[193 cases of gastroschisis and omphalocele--postoperative results]. / 193 Fälle von Gastroschisis und Omphalozele--Postoperative Ergebnisse.

Treatment was applied to 97 cases of omphalocele and 96 cases of gastroschisis at the Dortmund Department of Paediatric Surgery over the past 20 years. The survival rate was 122. Follow-up checks were recently applied to 56 of those former patients, after nearly ten years had elapsed from surgery. Thirty-eight of these patients were clinically examined, while questionnaires were completed for the rest. Primary closures had been performed on 50 per cent of the cases, while the defects in the other children were closed in two stages, using dura implantation or silastic pouches, or were conservatively treated. Accompanying malformations were recorded from 21 per cent of the gastroschisis cases and from 28 per cent of those with omphalocele. Overall mortality accounted for 37 per cent, with mortality in the wake of receptive operations being as high as 40 to 50 per cent, the latter rate not depending on the primary approach. One and the same risk was found to exist for conservative treatment (applicable only to closed omphalocele) and primary surgical closure, as may be seen from statistical evaluation. The highest rate of relaparotomy occurred in the wake of dura implantation and use of silastic pouches.

[Comparison of Blount's sling and Kirschner wire fixation in the treatment of a dislocated supracondylar humeral fracture in childhood]. / Vergleich von Blountscher Schlinge und Kirschner-Drahtfixation zur Behandlung der dislozierten suprakondylären Humerusfraktur im Kindesalter.

From 1979 to 1982 we were treating 63 cases of displaced supracondylar fractures of the humerus. Patients underwent either closed reduction and fixation by collar and cuff immobilization (32 cases), or fixation by means of Kirschner wires following closed or (more often) open reduction (31 cases). Follow-up controls after an average time of three years clearly showed the more favourable results of the conservative method.

Bridging a gap in oesophageal atresia using Rehbein's technique: dilatation of a thread canal.

During the last 12 years, operations were performed on 144 infants with oesophageal atresia. In 18 of them who were suffering from an atresia with long gap between segments, perlon threads were laid surgically. Continuity of the oesophagus was attempted using Rehbein's technique. The newborn had type II and IIIb atresia according to Vogts' classification. 11 of these 18 infants survived the third week of life. The fibroepithelial canal that had developed along the perlon thread, was dilated in steps in 6. The clinical course and results are reported.

[Atresia and obliteration of the small bowel in cases of necrotizing enterocolitis (author's transl)]. / Atresia und Obliteration am Dünndarm bei Enterocolitis necroticans.

As a result of necrotizing enterocolitis, one patient developed multiple obliterations of jejunum and ileum, partly over long stretches of bowel. In a second case of a neonate with enterocolitis necroticans, an ileum atresia formed in the second and third weeks of life, completely interrupting the continuity of the intestine. In the literature, we could only find one report comparable with each case.