction, and soft tissue repair. (2) Internal urinary diversion. (3) External urinary diversion. (4) Internal urinary diversion plus colostomy. Indications, complications, and side effects of each procedure are clearly detailed. The article presents three case reports, which serve to acquaint the reader with the authors philosophy of surgical treatment-A.& Sokol
70:739-746
! 975.
Ural 47:377-385
and the anatomy
on the Wide
R. H. Whifoker.
Br J
(August), 1975.
U. D. Golviyo, D. G. Howell, M. J.
McMohon, and R. A. Mogg. Br J Ural 47:449-452 (August), 1975.
The authors discuss the diagnosis and therapy of hydrocolpos after first presenting their experience with three patients. All three patients had an obstructive vaginal membrane as well as excessive secretion from the genital glands. If the diagnosis is entertained early, a laparotomy can usually be avoided and the prognosis be much improved. The diagnosis can often be readily made by vaginal examination.
Mr. Whitaker proposes his own classification of the wide ureter avoiding connotative terms such as megaureter and hydroureter. He describes the mechanism of urine transport in the normal ureter and with this background theorizes on the failure of urine transport in the wide ureter and wide pelvis.
In the normal, the cervix can be visualized, whereas in the patient with hydrocolpos, a bulging vaginal membrane obstructs the view. Treatment may then only require incision of the membrane and subsequent tube drainage of the vagina for two days.-K.I. Glassberg
If a ureter contracts ineffectively and cannot form a bolus of urine, the urine cannot be propelled distally. As a result there is no head of pressure exerted and a normal orifice can become an obstructive orifice. This ineffectively contracting ureter then works more vigorously passing ineffective peristaltic waves down the ureter. The normal circular muscle in the distal ureter now hypertrophies from the over-activity and becomes even more obstructive. The author effectively presents his theory with the aid of simple diagrams and carries it over to the obstructive pelviureteric junction.--K.L G&_&erg
Orchiocholasy
One-stage
Reconstruction
Bladder in Girls.
for Exstrophy
of the
D. W. Furnos, N. A. Hog, and
G. Somers. Plast Reconstr Surg
56:61-69
(July),
1975. A review of the surgical approaches toward the correction of bladder exstrophy in girls (1:50,000) is reported. A description of the embryonic development
for Undescended
Testis.
W.
Van
Essen and K. S. Panesor. J R Coil Surg Edinb 20:
248-253
(July), 1975.
The authors describe an operation for undescended testes which involves widespread mobilisation of the testicular vessels and occasionally of the vas. Since its success does not depend on fixation of the testis they regard the term “orchidopexy” as inappropriate and suggest instead the term “orchiochalasy” derived from the Greek words for testis and loosening. Through an inguinal incision of varying length the cord is mobilized in the inguinal canal. The upper 2.5 cm of the cremaster is removed as is a hernial sac if present. The testicular vessels are then mobilized upwards under direct vision, after dividing the internal oblique and transversus muscles. If necessary this is continued up as far as the origin of the artery and termination of the vein. After this mobilisation the vessels can take the shorter straight path from the mid posterior abdominal
280
the nature and severity of major associated anomalies before a decision is made about starting treatment of the oesophageal anomaly. In those combinations of anomalies which preclude long-term survival, treatment should be withheld. In this connection 14 of 28 patients with an anorectal anomaly (in both series taken together) had other severe anomalies and 12 of these 14 died, after strenuous and sometimes prolonged efforts had been made to try to save them.-A. J. Dougall Prosthetic Solama.
Replacement
of the Esophogus.
J Thoroc Cardiovasc Surg
(October), Another
f. D.
Hydrocolpos.
prosthetic
replacement
for the esophagus which does not work is presented. This one is of dacron knit covering silicone rubber and was placed in pigs.--Thomas M. Holder
GENITOURINARY Some Observations
TRACT
ond Theories
Ureter ond Hydmnephrosis.
of the congenital
defect is
given. Four categories of surgical correction are detailed. They are: (1) Complete reconstruction using iliac osteotomies, bladder reconstruction, and soft tissue repair. (2) Internal urinary diversion. (3) External urinary diversion. (4) Internal urinary diversion plus colostomy. Indications, complications, and side effects of each procedure are clearly detailed. The article presents three case reports, which serve to acquaint the reader with the authors philosophy of surgical treatment-A.& Sokol
70:739-746
! 975.
Ural 47:377-385
and the anatomy
on the Wide
R. H. Whifoker.
Br J
(August), 1975.
U. D. Golviyo, D. G. Howell, M. J.
McMohon, and R. A. Mogg. Br J Ural 47:449-452 (August), 1975.
The authors discuss the diagnosis and therapy of hydrocolpos after first presenting their experience with three patients. All three patients had an obstructive vaginal membrane as well as excessive secretion from the genital glands. If the diagnosis is entertained early, a laparotomy can usually be avoided and the prognosis be much improved. The diagnosis can often be readily made by vaginal examination.
Mr. Whitaker proposes his own classification of the wide ureter avoiding connotative terms such as megaureter and hydroureter. He describes the mechanism of urine transport in the normal ureter and with this background theorizes on the failure of urine transport in the wide ureter and wide pelvis.
In the normal, the cervix can be visualized, whereas in the patient with hydrocolpos, a bulging vaginal membrane obstructs the view. Treatment may then only require incision of the membrane and subsequent tube drainage of the vagina for two days.-K.I. Glassberg
If a ureter contracts ineffectively and cannot form a bolus of urine, the urine cannot be propelled distally. As a result there is no head of pressure exerted and a normal orifice can become an obstructive orifice. This ineffectively contracting ureter then works more vigorously passing ineffective peristaltic waves down the ureter. The normal circular muscle in the distal ureter now hypertrophies from the over-activity and becomes even more obstructive. The author effectively presents his theory with the aid of simple diagrams and carries it over to the obstructive pelviureteric junction.--K.L G&_&erg
Orchiocholasy
One-stage
Reconstruction
Bladder in Girls.
for Exstrophy
of the
D. W. Furnos, N. A. Hog, and
G. Somers. Plast Reconstr Surg
56:61-69
(July),
1975. A review of the surgical approaches toward the correction of bladder exstrophy in girls (1:50,000) is reported. A description of the embryonic development
for Undescended
Testis.
W.
Van
Essen and K. S. Panesor. J R Coil Surg Edinb 20:
248-253
(July), 1975.
The authors describe an operation for undescended testes which involves widespread mobilisation of the testicular vessels and occasionally of the vas. Since its success does not depend on fixation of the testis they regard the term “orchidopexy” as inappropriate and suggest instead the term “orchiochalasy” derived from the Greek words for testis and loosening. Through an inguinal incision of varying length the cord is mobilized in the inguinal canal. The upper 2.5 cm of the cremaster is removed as is a hernial sac if present. The testicular vessels are then mobilized upwards under direct vision, after dividing the internal oblique and transversus muscles. If necessary this is continued up as far as the origin of the artery and termination of the vein. After this mobilisation the vessels can take the shorter straight path from the mid posterior abdominal