Vol 4, No 3 (2014)

Cover Page

Full Issue

CLINICAL OBSERVATIONS

TREATMENT OF A PATIENT WITH OSTEOMYELITIS OF THE BONES LOCATED IN THE MIDDLE PART OF THE FACE AND MANDIBLE IN OSTEOPETROSIS (literature review and clinical observation)

Komelyagin D.Y., Dubin S.A., Vladimirov F.I., Petukhov A.V., Romanov D.V., Melnikov N.I., Vafina K.Y., Dergachenko A.V., Fokin E.I., Fokina T.V., Paches O.A., Gordeev D.N.

Abstract

Literature data and description of successful staged treatment of a child with complications of such a rare bone disease as osteopetrosis in the maxillofacial area are provided.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(3):90-104
pages 90-104 views

HISTORY OF PEDIATRIC SURGERY

HISTORY OF PAEDIATRIC SURGERY IN SARATOV

Morozov D.A., Goremykin I.V., Gorodkov S.Y., Filippov Y.V.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(3):106-113
pages 106-113 views

ANNIVERSARIES

ANNIVERSARIES

Article E.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(3):126-126
pages 126-126 views

ABDOMINAL SURGERY

SHORT BOWEL SYNDROM IN CHILDREN: ETIOLOGY, EPIDEMIOLOGY, THERAPY

Khasanov R., Hagl C., Wessel L.M.

Abstract

Short bowel syndrome (SBS) is a consequence of massive intestinal resection and can be of a hostile type. The main clinical manifestation of SBS is pronounced malabsorption. SBS is mainly developed due to surgical conditions of newborns demanding intestinal resection with the most frequent reason being necrotizing enterocolitis. This disease is predominantly met in premature children with low and extremely low body mass. Intestinal adaptation aimed at increase of intestinal absorption is developed in patients in response to SBS. In spite of that, the patients had to obtain parenteral feeding. SBS treatment is aimed at achievement of complete adequate enteral nutrition of patients. However, survival of patients with SBS is low, it varies greatly and depends on many factors. Currently, new methods of SPS therapy are developed and many studies show promising results. SBS remains a complex disorder requiring individual complex treatment of every patient.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(3):8-13
pages 8-13 views

REVIEW OF SURGICAL OPTIONS FOR SHORT BOWEL SYNDROME

Khasanov R.R., Hagl C.I., Wessel L.M.

Abstract

Short bowel syndrome (SBS) is a severe disease which is most frequently developed following massive intestinal resection and manifested through pronounced malabsorption. Children with SBS have to obtain parenteral feeding. Survival rate is low in this case and treatment of people with SBS is currently a complex issue. Methods of surgical treatment of SBS can be divided into two main groups such as operations aimed at slowing down of intestinal transit and operation of intestinal lengthening. The following operations of intestinal lengthening are very popular today: longitudinal intestinal lengthening and tailoring (LILT) and serial transverse enteroplasty (STEP). They provide for the best results. Meanwhile all the surgical methods have definite limitations, complications and are associated with risks. Intestinal transplantation is one of SBS treatment methods which must be used very carefully.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(3):14-20
pages 14-20 views

EXPERIENCE WITH GASTROSTOMY FOR CHILDREN IN CRITICAL CONDITIONS

Ryzhov E.A., Erpulyova Y.V., Korsunsky A.A.

Abstract

The article deals with the own expertise of using the gastrostoma in children in critical conditions. Indications and contraindications to installation of gastrostoma are determined. Possible complications and care for gastrostoma in children are overviewed in detail.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(3):21-26
pages 21-26 views

SURGICAL TREATMENT CHILD WITH DOUBLING OF ASCENDING COLON

Gusev A.A., Mikhalev I.A., Rekhviashvili M.G., Shishkina T.N., Talalaev A.G.

Abstract

This clinical case of a child of 3 years from cystic duplication of the colon, as manifested clinic acute intestinal obstruction and the presence of space-occupying lesion in the abdomen. Surgical treatment was the only effective method of treatment. Indications for surgical treatment clinic served as intestinal obstruction, refractory to conservative treatment.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(3):28-32
pages 28-32 views

UROLOGY

COMPARATIVE ASSESSMENT OF PRETRANSPLANT NEPHRECTOMY METHODS IN CHILDREN WITH END-STAGE KIDNEY DISEASE

Sokolov Y.Y., Zverev D.V., Runenko V.I., Kiryukhin A.P., Pankratenko T.E., Generalova G.A.

