Study on tactics of surgical treatment of children suffering from ileus depending on specific features of regional blood flow

Available from VNTIC / VNTIC - Scientific & Technical Information Centre of RussiaSIGLERURussian Federatio

Necrosis and perforation of the stomach in newborn babies and infants

The Objective of the study was to identify the clinical features of newborns and infants with perforation of the stomach, and to justify the possibility of organ-preserving operations even with extensive gastric necrosis.Methods and Materials. The results of treatment of 32 newborns with stomach perforation was analyzed: not only the risk factors that cause this condition, but diagnostic methods and variants of surgical treatment. All patients with extensive necrosis of the stomach wall underwent an atypical resection within healthy tissues, a gastric «tube» was formed on the drainage probe with a significant decrease of organ volume. In cases of the local damage of the gastric wall, the perforated area was sutured after the excision of the edges of the defect.Results. Mortality rate was 36.5 % (n = 12). The cause of death in 5 children (15 %), in 3 to 8 days after surgery, was multiple organ failure syndrome. In 7 patients (22 %), a fatal outcome occurred due to the severe post-intensive care syndrome at the age of 3 to 12 months of life.Conclusion. The mechanism of perforations of the stomach in newborns and infants is multifactorial. All children with stomach perforation need preoperative preparation. The operation of choice for the stomach perforation is an organpreserving surgery. The function of the stomach is restored in all children after extensive resection of the stomach

Проект решения Российского симпозиума детских хирургов «Атрезия пищевода»

The paper provides the text of the draft decision of the Russian Symposium of Pediatric Surgeons on Esophageal Atresia. Recommendations on antenatal and postnatal esophageal atresia diagnosis, surgical treatment methods, and postoperative complications are presented based on modern study data. Discussion with a wide range of specialists proposed the addition of federal clinical guidelines.В работе приведен текст проекта решения Российского симпозиума детских хирургов Атрезия пищевода. На основании данных современных исследований представлены рекомендации по антенатальной и постнатальной диагностике атрезии пищевода, методам хирургического лечения, послеоперационным осложнениям. Предлагается для обсуждения широкого круга специалистов для включения дополнений в федеральные клинические рекомендации

STRUCTURE FUNCTIONAL STATE OF DAMAGED SPLEEN IN CHILDREN AFTER NONOPERATIVE TREATMENT

The results of treatment of 75 children with spleen damage were studied. The conservative treatment was applied in 69 (92%) cases. A restoration of spleen structure was noted in case of spleen injury on 3-4 weeks. The complete normalization of the spleen structure occurred in terms of 3-4 months after trauma. Posttraumatic cysts appeared in case of large defects and hematomas after 2-3 weeks and disappeared by 5-6 months. The regenerative process of shallow ruptures was registered after 3-10 weeks, but the deep ruptures were healed after 6-30 weeks. The preservation of the spleen after trauma have led to structure and function recovery and could be considered as primary prevention of asplenism