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Article
Bowel imbrication in the management of anorectal anomalies
Four patients who had imbrication of their proximal rectum and distal sigmoid colon as part of the management of constipation following an anorectoplasty for an anorectal anomaly. Three children with an anorec...
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Article
Retained common-duct stones after open cholecystectomy and duct exploration in children
A retrospective study was performed of 250 patients with cholelithiasis treated at the Royal Children's Hospital, (RCH) Melbourne, over 25 years by open operation; 32 (12.8%) had proven choledocholithiasis on...
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Article
Revision anorectoplasty in the management of anorectal anomalies
Twelve patients who had a revision posterior sagittal anorectoplasty (PSARP) were evaluated by questionnaire. They were 11 months to 15 years old (median 5 years) at the time of revision surgery. All were bor...
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Article
The egg-shell sign: a possible indicator of raised intrarenal pressure
Prenatal diagnosis of pelvicalyceal dilatation has produced clinical material that we are continually reinterpreting with the help of improving ultrasound equipment. However, the ability to predict the outcom...
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Article
Ureterocystoplasty in a patient with a single kidney
Ureterocystoplasty (UCP) has now been widely used for bladder augmentation, with and without unilateral nephrectomy. Many techniques have been described to incorporate portions of the upper renal tract, but n...
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Article
Ureteric tunnel incision in the fetal pig: a model for non-obstructive prenatal vesicoureteric reflux
The understanding of vesicoureteric reflux (VUR) continues to improve, particularly as the renal tract can now be assessed prenatally. To further study the evolution of fetal renal changes, we studied two neo...
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Article
Diphallus associated with partial caudal duplication
A 23-year-old man with similar pathology has presented in March 1998 for primary management of his diphallus and anorectal duplication.
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Article
Autoaugmentation demucosalized enterocystoplasty
Autoaugmentation demucosalized enterocystoplasty has been developed from the combination of the autoaugmentation technique, the use of the stomach and colon for bladder augmentation and the ability of the bow...
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Article
Venous access via the renal vein: a technical innovation
A patient with difficult venous access is described in whom both haemodialysis and parenteral nutrition were required. To minimize the impact on transplant prospects, the renal veins were used for vascular ac...
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Article
Upper pole pelviureteric junction obstruction
A case of neonatal hydronephrosis affecting the upper moiety of a duplex kidney is presented. In addition to the ectopic insertion of the upper-pole ureter into the urethra, the ureter was obstructed by the l...
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Article
Further observations on histological changes at the ureteroileal junction in ileal conduits
Seventy-two ureteroileal anastomoses taken from ileal conduits removed from 62 patients were examined histologically to characterize the range of mucosal and stromal changes at these sites. All 72 demonstrated...
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Article
Congenital posterior urethral obstruction: the historical perspective
The currently accepted interpretation of urethral anatomy and pathology in boys is based on studies from the first half of this century, most notably from Hugh Hampton Young and his colleagues. The studies tha...
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Article
An in vitro study of silicone migration from intravenous fluid tubing
Migration of particulate matter from plastic tubing and solid plastic implants has been documented in a number of studies, including some with the use of cardiac bypass, haemodialysis, and pump-assisted intrav...
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Article
Ureterocystoplasty with renal preservation in young infants
To assess the outcome of ureterocystoplasty (UCP) with renal preservation in infants, three infants had a UCP with preservation of the ipsilateral kidney, including one who had a ureteropyeloplasty and one who...
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Article
Late presentation of epigastric heteropagus
Parasitic twins can attach to the host at a number of different locations. The most usual variant is caudal duplication (dipygus), where the parasite consists of additional pelvic and lower limb structures att...
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Article
Historical trends in the management of bladder exstrophy
The history of bladder exstrophy dates back to 2,000 B.C., there being a reference to this congenital anomaly on an Assyrian tablet preserved in the British Museum. Although there are few references to “non-tr...
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Article
Long-term histological response to intravenous Teflon and silicone in a rat model
Particle migration is one of the main concerns raised when implanted plastics are discussed, especially when used for the endoscopic treatment of vesicoureteric reflux in children. To study the histological re...
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Article
Autoaugmentation colocystoplasty
A 9-year-old girl with spina bifida underwent bladder augmentation using demucosalised sigmoid colon added to an autoaugmented bladder. She made an uneventful recovery and has had marked improvement in her con...
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Article
A study of the radiological anatomy of the multicystic kidney
Eleven multicystic kidneys were investigated by preoperative ultrasound and functional assessment and exvivo radiological injection. The ureter was in continuity with the renal pelvis in 3, 1 had a dilated upp...
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Article
Endoscopic correction of vesicoureteric reflux in infants under 2 years of age
Forty-seven infants under the age of 2 years with vesicoureteric reflux were treated by subureteric injection of Polytef paste; 4 have completed sufficient follow-up to be analysed. The 41 patients had reflux ...