Abstract

We analysed the results of pretransplant procedures in 29 children with end stage kidney disease. A detailed description of surgical technique was presented along with the evaluation of the intraoperative and postoperative outcomes of surgery. Renewal interval of peritoneal dialysis using was also discussed. High performance of endoscopic methods in children with end stage kidney disease was confirmed. Retroperitoneoscopic procedures enable doctors to continue using of peritoneal dialysis in the first hours after the surgery.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(3):33-38
pages 33-38 views

DIAGNOSTICS OF URINARY DISORDERS IN CHILDREN: IS EVERYTHING DONE IN A PROPER WAY?

Ignatiev R.O., Geldt V.G., Guseva N.B., Bozhedaev T.L.

Abstract

Modern approach to diagnostics of urinary disorders in children is traditionally based on the application of different invasive instrumental methods causing a number of negative reactions in patients and distorting the results obtained. According to literature data analysis, the issue is pressing in Russia and abroad. Different ways to reduce negative effect produced on a child’s organism and increase study validity are offered including standardization and wide implementation of methods of clinical evaluation of the function of the lower urinary tract. Systematized approach to the clinical evaluation of urination in different groups of patients enables to avoid unjustifiable usage of invasive diagnostic methods and reduce the negative physiological stress on the developing organism.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(3):39-45
pages 39-45 views

BOC THERAPY IN COMPLEX TREATMENT OF CHILDREN WITH EVACUATORY DYSFUNCTIONS OF THE PELVIC ORGANS

Sottaeva Z.Z., Menovschikova L.B., Gurevich A.I., Javatkhanova R.I., Abramova A.A.

Abstract

Usage of BFT (biofeetback) (BOC therapy) is perspective for elimination of pathological movements of pelvic floor muscles as BOC therapy teaches a child how to manage the muscles of the pelvic floor, influences elimination of evacuatory dysfunctions of pelvic organs associated with the muscles of perineum and muscles of rectal and urethral sphincter as the part of the latter and can be applied on the outpatient basis.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(3):46-50
pages 46-50 views

OPTIMIZATION OF MEDICAL AID PROVIDED TO DISABLED CHILDREN WITH DISTRUBANCES OF THE PELVIC ORGANS IN A MULTI-FIELD HOSPITAL

Guseva N.B., Korsunsky A.A., Garibaldi O.A., Orekhova S.B., Zaikova N.M., Buyanova K.V., Akopyan E.A.

Abstract

A program of complex examination and treatment of children with functional disorders of the pelvic organs of organic genesis was initiated on the basis of a multipurpose level III medical treatment facility of Moscow Heath Department in summer 2014. 30-bed assisted uronephrological health care facility for simultaneous hospitalization of a disabled child and his/her mother (or custodian) was located at the division of nephrology. In total 36 children (with parents) with a disturbed function of the pelvic organs such as disturbed spontaneous evacuation of the urinary bladder and bowel in 26 children and incomplete evacuation of the urinary bladder and bowel in 10 children were hospitalized. Vegetovascular dystonia with fixed bradycardia on ECG was found in 19 children (68%). Hydrocephalus was observed in 16 cases (57%). Primary shunting operation was performed at the age of 28-56 days. On the part of social adaptation, there was a lack of communication with peers in 7 children, disturbed relationships between parents and children due to the presence of disorder in 5 patients, acute concerns for the future in 6 children, depression in 8 children, and social ills in 10 patients. The conducted examination included consultations by a neurologist, urologist, nephrologist, orthopedist, neurosurgeon, physical therapist, physiotherapist, and doctor engaged in laboratory and instrumental diagnostics. 12 people had the syndrome of spinal cord fixation, disturbed support of the lower extremities, and disturbed independent evacuation and defecation (group 1). 10 other patients had no syndrome of spinal cord fixation in disturbed evacuation of the urinary bladder and intestine without preliminary attempts to restore urination and defecation acts (group 2). 14 people who had undergone orthopedic interventions had partially restored urination and defecations acts (group 3). The conducted course of diagnostics and treatment accounted for 12-16 bed days. It included 8-12 procedures of physiotherapy, massage and therapeutic exercise. Consultation of a child and his/her parent by a psychologist was conducted for at least 10 days. The most successful methods of mental therapy for adults and children were represented by Jungian art therapy and clinical conversation. Patient appointment scheduling was formed considering the results of diagnostics and treatment. Group (1) with the syndrome of spinal cord fixation was sent for planned surgical treatment to the department of neurosurgery. Children with disturbed support were shifted to the group of planned surgical treatment at the orthopedic department whereas the 3rd group of children with incontinence of urine and fecal incontinence was sent for planned treatment to the department of neurourology. From a multidisciplinary perspective, disabled children with myelodysplasia require a complex examination and treatment of organs and systems to optimize medical aid.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(3):51-57
pages 51-57 views

TRAUMATOLOGY AND ORTHOPEDICS

APPLICATION OF METHOD ARTHROPLASTY FOR TREATING POSTTRAUMATIC CONTRACTURES AND ANKYLOSIS OF THE ELBOW IN CHILDREN

Merkulov V.N., Dergachov D.A., Dorohin A.I.

