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FEATURES OF OPERATIONAL TREATMENT OF CHILDREN WITH COMPLICATED NEPHROLYTHISIS
- Authors: Sultonov S.R.1, Makhmadjonov D.M.1, Boboev Z.A.1, Rakhmonov S.D.1
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Affiliations:
- Pediatric surgery department, Avicenna Tajik State Medical University
- Issue: Vol 7, No 3 (2017)
- Pages: 33-38
- Section: Original Study Articles
- URL: https://rps-journal.ru/jour/article/view/331
- DOI: https://doi.org/10.17816/psaic331
- ID: 331
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Abstract
The purpose of the work was to improve the results of open surgical operations in complicated nephrolythisis in children.
Materials and methods of investigations. 121 patient with complicated nephrolythisis aged 1 to 15 years were observed by the authors. In 87.1% of cases the somatic background was due to concomitant diseases (ARVI, hypertrophy, pneumonia, rickets, etc.).
Results. The calculus deposit was removed using nephrolithotomy in 42.1%, pyelolithotomy in 46.3% and clicolithotomy in 11.6% patients. In obstructive purulent and calculous pyelonephritis, calculus was cured with primary nephrolithotomy and nephrostomy. Corrective surgeries were performed in 37% patients with renal defects. Correct management of the postoperative period and methods of the calices-pelvis system drainage were paid a great attention.
Conclusion. Conservative therapy of concurrent diseases and inflammation in the kidneys was followed by the surgery. Indications for various types of surgeries were developed depending on the type of nephrolithiasis.
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About the authors
Sh. R. Sultonov
Pediatric surgery department, Avicenna Tajik State Medical University
Author for correspondence.
Email: sherali_1969@mail.ru
Доктор медицинских наук, зав. кафедрой детской хирургии ТГМУ им. Абуали ибни Сино, Таджикистан. 734026, г. Душанбе, пр. И. Сомони, 59. Russian Federation
D. M. Makhmadjonov
Pediatric surgery department, Avicenna Tajik State Medical University
Email: fake@neicon.ru
Кандидат медицинских наук, доц. кафедры детской хирургии ТГМУ им. Абуали ибни Сино, Таджикистан. 734026, г. Душанбе, пр. И. Сомони, 59. Russian Federation
Z. A. Boboev
Pediatric surgery department, Avicenna Tajik State Medical University
Email: fake@neicon.ru
Аспирант кафедры детской хирургии ТГМУ им. Абуали ибни Сино, Таджикистан. 734026, г. Душанбе, пр. И. Сомони, 59 Russian Federation
Sh. Dj. Rakhmonov
Pediatric surgery department, Avicenna Tajik State Medical University
Email: fake@neicon.ru
Аспирант кафедры детской хирургии ТГМУ им. Абуали ибни Сино, Таджикистан. 734026, г. Душанбе, пр. И. Сомони, 59 Russian Federation
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