Vol 4, No 2 (2014)

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Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(2):7-7
pages 7-7 views

ANESTHESIOLOGY AND RESUSCITATION

THE INTERRELATION BETWEEN THE SYSTEMIC INFLAMMATORY RESPONSE AND TYPE OF NUTRITION SUPPORT CURRENT OF SYSTEM INFLAMMATORY RESPONSE IN CHILDREN WITH EARLY ADHESIVE OBSTRUCTION UNDERGOING SURGERY

Mironov P.I., Sataev V.U.

Abstract

The aim of the study was to estimate the interrelation between the type of nutrition support with the course of system inflammatory response in children with acute appendicular peritonitis and early adhesive ileus obstruction undergoing videoendosurgery. It was a prospective, controlled, nonrandomized unicentral study. 92 patients were included in the study. The endpoints were as follows: dynamics of clinical signs of SIRS, level of C-reactive protein, levels of pro-inflammatory cytokines (tumor necrosis factor and interleykin-6), procalcitonin (PCT) level. 49 patients (main group) received the combination of early parenteral nutrition (Nutriflex from the first postoperative day) with enteral tube feeding from the second postoperative day and sipping from the 3-4th days. 43 patients (control group) received the full parenteral nutrition (Nutriflex) from the second postoperative day with transition to sipping nutrition from the 4th postoperative day. The postoperative period was accompanied by a comparable growth of levels of CRP and pro-inflammatory cytokines. the accelerated recovery of nutrition status, normalization of procalcitoninum level in the blood serum, and reducted duration of SIRS was noticed in the children from the main group.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(2):58-62
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BALANCE DISORDERS OF SODIUM AND ITS CORRECTION IN CHILDREN WITH SEVERE COMBINED TRAUMA

Pshenisnov K.V., Aleksandrovich Y.S.

Abstract

The modem principles of electrolytic balance disorders diagnostics and correction in children with severe polytrauma are presented in the article. The emphasis is given to the principles of providing the fluid management while pre-hospital and hospital stages of treatment. Diagnostic and correction characteristics of sodium balance disorders in children with severe traumatic brain injury in structure of the polytrauma are noted.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(2):64-71
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HEMOSTASIS ON THE NONTRAUMATIC SUBDURAL HEMATOMAS AT CHILDREN

Sultankulova G.T., Smagulova D.U., Turlekieva J.M.

Abstract

From 2011 to 2013 years we investigated hemostasis system at 79 children with sharp violations of brain blood circulation with hemorrhagic type. It is revealed that adhesion of platelets was sharply reduced with collagen, ristomycin, adrenaline and ADF in comparison with control group in all days of research. It means that at children thrombocytopenia or a thrombocytopathy is noted. Decrease in activity of platelets can cause recidivous character of bleeding. The received results testify to the combined thrombocytive and coagulative violations. Activation of the vascular thrombocytive mechanism is cornerstone to start of DVS syndrome.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(2):72-75
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EARLY PARENTERAL NITRITION IN CHILDEN (Based on the data of the 47th Annual Meeting of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition, ESPGHAN)

Erpuleva Y.V.

Abstract

This article reviews the results discussed at the workshop held in the framework of the 47th Annual Meeting of of the European Society for Paediatric Gastroenterology, Hepatology nd Nitrition (ESPHGAN) in Jerusalem in June 2014. The meeting resulted in a Plan of early enteral nutrition further development . There had been growing interest among practitioners in the issue of early enteral nutrition.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(2):76-79
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CHILD SURGERY

THORACOSCOPIC AORTOSTERNOPEXY

Kozlov Y.A., Novozhilov V.A.

Abstract

The purpose of the technical report consists in showing opportunity and efficiency of thoracoscopic treatment of tracheomalacia at children.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(2):8-13
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LAPAROSCOPIC-ASSISTED BOWEL RESECTION IN PATIENTS WITH BURKITT'S LYMPHOMA

Vrublevsky S.G., Trunov V.O., Kondratchik K.L., Bronin G.O., Briling S.R., Golovanev Y.B., Poddubny G.S., Sulavko Y.P., Mordvin P.A.

