0000000000246725
AUTHOR
J. L. Koltai
Results of the smooth-muscle fold-over double-plasty (SMFD)
Since 1980, when we developed substitute for the internal anal sphicter, the smooth-muscle fold-over double-plasty (SMFD-plasty), we have operated on seven children using this method, usually in combination with the pull-through procedure, and on five children after one or more previous operations. Since 1983, 11 cases with previous operations have undergone the modified “door-wing” SMFD-plasty. The results are excellent if the operation is used in primary combination with the pull-through procedure or if the “door-wing” modification is combined with reconstruction of the pelvic floor. It is also necessary that all cases undergo a biofeedback conditioning program.
Intraperitoneal Application of Fibrinogen Gluing in the Rat for Adhesions Prophylaxis
The suitability of fibrinogen gluing for prophylaxis of intraperitoneal adhesions was investigated experimentally. Small bowel slings, traumatized previously, were covered by a layer of fibrinogen 2–3 mm thick to see whether formation of adhesions could be prevented. In the experiments 50 rats of both sexes were observed over 21 days. Following mechanical traumatization of the terminal ileum the visceral peritoneum was coated with fibronogen, whereas animals of the control group did not receive fibrinogen coating.
Kontinenzverhalten nach Anal- und Rektumatresie und Lebensqualität
Inkontinenz, auch in partiellem Ausmas bedeutet immer eine Einschrankung der Lebensqualitat. In den verschiedenen Lebensabschnitten verandert sich die Leidensart. Beim Kleinkind steht der lokale Wundschmerz, im Schulalter die Beziehung zur Umwelt im Vordergrund. Beim Adoleszenten sind Berufsaussichten und Partnerschaftsbeziehungen eingeschrankt. Dem Kinderchirurgen kommt die Aufgabe zu, in einer subtilen Erstoperation, durch geeignete Korrekturverfahren und durch Forderung der psychologischen Entwicklung die Lebensqualitat entscheidend zu beeinflussen.