Vol 5, No 2 (2015)

Cover Page

Full Issue

CLINICAL OBSERVATIONS

COMPLICATION OF MESENTERIC ROOT LYMPHANGIOMA IN A 12 YEAR OLD

Babich I.I., Shilov G.L.

Abstract

The purpose of this article is to demonstrate a rare complication of an ileal mesenteric lymphangioma. This example clearly demonstrates a rare complication in the form of suppuration of the mesenteric root lymphangioma.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(2):75-78
pages 75-78 views

RARE FORMS OF INTUSSUSCEPTION

Razin M.P., Syrchin E.F., Kuznetsov S.Y., Lobastov D.K.

Abstract

Intussusception often affects children, due to the anatomy and physiologic characteristics of a child organism. The authors present a rare case of intussusception in infants of 7 months old. Intussusception failed to spread conservative during barium enema therapy. During the operation, consistently retrograde were manually straightened ileocecal intussusception, ileoileal, was found invaginated Meckel’s diverticulum with perforation at the bottom. Was performed resection of the ileum with diverticulum, intestinal anastomosis was imposed «end-to-end». The postoperative course was smooth, the child was discharged in satisfactory condition.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(2):79-82
pages 79-82 views

REVIEW OF LITERATURE

URACHAL ANOMALIES IN CHILDREN: DIAGNOSTICS AND TREATMENT. LITERATURE REVIEW

Poddubny I.V., Isaev Y.A.

Abstract

A significant amount of publications devoted to disturbances of involution of the urachus has been accumulated lately. However, world literature data related to obliteration terms and frequency of the urachal anomalies vary considerably hampering risk assessment of complications. No consensus is reached over the issue of patient’s management as well. This article analyzes medical literature and most prominent Internet sources related to disturbances of involution of the urachus and treatment of related conditions.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(2):83-92
pages 83-92 views

PARENTERAL NUTRITION IN CHILDREN: RECOMMENDATIONS OF LEADING EXPERTS

Erpulyova Y.V.

Abstract

The article summarizes modern recommendations of the leading European experts in the sphere of parenteral nutrition in children. Amendments to the previously published data related to dosages of the main nutrients in children of different age are recommended by the leading experts in parenteral nutrition. Indications to parenteral nutrition and necessity in the usage of vitamins and microelements are determined.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(2):94-99
pages 94-99 views

ANNIVERSARIES

ANNIVERSARIES

Article E.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(2):137-142
pages 137-142 views

SCIENCE CHRONICLE

22nd RUSSIAN (55th ALL-UNION) SCIENTIFIC STUDENT CONFERENCE «ACTUAL ISSUES OF SURGERY, ANESTHESIOLOGY AND INTENSIVE CARE MEDICINE»

Article E.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(2):106-108
pages 106-108 views

EUROPEAN PAEDIATRIC SURGEONS' ASSOCIATION (EUPSA) XVI CONGRESS

Article E.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(2):109-110
pages 109-110 views

ORIGINAL ARTICLES

MODERN METHODS OF DIAGNOSTICS AND TREATMENT OF DESTRUCTIVE PNEUMONIA IN CHILDREN

Khaspekov D.V., Olkhova E.B., Topilin O.G., Safin D.A., Tkachenko N.V., Sokolov Y.Y.

Abstract

This article summarizes the clinical experience in diagnostics and treatment of destructive pneumonia in 258 children. The presented algorithm enables to make a timely diagnosis and provide necessary therapeutic aid including mini-invasive interventions to children with pulmonary and pleural complications of pneumonia. The single port thoracoscopy and ultrasound irrigation of the pleural cavity with the antibiotic-containing solution free the lung from fibrin coating, deliver the preparation to the focus of inflammation and remove the inflammatory exudate. Ultrasound screening used during treatment considerably expands the possibilities of pathology diagnostics and invasive methods of treatment.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(2):7-12
pages 7-12 views

TO THE QUESTION OF RATIONAL ALLOCATION OF BILIOUS CHANNELS OF THE LEFT SHARE OF THE LIVER

Zatolokin V.D., Grafov A.K., Khalilov M.A., Sheverdin N.N., Alexeev A.G.

Abstract

In the article information of topografo-anatomic research is resulted on 120 preparations of liver in the area of the left by shares hepatic duct and bile ducts II, III and the IV segments. The rational projections of operative accesses are developed to these ducts. The method of selection of the left hepatic channel was applied in clinical practice at 5 adults of patients with a high mechanical icterus and for 1 child 12 years. The methods of isolating segmental bile ducts were performed at 6 patients.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(2):13-19
pages 13-19 views

OPTIMIZATION OF PLASTICS URETHRAL IN TREATING CHILDREN WITH DISTAL HYPOSPADIAS AND SREDNESTVOLOVOY

Rudin Y.E., Marinenko D.V.

