Die Urethralklappenbehandlung mit und ohne Klappenresektion im ersten Lebensjahr

Autor:	M. Gharib, R. Engelskirchen
Rok vydání:	1990
Předmět:	medicine.medical_specialty business.industry Incidence (epidemiology) Urinary system medicine.medical_treatment Renal function First year of life Nephrectomy Surgery Resection Urethra medicine.anatomical_structure Pediatrics Perinatology and Child Health Medicine business Urethral valve
Zdroj:	European Journal of Pediatric Surgery. 45:26-32
ISSN:	1439-359X 0939-7248
DOI:	10.1055/s-2008-1042544
Popis:	25 infants of a total of 72 child patients, who were treated between 1967 and 1987 in the Department of Paediatric Surgery of the Paediatric Hospital of the City of Cologne and were suffering from congenital urethral valves, had been transferred to the hospital for in-patient treatment within their first year of life. In accordance with a change in the treatment concept the patient material was divided into two groups: 1. Treated children up to 1978 These patients were subjected to a prolonged transurethral bouginage treatment of the urethra. Valve resection was performed subsequently at an average age of 13 months only. 2. Treated children after 1978 In these children valve resection was performed as soon as possible after birth. These two patient groups were compared with each other. It was found that both the survival times and the long-term renal function results of the children treated after 1978 had markedly improved compared with those treated before 1978, thanks to the modern treatment concept. That is true both for the incidence of secondary correction operations at the upper part of the urinary tract and for the frequency of nephrectomy.
Databáze:	OpenAIRE
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