RESUMEN
The article contains the data about the examination and surgical treatment of 21 children with cholelithiasis, most of them girls (6:1). There were 7 children at the age between 4 and 10 and 14 children at the age between 11 and 14 years. 15 patients had accompanying diseases of the gastrointestinal tract. Cholelithiasis in children generally may be caused by abnormalities of biliary tract formation. The ultrasonography is the most informative method of the diagnosis of the biliary tract diseases. This method enables early surgery and preventing involvement of other organs into pathological process to aroid complications. 18 patients had cholecystectomy and 3 patients had the additional lithotomy with papillosphincteroplasty. The remote results within 1 to 4 years were very good in 19 patients. Two patients were reoperated because of major duodenal papilla stenosis and cholelithiasis relapse.
Asunto(s)
Colelitiasis , Adolescente , Niño , Preescolar , Colecistectomía , Colelitiasis/diagnóstico , Colelitiasis/etiología , Colelitiasis/cirugía , Diagnóstico Diferencial , Femenino , Humanos , Masculino , Reoperación , Estudios Retrospectivos , Resultado del TratamientoAsunto(s)
Hematoma/terapia , Cráneo , Factores de Edad , Femenino , Hematoma/etiología , Hematoma/cirugía , Humanos , Lactante , Recién Nacido , Masculino , Cráneo/lesionesRESUMEN
The paper analyzes the experience in treating 27 children suffering from complicated cysts of the lungs, which accounts for 1.1% of the total number of patients with pulmonary diseases. Eleven of them were treated conservatively, they underwent puncture or drainage of the cyst with bronchial occlusion. Satisfactory results were achieved in 4 children. Radical operations were made in all cases of recurrent solitary cysts and in genuine cysts not connecting with the bronchial tree. In all cases of complicated genuine cysts of the lung one should take into account their combination with intralobular sequestration of the lung.
Asunto(s)
Malformación Adenomatoide Quística Congénita del Pulmón/complicaciones , Adolescente , Bronquios/cirugía , Niño , Preescolar , Malformación Adenomatoide Quística Congénita del Pulmón/diagnóstico por imagen , Malformación Adenomatoide Quística Congénita del Pulmón/cirugía , Femenino , Humanos , Lactante , Pulmón/diagnóstico por imagen , Pulmón/cirugía , Masculino , Neumonectomía/métodos , RadiografíaRESUMEN
The article discusses the results of angiological examination of 42 children with primary and 13 with recurrent varicocele by the method of ++trans-scrotal antegrade venotesticulography. Three groups of patients were distinguished: I--with drainage of blood into the left testicular vein, II--with drainage into the left cremasteric vein, III--with simultaneous drainage into the two above-indicated veins. Incompetence of the valvular apparatus of the left testicular vein and impaired blood drainage from the left external iliac vein with the development of retrograde flow of blood along the left cremasteric vein are the most frequent causes of varicocele in children.
Asunto(s)
Testículo/irrigación sanguínea , Varicocele/etiología , Insuficiencia Venosa/complicaciones , Adolescente , Niño , Humanos , Masculino , Flebografía , Varicocele/diagnóstico por imagen , Insuficiencia Venosa/diagnóstico por imagenAsunto(s)
Uréter/anomalías , Enfermedades Ureterales/cirugía , Reflujo Vesicoureteral/cirugía , Preescolar , Cistostomía , Dilatación Patológica/complicaciones , Dilatación Patológica/congénito , Dilatación Patológica/cirugía , Humanos , Lactante , Recurrencia , Uréter/cirugía , Enfermedades Ureterales/complicaciones , Enfermedades Ureterales/congénito , Ureterostomía , Vejiga Urinaria/cirugía , Derivación Urinaria/métodos , Reflujo Vesicoureteral/etiología , Reflujo Vesicoureteral/prevención & controlRESUMEN
Results of reconstructive-restorative operations on 40 patients with sequellae of acute hematogenic osteomyelitis of lower extremities are described. Most frequent of them are pathologic dislocations, axial extremity, ankylosis and contractures of large vessels in a faulty position. Extrafocal compression-distraction osteosynthesis after Ilizarov was used. Little-traumatic character of the method, stable fixation and early functional loading gave smooth course of the postoperative period and good anatomo-functional results in most of the patients.