Abstract

The article is a retrospective review of the experience in the surgical treatment of patients with ileocecal lymphoma. The clinical presentation was associated with bowel obstruction - occurring intussusception. Abdominal ultrasonography has a high diagnostic value. In such a case emergency surgery is required. Laparoscopy was used, laparoscopic-assisted bowel resections were performed and the patients were treated with chemotherapy in early terms to have a better prognosis.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(2):14-20
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THE MALONE IN SOCIAL ADAPTATION OF CHILDREN WITH SEVERE FECAL INCONTENENCE

Nikolaev V.V.

Abstract

Objective: analysis of self-reported results of the Malone procedure and drawing attention of colorectal surgeons to this method of treatment 23 patients i.e. 17 boys and 6 girls aged 5 to 10 years were treated with a Malone procedure in the department of urology and coloproctology of the Russian Children’s Clinical Hospital from 1998 to 2013. They included 20 children with myelodysplasia who had been operated on for cerebrospinal hernias and 3 patients with anorectal malformations following recurrent proctoplasty with intractable constipation and fecal overflow incontinence. Most patients got a smooth postoperative period. No serious complications were observed. There had been no stool passage from the stoma. 5 patients experienced early complications in the form of swelling of the skin around the stoma. Remote results were assessed in 20 children aged 1-13. Satisfaction of parents and children with Malone antegrade continence enema was rather high. The children felt much more comfortable and mood in the families improved in all observations. Only single episodes of incomplete control of stool passage were reported in patients with digestive disorders and loose stool. Malone procedure is a valuable option of social adaptation in children with severe fecal incontinence which can be successfully used in domestic medical practice.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(2):21-24
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SURGICAL CORRECTION OF FECAL INCONTINENCE IN GENITAL FISTULAS IN GIRLS

Shamsiev A.M., Saidov M.S., Aipov R.R., Atakulov D.O., Yusupov S.A.

Abstract

Genital fistulas in girls with a completely developed anus (H-type fistulas, tubular duplication, terminal duplication of the alimentary tract) is one of the most complicated problems today due to the high frequency of complications. Since 1994 232 children with fecal incontinence of different etiology have been observed in Samarkand department of pediatric surgery. Out of them 28 girls with a completely developed anus and fecal incontinence due to genital fistulas were operated. All the children underwent a complex examination including X-ray examination (irrigography, cine defecography, lateral proctogrofistulography, etc.), abdominal and retroperitoneal ultrasound examination, functional methods of sphincter examination (anorectal manometry, rectoanal inhibitory reflex examination), fibrocolonoscopy and rheography, general blood, urine and feces analysis, neurohistochemical and histomorphological methods of examination. Analysis of the obtained data showed that anterior anorectal plasty with fistular extirpation and pull-through of the anterior wall of the rectum is, in our opinion, the most pathogenetically substantiated intervention that can obtain the best clinical results.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(2):25-29
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DIAGNOSIS ECHINOCOCCOSIS CHILDREN TODAY

Arestova S.V., Afukov I.V., Kotlubayev R.S., Meltsin I.I., Kovalenko A.A.

Abstract

The article represents analysis of diagnostic results of 298 children aged from 1 to 15 with echinococcosis of various localization and 53 patients with cavitary lesions of parenchymatous organs of nonparasitic ethiology. It is established that the basic diagnostic methods for echinococcosis are plan radiography and ultrasound examination of organs in chest and abdominal cavities. Multispiral computed tomography is an accurate way to confirm diagnosis of echinococcosis, carry out differential diagnosis with nonparasitic cysts. It has been proved that immunoenzymometric analysis with test-system «Echinococcus IG-strip» serves as a reliable evidence of not only primary echinococcosis, but also the presence of backsets of the process and residual deprivation.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(2):30-36
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ACUTE APPENDICITIS AND APPENDICULAR PERITONITIS

Tursunov K.T., Ormantaev A.K., Ruziddinov D.B., Rakhmanov M.A., Sagymbaeva A.A.

Abstract

The article presents the incidence of acute appendicitis in the structure of children’s surgical disease, the frequency of secondary appendicular peritonitis, the causes of misdiagnosis, the indications for intubation transrectal bowel compared immediate outcomes of traditional and laparoscopic treatment of acute appendicitis and appendicular peritonitis.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(2):37-40
pages 37-40 views

ALTERATIONS INTESTINAL MICROFLORA IN CHILDREN WITH ACUTE CATARRHAL APPENDICITIS

Toichuev R.M., Aybashev X.A.

