RESUMEN
A rare case of bilateral complete transverse cleft in an otherwise normal newborn male baby is presented. The operative management and the technique of repair adopted by the author are described. The result proves that the technique of operation by mucosal flaps as described here gives a good cosmetic appearance.
Asunto(s)
Cara/anomalías , Cara/cirugía , Femenino , Humanos , Recién Nacido , MétodosAsunto(s)
Canal Anal/anomalías , Recto/anomalías , Vagina/anomalías , Canal Anal/embriología , Niño , Femenino , Fisura Anal/diagnóstico , Fisura Anal/cirugía , Humanos , Lactante , Recién Nacido , Enfermedades del Recién Nacido/congénito , Enfermedades del Recto/congénito , Fístula Rectal/diagnóstico , Fístula Rectal/patología , Fístula Rectal/cirugía , Recto/embriología , Enfermedades Vaginales/congénito , Fístula Vaginal/diagnóstico , Fístula Vaginal/cirugíaRESUMEN
A case of congenital unilateral massive hydronephrosis containing 42.5 l. clear urine is reported. Treatment consisted of a 2-stage procedure that is described. The consequences of sudden decompression, which occurs after a 1-stage operation, are discussed. The rationale of the 2-stage procedure is that gradual decompression helps to restore the normal anatomical and physiological base lines so that the definitive operation of removal of the sac can be accomplished with minimum risk to the patient. This 2-stage technique is a relatively safe procedure based on sound principles.
Asunto(s)
Hidronefrosis/cirugía , Adulto , Humanos , Hidronefrosis/congénito , Masculino , MétodosRESUMEN
A case of congenital, unilateral giant hydronephrosis containing 42 1/2 litres of urine in an adult male is reported. Diagnosis and management are discussed. Because of the possible effects of sudden abdominal decompression, a plea is made for a two-stage procedure. The hydronephrosis is first decompressed slowly by drainage and nephrectomy is then performed after the patient's cardiorespiratory and alimentary systems have been stabilised.