Asunto(s)
Anquilosis/cirugía , Pie Equinovaro/cirugía , Contractura de la Cadera/cirugía , Luxación de la Cadera/cirugía , Articulación de la Rodilla/cirugía , Pierna , Osteomielitis/complicaciones , Osteotomía/métodos , Adolescente , Anquilosis/etiología , Pie Equinovaro/etiología , Diseño de Equipo , Femenino , Contractura de la Cadera/etiología , Luxación de la Cadera/etiología , Humanos , Osteotomía/instrumentación , U.R.S.S.RESUMEN
The course of pyopneumothorax in 427 patients, among whom 310 were subjected to temporary occlusion of the bronchus, was appraised by means of the severity index based on consideration of deviations of the values of hemodynamics, external respiration, blood, and acid-base equilibrium from the normal level. In a favourable course of pyopneumothorax the severity index was found to be within the ranges of the confidential interval. The method makes it possible to appraise the compensatory properties of the organism and prognosticate the course of the disease.
Asunto(s)
Empiema/diagnóstico , Neumotórax/diagnóstico , Índice de Severidad de la Enfermedad , Niño , Humanos , MatemáticaAsunto(s)
Estenosis Pilórica/genética , Niño , Preescolar , Femenino , Humanos , Lactante , Masculino , Estenosis Pilórica/congénitoRESUMEN
The possibility of the use of the linguistic theory in differential diagnosis of acute appendicitis was studied. Analysed were 299 case records of the patients with intestinal dyskinesia, common and destructive appendicitis. Hypodiagnosis of appendicitis was noted in 8.6%, hyperdiagnosis--in 23.3% of cases.
Asunto(s)
Apendicitis/diagnóstico , Lingüística , Enfermedad Aguda , Niño , Diagnóstico Diferencial , Motilidad Gastrointestinal , Humanos , Enfermedades Intestinales/diagnóstico , MasculinoAsunto(s)
Cirugía General/educación , Pediatría/educación , Enseñanza/métodos , Niño , Humanos , Federación de RusiaAsunto(s)
Úlcera Duodenal/complicaciones , Úlcera Péptica Perforada/diagnóstico , Úlcera Gástrica/complicaciones , Adolescente , Niño , Preescolar , Úlcera Duodenal/patología , Úlcera Duodenal/cirugía , Femenino , Gastrectomía , Humanos , Lactante , Recién Nacido , Masculino , Úlcera Péptica Perforada/patología , Úlcera Péptica Perforada/cirugía , Úlcera Gástrica/patología , Úlcera Gástrica/cirugía , Técnicas de SuturaAsunto(s)
Empiema/fisiopatología , Hemodinámica , Neumotórax/fisiopatología , Broncoscopía/métodos , Niño , Preescolar , Cuidados Críticos/métodos , Drenaje , Urgencias Médicas , Empiema/terapia , Humanos , Lactante , Neumonía/complicaciones , Neumonía/fisiopatología , Neumonía/terapia , Neumotórax/terapia , Factores de TiempoAsunto(s)
Cateterismo/efectos adversos , Cirugía General , Enfermedad Iatrogénica , Mala Praxis , Heridas y Lesiones , Niño , Preescolar , Femenino , Humanos , Lactante , Recién Nacido , Masculino , VenasRESUMEN
Seven cases of duplicate digestive tubes were analyzed, five cases concerning the small intestine. The operative treatment is thought to be indicated as soon as the pathology is diagnosed because of the potential risk of complications. Dissection of the duplication or resection of it with the presenting organ is the method of choice. In cases with the common wall of the main digestive tube and duplication a partial dissection of the latter is permissible followed by demucosation and peritonization of the defect by local tissues.