Abstract

The article deals with the effect of altered biocenosis of the cecum on the development of acute appendicitis in children and simulation of acute appendicitis of local dysbiosis in the cecum and intestinal infection. To this end, investigations of microflora in the cecum and the rectum in 96 children who were operated for acute catarrhal appendicitis (ACA) and 42 children (control group) hospitalized with injuries, fractures and wounds of ileocecal angle. Of the 96 children, diagnosis of acute catarrhal appendicitis was histologically confirmed in 58. In 41 children the diagnosis was not confirmed. A decreased bifidobacteria count was revealed in 95% of children. In control group, bifidobacteria count in ileocecal angle of the cecum was 109-1012 and fecal bifidobacteria count was 107-1010. Also, pathogenic and conditionally pathogenic bacteria were detected in the cecum of children with unconfirmed diagnosis of acute catarrhal appendicitis, i. e. they simulated acute appendicitis. Fecal bacteria count was lower than that in the cecum. The children with confirmed ACA showed the presence of conditionally pathogenic bacteria.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(2):41-45
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THE DIAGNOSTICS OF COMPLICATED NEPHROLITIASIS IN CHILDREN

Mahmadjonov D.M., Sultonov S.R.

Abstract

Under supervision of authors there were 226 patients with complicated nephrolithiasis from age of 1 year till 15 years. The risk factors of nephrolithiasis are diseases of mothers, related marriages and the various pathologies burdening the basic disease were revealed which seen at 87% of sick children. Anomalies of development of urinary tract are revealed in 35,8% of cases. The results of excretory urography has shown dysfunctions of kidneys in 61,5% of cases. Among complications the first one is calculous pyelonephritis (81,7%), then calculous hydronephrosis was observed at every second child (49,7%). In 86,1% of cases at children of early age nephrolithiasis was observed with pathologies of somatic and urological character. Intraoperative incisional biopsy has allowed to define the criteria of combined kidney defeats hydro- and pyelonephritic processes, and also various dysplastic changes of parenchyma of kidneys.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(2):46-48
pages 46-48 views

MODERN APPROACH TO THE RESTORATION OF AFFECTED TISSUES IN PEDIATRIC SURGERY

Budkevich L.I., Soshkina V.V., Astamirova T.S., Zaitseva T.V.

Abstract

The article is devoted to the results of negative-pressure wound therapy to treat wounds of different etiology in children from the first years of their life. Outcomes of two clinical observations show the positive effect produced by the application of an evacuated dressing on a soft-tissue defect to accelerate the removal of devitalized tissues from the wound surface and stimulate formation of a vital granulation tissue capable of dealing with a skin graft. It is indicated that restoration of soft tissues is possible only in the usage of multicomponent approach to the wound management.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(2):50-56
pages 50-56 views

Case reports

INFANTILE SOFT TISSUE FIBROSARCOMA OF THE FEMUR IN A 3-MONTH OLD CHILD

Sharoev T.A., Sukharev A.V., Ivanova N.M., Klimchuk O.V., Roschin V.Y.

Abstract

Infantile fibrosarcoma (IF) is a rare soft tissue tumor in the pediatric age group. Domestic and foreign literature usually provides single case reports of oncopathology in newborns and infants. A 2-month-old child was examined in a department of surgical oncology of the Scientific and Practical Center for Medical Aid to Children of the Moscow Department of Health who was admitted to the clinic in the end of December of 2013 for examination and treatment for a soft tissue tumor of the right femur. Fibrous soft tissue hamartoma was diagnosed based on the results from medical imaging studies (ultrasound examination, CT angiography) and verification by histology (tumor biopsy). The soft tissue tumor was removed. Histological and immunohistological analysis oftumor tissue confirmed the diagnosis of infantile fibrosarcoma. Radicality of the performed surgical intervention was confirmed microscopically. The child underwent multiagent chemotherapy in the postoperative period. Literature data regarding tumor frequency are provided stating an opinion of oncologists in treatment methods of this rare tumor in newborns and infants.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(2):81-86
pages 81-86 views

USING CELL TECHNOLOGIES IN A CHILD WITH EXTENSIVE SKIN NECROSIS AMID FULMINANT PURPURA

Poddubnyi I.V., Fayzulin A.K., Isaev A.A., Tenovskaya T.A., Timofeev I.V., Isaev J.A., Evstafieva I.I.

