Cognitive functioning and clinical characteristics of children with non-syndromic orofacial clefts: A case-control study.

Introduction: The higher rate of neuropsychiatric disorders in individuals with non-syndromic orofacial clefts has been well documented by previous studies. Our goal was to identify children with non-syndromic orofacial clefts that are at risk for abnormal neurodevelopment by assessing their developmental history and present cognitive functioning.

Materials And Methods: A single-center, case-controlled study was carried out at the Department of Pediatrics of the University of Pécs in Hungary.

[Complex management of children affected with cleft lip and palate associated with genetic syndromes].

Introduction: The majority of facial clefts are isolated developmental anomalies. In a minority of the cases, however, facial clefts may occur as part of particular genetic syndromes. Objective: We aimed to analyse the treatment of the syndromic patients and determine whether the algorithm of complex treatment – used in non-syndromic patients – has changed in patients who had syndromes.

The Influence of Genetic Syndromes on the Algorithm of Cleft Lip and Palate Repair - A Retrospective Study.

Introduction: This study aimed to determine if the treatment algorithm used for nonsyndromic cleft patients required alteration to manage syndromic cleft lip and/or palate patients.

Methods: The records of patients managed by the Pécs Cleft Team between January 1999 and December 2015 were analyzed retrospectively. The sources of the data included clinical and genetic records.

[Cystic lesions of the testis in infancy – case series of four patients].

Összefoglaló. Csecsemőkorban a here cysticus elváltozásai ritka entitásnak számítanak. Az angol nyelvű szakirodalom kevés hasonló esetről számol be, a 2000-es évek elejéig publikált esetek harmadában orchiectomia történt.

Validating and assessing the oral health-related quality of life among Hungarian children with cleft lip and palate using Child-OIDP scale.

Aims: To validate the Child-Oral Impact on Daily Performance (Child-OIDP) in the Hungarian language and to explore the oral health-related quality of life (OHRQoL) and associated factors among Hungarian children with cleft lip or/and palate (CLP).

Methods: This cross-sectional study consists of a survey and clinical examination among conveniently selected children with CLP visiting the Pécs cleft lip and palate clinic, Pécs, Hungary. OHRQoL was assessed using the Hungarian version of Child-OIDP.

Re-evaluation of histological findings after colocystoplasty and gastrocystoplasty.

Introduction: The potential of malignant transformation and its risk factors after bladder augmentation performed in childhood are still unknown. The necessity of surveillance cystoscopies and biopsies has been questioned in the past decade.

Objective: In a previous study, the authors did not detect any malignancy after colocystoplasty (CCP) or gastrocystoplasty (GCP) during the short-term follow-up, however, various alterations of the mucosa were found.

[Differential diagnosis of abdominal cysts in children].

19 children were diagnosed with abdominal cysts of different origin in the Surgical Unit of the Department of Pediatrics, Medical University of Pécs, Hungary between 2010 and 2013. The authors discuss the details of representative cases of a parovarial cyst, an intestinal duplication, and an omental cyst with emphasis on the clinical symptoms, diagnostic tools, and surgical interventions. The authors conclude that abdominal cysts often cause mild symptoms only, and they are discovered accidentally by ultrasound imaging performed for other reasons.

Composite urinary reservoir in dogs: histological findings.

Purpose: This animal study was designed to investigate whether the composite urinary reservoir might lessen the premalignant histological alterations observed after bladder augmentation performed with a gastric segment or large bowel.

Materials And Methods: Composite urinary reservoirs were created using gastric and colonic segments simultaneously in 8, 3-month-old female beagle dogs by augmenting half the native bladder. Two dogs with gastrocystoplasty and 2 with colocystoplasty served as controls.

Complications after bladder augmentation or substitution in children: a prospective study of 86 patients.

Objective: • To evaluate complications after urinary bladder augmentation or substitution in a prospective study in children.

Patients And Methods: • Data of 86 patients who underwent urinary bladder augmentation (80 patients) or substitution (6 patients) between 1988 and 2008 at the authors' institute were analysed. • Ileocystoplasty occurred in 32, colocystoplasty in 30 and gastrocystoplasty in 18.

Quality of life: urinary bladder augmentation or substitution in children.

Purpose: Bladder augmentation and substitution has been assumed to improve health-related quality of life in patients with urinary incontinence. This study was performed to elicit an evidence base for or against the above hypothesis.

Methods: Between 1988 and 2006, 67 bladder augmentations and 7 bladder substitutions were performed at our institute.

Posterior sagittal approach with perirectal dissection for reconstructive surgery of severe urogenital anomalies.

There are many approaches for surgery of complicated congenital and acquired urogenital anomalies in children with intact rectum. Pena advocates the mid-sagittal division of the sphincter mechanism posterior and anterior to the rectum, along with opening of the posterior and anterior rectal walls. The aim of this study is to determine whether the posterior sagittal approach with perirectal dissection (PSAPD) and elevation of the mobilized rectum would impair fecal continence when used for correction of complicated urogenital anomalies in children with normal rectum.