Abstract

TIP (Snodgrass) procedure is most common for the correction of distal and midshaft hypospadias. The technique is simple and has excellent cosmetic results. However, many authors point to the signs of narrowing of the distal urethra and reduced flow of urine in the postoperative period. For the period 2012-2014 operated 120 children with hypospadias at the age of 10 months to 17 years. The study included previously operated patients. With distal hypospadias (DH) were 101 patients, with the midshaft form of hypospadias (MH) - 19. Patients divided into 2 groups. The children in the groups did not differ in age and form of hypospadias. The first group included patients (60) who underwent standard surgery TIP. The second group consisted of boys (60), which were optimized approach to the correction of distal hypospadias with a modification of the technique TIP. Performed increasing the length of the wings of the glans penis by applying longitudinal incisions and stitching wings of glans surface at a depth of 2 mm to short for 5-8 mm in the upper half of the glans. Deeper longitudinal incision of the urethral plate. Economical foreskin resection with preservation of the stock of skin on the ventral surface. Sequential drainage of the bladder catheter with end hole (feeding tube) for 7 days. Then the catheter was pulled up and transferred to the stent, which was removed on the 14th to 17th day after surgery. Conducted preliminary preparation of patients with hypospadias testosterone drugs to increase penis size and improve circulation of the skin of the trunk and the foreskin. Outcomes were systematized during the follow up (6 months up to 1,5 years). The complications in the first group such as fistula and urethral stenosis were observed in 11 (18%) patients. In the second group we have not observed urethral stenosis, urethral fistula was diagnosed in 3 patients (5%). Proposed measures to optimize the treatment of patients with distal hypospadias by TIP method allowed us to improve the results of hypospadias repair and to reduce the number of postoperative complications more than tripled, from 18 to 5% and to ensure the prevention of violations of the flow of urine after these operations.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(2):20-26
pages 20-26 views

SINGLE TROACAR FENESTRATION OF THE RENAL CYSTS BY RETROPERITONEOSCOPY IN CHILDREN

Akramov N.R., Baybikov R.S., Garipov R.N.

Abstract

The article describes the first experience in single troacar fenestration of the renal cysts by retroperitoneoscopy in children. This method can be used in surgical treatment of children with solitary cysts, multichamber cysts and renal polycystosis. Fenestration of a renal cyst (renal cysts) is performed using scissors placed through the working channel of a laparoscope in the retroperitoneal space. The manipulation is performed at the thinnest site. Subsequently, the cyst contents are removed with the suction. The internal layer of the cyst is treated with the bipolar radiofrequency device. Following the procedure the formed cavity is drained with Ch catheter number 8 with lateral orifices. The method helps to decrease the invasiveness of the surgical access, exclude intraoperative complications, ensure radicality of surgical treatment and reduce the number of relapses.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(2):27-31
pages 27-31 views

NEUROENDOSCOPIC METHODS OF TREATMENT OF HYDROCEPHALUS AT THE RESEARCH CENTER OF PROVIDING MEDICAL AID TO CHILDREN

Petraki V.L., Simernitsky B.P., Prityko A.G., Sharoev T.A., Asadov R.N., Petrov Y.A., Azamov D.D., Ishutin A.A., Klimchuk O.V., Prokopiev G.G., Petrova L.L., Slabuka N.V.

Abstract

At Moscow Research Centre of Providing Medical Assistance to Children they have been treating hydrocephalus using Richard Wolf and Karl Storz endoscopes since 1999. The structural and functional modernization of the clinic during 15 years enabled to increase the specific gravity from 8.43 to 28.2% in those neonates who underwent surgery and from 75.9 to 93.4% in infants. Types of endoscopic manipulations were diversified during these years (3 to 30) and their amount rose from 20 to 600 a year. The surgeries are performed irrespective of liquor composition starting from 28 weeks of gestation and in 1,000 g of weight. A set of introduced, modernized and developed endoscopic manipulations developed by us can be applied in children of any age in different etiology and types of hydrocephalus enabling to eliminate and/or prevent intra- and extraventricular occlusions, senate liquor and restore its ventriculosubarachnodial passage in supra-, subtentorial and spinal subarachnoid spaces with the integration of the latter, remove the pathological content from the brain ventricles, restore the function of the shunts and lumen of the ventricles, decrease liquor production, ensure regular drainage of liquor spaces and eliminate the corresponding pathology. The manipulations are easily compatible and are carried out using one approach. Complex application of endoscopic methods demonstrated their effectiveness in case of multi-level noncommunicating hydrocephalus in 54% of cases, and it reaches 75% in one-level noncommunicating hydrocephalus increasing the effectiveness of endoscopic methods in their isolated application.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(2):32-45
pages 32-45 views

EPIDURAL ANESTHESIA IN NEWBORNS AND INFNATS WITH SURGICAL DISEASES

Sichkar S.Y., Afukov I.I.

