Vol 7, No 1 (2017)

Cover Page

Full Issue

APPEAL TO READERS

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Abstract

Appeal to readers.

Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2017;7(1):7
pages 7 views

Editorials

ESSENTIAL SURGICAL CARE PROVIDED TO CHILDREN IN HOSPITALS FOR ADULTS

Grigorovich I.N.

Abstract

The article analyzes the procedure of rendering essential surgical care to children in hospitals for adults in Karelia. Almost 60% children suffering from surgical diseases that require urgent surgery are operated by general surgeons at central regional hospitals. A vast number of tactical and technical mistakes are made due to insufficient knowledge of peculiarities seen in children. Regulation of regional medical and prophylactic institutions was done in the region 15 years ago depending on their possibilities to render urgent surgical care to children at different ages and in different conditions. This enabled significant improvement of treatment results for these patients. 

Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2017;7(1):8-16
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Case reports

THE RESULT OF RECURRENT RECONSTRUCTIVE RECTOPLASTY IN SITU IN AN ADOLESCENT WITH COLORECTAL ANASTOMOTIC STENOSIS FOLLOWING DUHAMEL’S PROCEDURE

Morozov D.A., Pimenova E.S., Shavrov A.A., Netesova E.V., Kezhenbaeva K.M., Ludikova M.Y., Ayrapetyan M.I., Tarasova D.S., Yakovenko D.D.

Abstract

The article presents the data obtained during a clinical observation of the recurrent reconstructive posterosagittal rectoplasty in situ performed in an 11-year old adolescent with stenosis of colorectal anastomosis following the V. Duhamel’s procedure for rectosigmoid form of Hirschprung’s disease. The patient was observed for two and a half years, had one course of anastomotic bougienage and sigmostoma closed. The obtained result was estimated clinically using irrigography, sonography, magnetic resonance imaging, anorectal manometry, colonoscopy and confocal microscopy. The result was found satisfactory, the child has a good life quality. 

Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2017;7(1):40-46
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MESENTERIC ROOT RHABDOMYOSARCOMA REMOVAL USING WATER JET DISSECTION IN A 2-YEAR-OLD

Sharoev T.A., Rokhoev M.A., Galibin I.E.

Abstract

Rhabdomyosarcoma (RMS) is a malignant tumor frequently seen in childhood. It is characterized by high biological aggression, fast growth, and early metastatic capacity of the lymph and hematopoietic system. The RMS is frequently localized in the area of the head, neck, trunk and limbs. It is rarely found in abdominal organs and tissues. They are in the group of high risk. A clinical case of mesenteric root RMS in a 2.5-year-old with histologically proven RMS of the abdomen is presented. During the preoperative angiography (total abdominal and mesentericography) the neoplasm was found to affect the major vessels. The water jet dissector used during a surgery enabled to select the mesenteric root vessels and perform radical resection of the ileum affected by the tumor. No complications were reported. 

Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2017;7(1):47-50
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MULTIPLE FOCAL LESIONS FOUND IN THE LIVER AND LUNGS OF PARASYTIC ETIOLOGY SIMULATING TUMOR METASTASES

Shangareeva R.K., Makhonin V.B.

Abstract

The articles states the results obtained during the clinical observation of a patient with multiple parasitic granulomas found in the liver and lungs that simulate metastases of a tumor of unknown primary location. The diagnosis was made with certain complications. The course of the disease with the lacking signs of tumor intoxication, no laboratory data without severe changes and histological conclusions could not relate to the clinic of a generalized malignant tumor. A parasitic disease was suspected. The ELISA test found IgG to toxocarosis (0.41). The antiparasitic therapy with albendazole gave a positive effect. Thus, the clinical case presented shows that unclear processes mistaken for a generalized tumor can be a parasitic granulomatous process. 

Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2017;7(1):51-54
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ACUTE OBTURATION INTESTINAL OBSTRUCTION CAUSED BY A FOREIGN OBJECT IN A 1.5-YEAR-OLD

Zaitseva T.V., Zolotaryova A.V., Ignatiev R.O., Rosinov V.M.

Abstract

Clinical observation of a 1.5-year-old with a hydrogel foreign object in the ileum causing an acute obturation intestinal obstruction was submitted. 

Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2017;7(1):55-58
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Original Study Articles

DELAYED ESOPHAGO-ESOPHAGEAL ANASTOMOSIS IN ESOPHAGEAL ATRESIA

Razumovsky A.Y., Alkhasov A.B., Mokrushina O.G., Kulikova N.V., Gebekova S.A.

Abstract

Purpose of the study: to estimate the efficacy of treatment and remote results of delayed esophago-esophageal anastomosis in children with EA.

Material and methods. We analyzed 18 case histories of children with delayed esophago-esophageal anastomosis performed at N. F. Filatov Children’s Municipal Clinical Hospital No. 13 from 2006 to 2016.