Abstract

Healing the large skin defects is a relevant and very complicated problem in pediatric surgery. Applying of mesenchimal stem cells (MSCs) is a promising solution. MSCs are multipotent stem cells that have proliferative and self-renewal potential and that can differentiate into multi-lineage cell types including all dermal components. The mechanisms of MSCs effect arise from their ability to differentiate, transdifferentiate and exert paracrine or immunomodulatory effects. We present a case of a 2,5 year old boy developed a fulminant purpura followed by an extensive skin and soft tissues necrosis (~20% of skin surface). Necrectomy led to large skin defects and the question of further tactics. The decision to transplant allogenic adipose derived MSCs was made. After two transplantations we observed reduction of wound surface, granulation tissue growth and peripheral epithelization. Subsequently two stages of split thickness skin grafting were performed. Children with large skin defects require an individual approach. Transplantation of allogenic MSCs allows to reduce wound surface and improve outcome and should be considered as a promising in combination with traditional methods.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(2):88-92
pages 88-92 views

Short communications

ДЕМОНСТРАЦИЯ КЛИНИЧЕСКОГО СЛУЧАЯ. ХИРУРГИЧЕСКОЕ ЛЕЧЕНИЕ ОБШИРНОГО ПОСТТРАВМАТИЧЕСКОГО ДЕФЕКТА ВОЛОСИСТОЙ ЧАСТИ ГОЛОВЫ

., ., ., .

Abstract

Представлен опыт многоэтапного хирургического лечения пострадавшей девочки 5 лет с обширной посттравматической скальпированной раной волосистой части головы, затрагивающей теменные, височную и затылочную области (500 см2). Проводили поэтапное замещение раневого дефекта при помощи таких методов пластической хирургии, как острое растяжение мягких тканей, дозированное растяжение мягких тканей при помощи баллонных экспандеров, аутодермопластика расщепленным трансплантатом. Достигнут удовлетворительный результат в виде полного замещения раневого дефекта.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(2):93-94
pages 93-94 views

ПОВТОРНЫЕ ЛАПАРОСКОПИЧЕСКИЕ ОПЕРАЦИИ ПРИ БОЛЕЗНИ ГИРШПРУНГА У ДЕТЕЙ

., ., ., ., ., .

Abstract

Проанализированы опыт и результаты лечения 30 детей с различными вариантами аганглиоза толстой кишки с 2004 по 2013 г., которым были выполнены лапароскопические операции после ранее проведенного хирургического лечения по поводу аганглиоза толстой кишки (паллиативные и радикальные операции). В 13 случаях из 30 операции были неоднократными (до 6 вмешательств у одного больного), по поводу уже возникших послеоперационных осложнений. Всем 30 детям были выполнены лапароскопические операции. Случаев конверсии не было, так же как и осложнений, потребовавших проведения повторных вмешательств. Летальных исходов не было. Ближайшие и отдаленные функциональные и косметические результаты были хорошими в большинстве случаев. Делается заключение о том, что лапароскопические методики могут с успехом применяться, в том числе и при повторных операциях по поводу болезни Гиршпрунга: при разнообразных патологических анатомических вариантах порока, после различных ранее проведенных радикальных и паллиативных операций, в том числе в условиях распространенного спаечного процесса.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(2):94-98
pages 94-98 views

ВОЗМОЖНОСТИ ПРЕФАБРИКАЦИИ КОЖНОГО ЛОСКУТА В ПЛАСТИЧЕСКОЙ ХИРУРГИИ

., ., ., .
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(2):98-103
pages 98-103 views

Historical Articles

HISTORY OF CHILD SURGERY SAKHA REPUBLIC (YAKUTIA)

Article E.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(2):104-108
pages 104-108 views

News

ANNOUNCEMENTS CONGRESSES AND CONFERENCES

Article E.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(2):109-111
pages 109-111 views

ANNIVERSARIES

Article E.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(2):112-113
pages 112-113 views

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