Operative Technique in Neonates and Infants

In conventional partial resection of parenchymatous organs significant bleeding is one of the main problems, especially in neonates and infants. The patients rapidly lose considerable amounts of their small blood volume. Laser light leads to photo­ therma

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Co-founding Editor P. P. Rickham Editors T. A. Angerpointner M. W. L. Gauderer · W. Ch. Hecker J. Prevot · L. Spitz U. G. Stauffer · P. Wurnig

Operative Technique in Neonates and Infants

Volume Editor

T. A. Angerpointner, Munich

With 77 Figures, some in color and 34 Tables

Springer-Verlag Berlin Heidelberg GmbH

Priv.-Doz. Dr. THOMAS A. ANGERPOINTNER ZenettistraBe 48/III, D-8000 Munich 2 Federal Republic of Germany

Volumes 1-17 of this series were published by Urban & Schwarzenberg, Baltimore-Munich

ISBN 978-3-642-87709-4 ISBN 978-3-642-87707-0 (eBook) DOI 10.1007/978-3-642-87707-0 Library of Congress Cataloging-in-Publication Data Operative technique in neonates and infants I volume editor, Th. A. Angerpointner. p. em. - (Progress in pediatric surgery; v. 25) Includes bibliographical references. 1. Infants (Newborn)- Surgery. 2. Infants- Surgery. 3. Surgery, Operative. [1. Surgery, Operative - in infancy & childhood.] I. Angerpointner, Thomas. II. Series. RD137.A1P7 vol. 25 [RD137.5] [DNLM: W1 PR677KA v. 25/ WO 925 061] 617.9'8 s- dc20 [617.9'8] DNLM/DLC 89-21793 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in other ways, and storage in data banks. Duplication of this publication or parts thereof is only permitted under the provisions of the German Copyright Law of September 9, 1965, in its version of June 24, 1985, and a copyright fee must always be paid. Violations fall under the prosecution act of the German Copyright Law. ©Springer-Verlag Berlin Heidelberg 1990 Originally published by Springer-Verlag Berlin Heidel berg New York in 1990. Softcover reprint of the hardcover 1st edition 1990 The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. Typesetting and printing: Petersche Druckerei, Rothenburg ob der Tauber 2123/3145-543210

Printed on acid-free paper

Contents

Dedication: In Honor of Professor Waldemar Christian Hecker. T. A. ANGERPOINTNER

1

Lasers in Pediatric Surgery. H. P. BERLIEN, G. MuLLER, and J. WALDSCHMIDT. With 11 Figures . . . . . . . . .

5

The Neodymium YAG Laser in Surgery of Parenchymatous Organs in Childhood. P. P. ScHMITTENBECHER. With 12 Figures

23

Haemostasis in Injuries of Parenchymatous Organs by Infrared Contact Coagulation. T. A. ANGERPOINTNER, K. L. LAUTERJUNG, and A. HoFFECKER. With 5 Figures . . . . . . . . . . . . . . . .

32

The Shaw Haemostatic Scalpel in Paediatric Surgery: Clinical Report on 3000 Operations. U. G. STAUFFER. With