Results. Postoperative complications occurred in 16 children out of 18 (88.9%). Esophageal anastomotic leakage was developed in 4 patients (22.2%), anastomotic stenosis in 11 patients (61.1%) and gastroesophageal reflux in 14 children (77.8%). Lethality amounted to 16.7% (3 children) in the early postoperative period. As per the analysis of delayed results, dysphagia was noted in 92.3% of children. After delayed anastomosis 9 children underwent recurrent surgery, 4 of them had subsequent esophageal extirpation.

Conclusions. Considering the high rate of complications (88.9%) and bad delayed results, our observations do not allow us to recommend the delayed esophago-esophageal anastomosis as the surgery of choice for children with EA. 

Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2017;7(1):17-23
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EXPERIMENTAL SUBSTANTIATION OF NEW METHODS OF DIAGNOSTICS AND TREATMENT OF INTESTINAL INVAGINATION IN CHILDREN

Izosimov A.N., Plechyov V.V., Gumerov A.A., Shakirov V.V.

Abstract

The article presents new methods of diagnostics and treatment of intestinal invagination (II) developed based on own experimental and clinical study results.

To make the diagnostics of II more reliable, to exclude radiation exposure on patients and personnel, to make the study more convenient and to record the conducted studies on electronic media as a necessary condition of evidence-based medicine, we created an electronic device to diagnose and control the spread of II in children i.e. the automated electronic system for invagination diagnostics based on volume manometry. Comparing the obtained results of diagnostics and treatment of II in 437 children with the data available in literature, we note the undeniable advantage of volume manometry over other methods.

The method diagnosing the viability of intestinal segment including the one involved in the intussusceptum developed by us makes the losses of undamaged intestinal tissues minimal due to reliable detection of irreversibly lost tissues and fixation of the boundaries of its necessary and sufficient excision. 

Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2017;7(1):24-29
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EPIDEMIOLOGY OF AN ACUTE HEPATIC INJURY IN CHILDREN

Muzurov A.L., Zverev D.V., Abaseeva T.Y., Generalova G.A., Pankratenko T.E., Emirova H.M., Orlova O.M., Kvaratskhelia M.V., Makulova A.I., Popa A.V.

Abstract

The article is devoted to an important issue of pediatric resuscitation such as acute kidney injury (AKI). A retrospective study of 245 patients with AKI was carried out. It was found out that the majority of patients were three years old. The causes of AKI were analyzed. In the entire group of patients the majority of causes were of renal nature. Meanwhile, the hemolytic-uremic syndrome (HUS) was the main cause of AKI in children. Children of different age had different causes and frequencies of AKI. The most serious population of patients suffered from AKI was represented by one-month-old babies. 

Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2017;7(1):30-39
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Reviews

ESOPHAGEAL ATRESIA AND GENETIC DISORDERS – A PEDIATRIC SURGEON’S OPINION

Kozlov Y.A., Novozhilov V.A., Rasputin A.A.

Abstract

The scientific review presents the data related to the combination of atresia with genetic disorders that must be discussed before the surgery to make a correct decision on the fate of the patient with esophageal atresia. 

Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2017;7(1):70-81
pages 70-81 views

Lectures

COMPLICATIONS OF LONG-TERM PARENTAL NUTRITION AND CHILDREN OF BREAST AGE

Erpuleva Y.V., Chubarova A.I., Weinstein N.P., Britanishskaya E.A., Mitina Y.Y.

Abstract

The article states possible complications in long-term nutritional support. Doctors rarely think of schedules and dosages of fatty emulsions especially in infants. They frequently forget about such important components of nutritional support as microelements especially calcium and phosphorus. The article clarifies schedules and dosages of fatty emulsions, vitamins and microelements in newborns and infants. 

Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2017;7(1):59-69
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News

ANNIVERSARIES

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Abstract

Anniversaries.

Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2017;7(1):82-83
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TO THE 80TH BIRTHDAY OF LEONID ALEXANDROVICH SITKO

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Abstract

To the 80th birthday of Leonid Alexandrovich Sitko.

Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2017;7(1):84-85
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WITH THE 85TH ANNIVERSARY

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Abstract

With the 85th anniversary.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2017;7(1):86
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LETTERS TO THE EDITOR

Kaabak M.M., Dymova O.V., Zokoev A.K., Babenko N.N., Schekaturov S.V.

Abstract

Letters to the editor.

Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2017;7(1):87-90
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MEMORY MAMLEEVA IGOR AYRATOVICH

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Abstract

Memory Mamleeva Igor Ayratovich.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2017;7(1):91
pages 91 views

MEMORY OF YURCHUK VLADIMIR ANDREEVICH

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Abstract

Memory of Yurchuk Vladimir Andreevich.

Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2017;7(1):92
pages 92 views

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