Abstract

This article focuses on the application of elbow arthroplasty in the treatment of posttraumatic contractures and ankylosis of the elbow in children. Shows a two-stage technique of surgery, method of placing a hinged-distraction device on the elbow, assessed immediate and long-term results of treatment.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(3):58-66
pages 58-66 views

THE RESULTS OF CORRECTIONAL THORACOPLASTY AT KEEL-SHAPED DEFORMATION OF CHEST BY CHILDREN

Yulchiev K.S., Djumabaev J.U., Mirzakarimov B.K., Tuychiev G.U., Yuldashev M.A.

Abstract

Keel-shaped deformation is characterized by protrusion of chest and its sinking down across the rib edge. The deformations of chest have different character, most often they are inherent, and progress with age. Thoracoplasty, that is reconstruction of chest, is difficult and traumatic surgical intervention that is a certain danger for a child. In after operation period the straight result was recognized as good by all patients, the farther results were among) 67 children (88,1%).
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(3):67-69
pages 67-69 views

VACUUM-ASSISTED WOUND CARE IN CHILDREN

Kozlov Y.A., Novozhilov V.A.

Abstract

Vacuum closure of the wounds is well known in adult patients. In our small series of patients, vacuum-assisted therapy was adapted in complex pediatric wounds in severely ill infants. Application of the technology of negative pressure was performed in 14 small patients for treatment wound defects after soft tissue and abdominal surgery. In all cases we observed resolution of infection process, fast healing of soft tissue and open abdominal wounds.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(3):71-75
pages 71-75 views

ESTIMATED EFFECTIVENESS OF USAGE OF MODERN SKIN EQUIVALENTS IN TREATMENT OF CHILDREN WITH DEEP BURNS

Korolyova T.A., Budkevich L.I., Shurova L.V., Dolotova D.D.

Abstract

Biological and synthetic skin equivalents were developed to improve cosmetic and functional results of treatment of children with deep burns. They include both ReCell® technology and Suprathel® synthetic cover. The usage of these innovative technologies in pediatric combustiology is proven to be effective on the basis of remote therapy results considering the state of cicatricial tissue with the help of appliance of three-dimensional analysis.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(3):77-84
pages 77-84 views

SURGICAL TREATMENT OF ACUTE HEMATOGENOUS OSTEOMYELITIS OF BONES THAT MAKE UP THE HIP JOINT IN CHILDREN

Shamsiev A.M., Yusupov S.A., Makhmudov Z.M.

Abstract

To improve the results of surgical treatment we have examined 114 children with acute hematogenous hip osteomyelitis. According to the type of conducted surgical interventions, we have differentiated between three clinical groups. In the remote perspective, good results were obtained in 57,8% of patients of the second group considerably exceeding the result of 33,4% in the first group and 45% in the third group. The method of draining osteoperforations of the acetabular roof results in outcome improvement, twofold decrease in the number of complications and exclusion of transition to the chronic state.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(3):86-89
pages 86-89 views

SCIENCE CHRONICLE

RESOLUTION OF PEDIATRIC SURGERY SYMPOSIUM «VASCULAR PATHOLOGY IN CHILDREN»

Article E.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(3):114-115
pages 114-115 views

ALL-RUSSIAN RESEARCH AND TRAINING CONFERENCE «BURNS AND EMERGENCY MEDICINE»

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Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(3):116-117
pages 116-117 views

THE VI INTERNATIONAL CONGRESS «STARS OF PEDIATRIC SURGERY ON THE BANKS OF BAIKAL»

Article E.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(3):118-119
pages 118-119 views

THE XIV CONGRESS OF FEDERATION OF ANESTESIOLOGISTS AND RESUSCITATORS (FAR)

Article E.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(3):120-121
pages 120-121 views

PROFESSIONAL SKILLS COMPETITION

«THE BEST PHYSICIAN OF THE YEAR» AWARD HOLDERS NOMINATED AS «THE BEST SURGEON» AND «THE BEST UROLOGIST»

Article E.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(3):122-122
pages 122-122 views

«CALLING» AWARD CEREMONY HOLDERS

Article E.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(3):123-123
pages 123-123 views

THE 1ST ALL-RUSSIAN «FIRST PERSONS» AWARD HOLDERS IN PERINATAL MEDICINE

Article E.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2014;4(3):124-125
pages 124-125 views

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