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This report reviews the experience of pediatric surgeons in seven cities in North American and Western Europe where the Swenson procedure was performed on 880 patients. Information on the diagnosis, treatment, complications, and long-term results was collected by reviewing the hospital records, the treating physicians' office records, and by interviewing(More)
Primary tissue closure of gastroschisis remains controversial. Some surgeons routinely place a silicone rubber sheet silo over the exposed bowel, planning a staged closure. In the past 14 1/2 years, we have cared for 106 newborns with gastroschisis, closing the defect primarily in 80%. The success of this technique depends on enlarging the abdominal cavity(More)
OBJECTIVE The authors' goal was to determine the prevalence of major mental disorders and substance abuse in adolescents admitted to a juvenile detention center. METHOD As part of a routine mental health screening, modules from the Diagnostic Interview Schedule for Children were administered to 50 youths (11-17 years old) at an urban juvenile detention(More)
Two infants with anencephaly survived for 7 and 10 months without the need for prolonged assisted mechanical ventilation. One infant prospectively fulfilled all four criteria of the Medical Task Force on Anencephaly, making diagnosis almost certain. Prolonged survival of anencephalic infants is important not only to provide adequate counseling, but also for(More)
The first known instance of granulocytic sarcoma of the ovary as the presenting manifestation of acute nonlymphocytic leukemia in infancy is reported. The clinical and laboratory findings for a 3-month-old infant who had anemia and a lower abdominal mass subsequently found to represent bilateral ovarian granulocytic sarcomas are discussed. Results of light(More)
Fibrous hamartoma of infancy is a benign but persistent soft-tissue tumor that appears during the first two years of life. Although the lesion is not distinctive clinically, histopathologic examination of affected tissue reveals the three characteristic elements: fibrous, adipose, and myxoid mesenchymal tissue. Sixty-seven patients with fibrous hamartoma of(More)
A mother and daughter are presented who had intracranial hypertension 5 years apart. Possible contributing factors were the presence of obesity and occasional asthma in both. A review of the literature reveals three other families with intracranial hypertension occurring in successive generations (suggesting autosomal dominant transmission) and four(More)