Primary psoas abscess in a neonate.

A case of primary ileo-psoas abscess in a neonate is presented. Psoas abscess is extremely uncommon in this age group. The role of ultrasound and computed tomography in the diagnosis is demonstrated, and the need for antibiotic therapy is emphasized for a minimum period of 2 weeks.

Histologic findings after gastrocystoplasty in rabbits.

Purpose: The aim of this study was to investigate the long-term histologic changes after bladder augmentation with gastric segment in an animal subject.

Materials And Methods: Gastrocystoplasty was performed in 13 young, 3-month-old male rabbits. Open biopsies were taken from the native bladder and the gastric segment preoperatively and at 3, 6, and 12 months postoperatively.

Cutaneous vesicostomy revisited--the second 15 years.

Unlabelled: The aim of this paper was to review the authors' experience with cutaneous vesicostomy (CV) over the last 15 years including indications, results, and complications of CV.

Materials And Methods: The records of 31 patients treated by CV between 1987 and 2002 were reviewed. There were 20 boys and 11 girls.

Metabolic findings after colocystoplasty in children.

Objectives: To investigate whether colocystoplasty has resulted in metabolic changes in the growing child during long-term follow-up according to whether cecum with ascending or sigmoid colon was used.

Methods: Twenty-eight patients (mean age at surgery 11 years) were included in the study and divided into two groups: group 1, cystoplasty with cecum and ascending colon (12 patients) and group 2, sigmoid cystoplasty (16 patients). Patients' linear growth, body mass index, and the following parameters were estimated before surgery and at 3, 6, and 12 months, and then yearly after surgery: blood and urine electrolytes (sodium, potassium, chloride, calcium, phosphorus, magnesium), creatinine, urea, blood gases, blood pH, urine pH, and blood alkaline phosphatase (ALP).

Seromuscular gastrocystoplasty in dogs.

Introduction: The aim of this study was to investigate the feasibility of seromuscular gastrocystoplasty (SGCP) in an animal model and to compare it to conventional gastrocystoplasty (CGCP).

Materials And Methods: CGCP and SGCP (using gastric segments without mucosa) were each performed in 6 dogs. In both procedures, two-thirds of the dome of the bladder were excised and the gastric segment anastomosed to the bladder remnant.

Histological findings after colocystoplasty and gastrocystoplasty.

Purpose: We conducted a prospective, long-term assessment of the histological changes that can occur following bladder augmentation with colon or stomach.

Materials And Methods: Histological evaluations of biopsies from 44 consecutive patients undergoing augmentation (colocystoplasty in 26, gastrocystoplasty in 18) were performed. Patients underwent endoscopic assessment and tissue sampling at 2 or 4-year intervals following the initial augmentation procedure.

Colorectal carcinoma in children and adolescents--a report of seven cases.

Between 1981 and 1997 seven children and adolescents (5 boys and 2 girls) were treated for colorectal carcinomas in two paediatric centres. The case notes of the patients were studied to determine the presentation, clinical findings, prognosis and the differences of colorectal carcinomas in the young patients compared to adults. Carcinoma of the colon and rectum is uncommon in this age group and has a poor prognosis.

[Intermediate results of surgical bladder augmentation in children].

The most common origin of the urinary incontinence are the myelodysplasia and congenital urogenital malformations in childhood. Surgical augmentation of the urinary bladder with or without continent diversion, may be indicated in case of unsatisfactory result of all other conservative treatments. Between 1987-2000 bladder augmentation or substitution was carried out with large bowel or gastric segment in 37 patients.

Does the posterior sagittal approach with perirectal dissection impair fecal continence in a normal rectum?

The aim of this study was to determine, using human material and animal experiments, whether the posterior sagittal approach with perirectal dissection (PSAPD) in patients with an intact anorectum is a suitable means of exposure for the correction of complicated anomalies of the genitourinary tract without impairment of fecal continence. Over the last 6 years, the authors have performed PSAPD in seven children with an intact anorectum. At the time of operation, their ages ranged from 8 months to 14 years.

[Fournier gangrene following prostatic puncture].

Authors report a case of Fournier's gangrene developed after prostatic puncture to draw attention to this rare condition, which can develop rapidly and jeopardize patient's life. They recommend an urgent and aggressive surgical intervention including temporary urinary and bowel diversion, if it is required.

[Patent urachus in childhood].

Over the past 20 years (1971-1990) 12 infants and children have been treated surgically for a partial or totally patent urachus in the Surgical Unit of the University Children's Hospital of Pécs, Hungary. This anomaly is of special interest to pediatric surgeons, general surgeons, urologists, paediatricians. After a short survey of the embryology and pathology of the urachus, the authors analysed their material.