Abstract

It is known that newborns and infants feel the pain and require the proper analgesia in any surgical manipulations. Significant changes in the prolonged regional analgesia have occurred in newborns within the last several years. The main problems observed during analgesia are the lack of objective methods of pain measurement, lack of speech contact with a child and age restrictions to use some analgesics. It is currently established that epidural anesthesia in newborns and infants is recommended as a safe and effective method of anesthesia. The drug of choice for epidural anesthesia in this age group is Ropivacainum 2 mg/ml. Discussion of the most suitable method of epidural administration of Ropivacainum in combination with narcotic analgesics is being continued.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(2):47-54
pages 47-54 views

FILM COATINGS IN TREATING CHILDREN WITH BURNS TO THE SKIN

Soshkina V.V., Astamirova T.S.

Abstract

This article presents the results of the comparative analysis of use of synthetic film wound coatings in the treatment of infants with burns.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(2):56-60
pages 56-60 views

VACUUM THERAPY IN CHILDREN WITH POST-ISCHEMIC NECROSIS OF SOFT TISSUES

Budkevich L.I., Zaitseva T.V.

Abstract

Treatment of patients with wound defects of soft tissues related to trophic disturbances which is the complex section of reconstructive surgery. Two clinical observations have been presented. Patients with wounds of ischemic genesis the staged therapy of whom was carried out using vacuum assisted wound therapy. Negative pressure wound therapy is indicated.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(2):62-65
pages 62-65 views

MORPHOLOGICAL CHARACTERISTIC OF A LETHAL CATATRAUMA IN CHILDREN

Karavaev V.M., Levanovich V.V., Aleksandrovioh Y.S., Pshenisnov K.V.

Abstract

A comparative study of peculiarities of a concomitant injury in childhood was conducted based on the materials of postmortem examinations in 147 children and 110 adults who died while falling from height. It was established that the scope of damages obtained while falling from height was less in children than in adults. It was explained by a smaller frequency of separate injuries and lesser number of injured body areas. Concurrently, such concussion manifestations as the damage of a fixing appliance of the chest and abdomen are more pronounced in children. There are no significant differences in the redistribution of damages between the body areas in children and adults.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(2):67-74
pages 67-74 views

OFFICIAL DOCUMENTS

CONCERNING MONITORING OF DRUG SAFETY

Article E.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(2):100-105
pages 100-105 views

SOCIETY MEETING PEDIATRIC SURGERY MOSCOW AND MOSCOW REGION № 552 OF JANUARY, 22 2015

pages 111-114 views

ДЕМОНСТРАЦИЯ: «ОПЫТ ЛЕЧЕНИЯ РЕБЕНКА С МНОЖЕСТВЕННЫМИ ВРОЖДЕННЫМИ ПОРОКАМИ РАЗВИТИЯ»

., ., ., ., ., ., ., .
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(2):114-116
pages 114-116 views

ДОКЛАД: «ХИРУРГИЧЕСКОЕ ЛЕЧЕНИЕ ДЕТЕЙ С ОСЛОЖНЕННОЙ БОЛЕЗНЬЮ КРОНА»

., ., ., ., .
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(2):116-119
pages 116-119 views

SOCIETY MEETING PEDIATRIC SURGERY MOSCOW AND MOSCOW REGION № 553 OF FEBRUARY, 26 2015

pages 120-121 views

SOCIETY MEETING PEDIATRIC SURGERY MOSCOW AND MOSCOW REGION № 554 OF MARCH, 26 2015

ДОКЛАД: «О СОСТОЯНИИ ХИРУРГИЧЕСКОЙ ПОМОЩИ ДЕТЯМ В СТАЦИОНАРАХ МОСКВЫ»

.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(2):122-126
pages 122-126 views
pages 127-128 views

SOCIETY MEETING PEDIATRIC SURGERY MOSCOW AND MOSCOW REGION № 555 OF APRIL, 16 2014

pages 129-135 views
pages 135-136 views

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