Back closure with a latissimus dorsi myocutaneous flap.

A method of back closure with the use of latissimus dorsi myocutaneous flap in cases of myelomeningocele is reported. A three-layer cover consisting of the skin, subcutaneous fat, and the muscle with proper innervation and blood supply of the flap permits successful closure of large defects. Well-vascularized coverage prevents common complications such as partial necrosis of the flap or wound breakdown and consequent infection of the central nervous system.

[Results of the treatment of children with neurogenic bladder by transurethral intravesical electric stimulation].

The intravesical transurethal electrostimulation was introduced by F. Katona in order to create consciously controlled micturition in patients with neurogenic bladder lesions. The principle of therapy is based on the activation of the intramural receptors and vegetative pathways from the bladder with special exponential electric impulses.

Gastritis necroticans in children.

The authors discuss two cases in which following abdominal operations in consequence of septic shock, infection and hypoxia, necrosis of the gastric wall developed requiring further operations, subtotal resection of the stomach included. Attention is paid to the factors responsible for full recovery.