Zappel, Hildegard Franziska

[["dc.bibliographiccitation.firstpage","796"],["dc.bibliographiccitation.issue","8"],["dc.bibliographiccitation.journal","Monatsschrift Kinderheilkunde"],["dc.bibliographiccitation.lastpage","+"],["dc.bibliographiccitation.volume","149"],["dc.contributor.author","Zoller, G."],["dc.contributor.author","Zappel, H."],["dc.contributor.author","Seseke, Florian"],["dc.contributor.author","Ringert, Rolf-Hermann"],["dc.date.accessioned","2018-11-07T08:50:07Z"],["dc.date.available","2018-11-07T08:50:07Z"],["dc.date.issued","2001"],["dc.description.abstract","Purpose. Substances currently used for endoscopic correction of vesicoureteric reflux like Teflon, silicone or bovine collagen are critical with regard to biocompatibility. We investigated dextranomer microspheres (Deflux) in the endoscopic therapy of vesicoureteric reflux. Methods and Patients. Deflux was used in 29 children aged 20 months to 13,5 years (40 vesicoureteric units). Effectiveness of treatment was controlled by voiding cystourethrography 3 to 6 months afterwards. Results. Overall,the endoscopic treatment with Deflux was successful in 17 children and 23 vesicoureteric units. Infection associated reflux I degrees -III degrees was treated successfully in 17 of 19 children (=89,5%). In contrast, endoscopic therapy was not effective in children with reflux IV degrees and V degrees and in children with neurogenic bladder dysfunction. Conclusion. Deflux is an attractive alternative in the endoscopic treatment of vesicoureteric reflux in children. Especially, children with infection associated low-grad reflux may profit from this minimally invasive therapy."],["dc.identifier.doi","10.1007/s001120170105"],["dc.identifier.isi","000170816300008"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/21626"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0026-9298"],["dc.title","Dextranomer microspheres (Deflux) in the endoscopic treatment of childhood vesicoureteric reflux"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","314"],["dc.bibliographiccitation.issue","6"],["dc.bibliographiccitation.journal","Klinische Pädiatrie"],["dc.bibliographiccitation.lastpage","316"],["dc.bibliographiccitation.volume","213"],["dc.contributor.author","Zoller, G."],["dc.contributor.author","Zappel, H."],["dc.contributor.author","Ringert, Rolf-Hermann"],["dc.date.accessioned","2018-11-07T08:29:28Z"],["dc.date.available","2018-11-07T08:29:28Z"],["dc.date.issued","2001"],["dc.description.abstract","Background: Ectopic ureter - especially in a duplicated collecting renal system - is a specific cause of incontinence in young girls. Although the symptom of continuous dribbling of urine is characteristic for this malformation, diagnosis is often delayed, as the possibility of ectopic ureters is not considered in treating girls with delayed toilet training. Case report: We present the case of a young girl with a variety of unnecessary invasive diagnostic and therapeutic procedures due to a misunderstood \"enuresis\", before incontinence was cured by upper pole heminephrectomy. Conclusions: Girls, who never have been dry and who loose urine all the time do have an ectopic ureter, unless evidence to the contrary has been put forward. Only considering the possibility of ectopic ureters will avoid unnecessary diagnostic and therapeutic procedures in these girls."],["dc.identifier.doi","10.1055/s-2001-18457"],["dc.identifier.isi","000172230500002"],["dc.identifier.pmid","11713707"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/16660"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Georg Thieme Verlag Kg"],["dc.relation.issn","0300-8630"],["dc.title","Ektopic ureter - a not considered cause of persisting enuresis in girls"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","852"],["dc.bibliographiccitation.issue","7"],["dc.bibliographiccitation.journal","Der Urologe"],["dc.bibliographiccitation.lastpage","857"],["dc.bibliographiccitation.volume","45"],["dc.contributor.author","Seseke, Florian"],["dc.contributor.author","Strauss, A."],["dc.contributor.author","Seseke, Sandra"],["dc.contributor.author","Zappel, H."],["dc.contributor.author","Ringert, Rolf-Hermann"],["dc.contributor.author","Zoeller, Gudrun"],["dc.date.accessioned","2018-11-07T09:40:03Z"],["dc.date.available","2018-11-07T09:40:03Z"],["dc.date.issued","2006"],["dc.description.abstract","Introduction. In bilateral VUR, Cohen crosstrigonal ureteric reimplantation is a popular but also controversial surgical approach. We present our own experience in a retrospective analysis. Patients and methods. Between 1990 and 2005,41 children (26 girls, 15 boys) with bilateral reflux [92 renal units (RU)] underwent ureteric rei m plantation. The mean age was 4.5 (0.3-12) years. Eight patients had ureteral duplication (six unilateral, two bilateral); 12 of 41 patients had no intraoperative ureteral stenting. Seven patients had prior surgery for VUR. A successful result was defined as absence of VUR, significant UVJ obstruction, or voiding dysfunction throughout the follow-up. Results. The mean follow-up was 7.8 (0.515) years. Eight patients (19.5%) had 13 complications. One patient had an intraoperative small bowel lesion (2%). Six patients (14.6%) had UTI. Four patients (9.8%) showed transient UVJ obstruction. Three required a temporary percutaneous nephrostomy. Two of these patients had no intraoperative ureteral stenting. Recurrence of VUR was found in 2 patients (4.8%) and 2/92 RU (2.2%), respectively. Complications were more frequent in high-grade VUR, ureter duplex, or unstented ureteral reimplantation. Prior surgery for VUR did not influence the postoperative outcome. Postoperative voiding disorders were not observed. Conclusions. Two unilateral recurrences of VUR were observed, requiring a reoperation in one patient. A reoperation for UVJ obstruction was not necessary. Related to 92 RU the surgical success rate was 97.8%. Intraoperative ureteral stenting has to be considered with respect to the current discussion of shortening inpatient procedures. In our experience, the perioperative risk was elevated in patients with high-grade VUR or ureteral duplication."],["dc.identifier.doi","10.1007/s00120-006-1051-5"],["dc.identifier.isi","000239827600008"],["dc.identifier.pmid","16683155"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/33424"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.publisher.place","Heidelberg"],["dc.relation.issn","1433-0563"],["dc.title","Long-term experience with Cohen ureteral reimplantation in bilateral VUR in childhood"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]