Asunto(s)
Traumatismos del Antebrazo/diagnóstico , Luxaciones Articulares/diagnóstico , Accidentes por Caídas , Adolescente , Anestesia General , Niño , Preescolar , Terapia Combinada , Estudios de Seguimiento , Traumatismos del Antebrazo/clasificación , Traumatismos del Antebrazo/terapia , Humanos , Luxaciones Articulares/clasificación , Luxaciones Articulares/terapia , Manipulación OrtopédicaRESUMEN
An experience with treatment of 16 patients with the Poland syndrome has been analyzed, 12 of them had been operated upon. An interpretation of the disease as a defect and deformity is proposed. The clinical picture of the variants of the Poland syndrome is describes. The authors give a description of the preoperative preparation, postoperative management and a technique of the operative liquidation of all the symptoms of the defect. There were no lethal outcomes. An analysis of long-term results is given.
Asunto(s)
Síndrome de Poland/cirugía , Adolescente , Niño , Preescolar , Femenino , Estudios de Seguimiento , Humanos , Lactante , Masculino , Métodos , Costillas/anomalías , Costillas/cirugíaRESUMEN
The authors generalize results of examinations and operative treatment of 310 children with abnormalities of the venous and lymphatic vessels. References for differential diagnostics are described and term for operative interventions are given.
Asunto(s)
Malformaciones Arteriovenosas/diagnóstico , Adolescente , Fístula Arteriovenosa/congénito , Fístula Arteriovenosa/diagnóstico , Fístula Arteriovenosa/cirugía , Malformaciones Arteriovenosas/cirugía , Niño , Preescolar , Femenino , Humanos , Lactante , Sistema Linfático/anomalías , Sistema Linfático/cirugía , Masculino , Sociología , SíndromeRESUMEN
The data on operative treatment of 16 children with esophageal hiatal hernia are presented. All the patients underwent plasty of the hiatus with the use of a thoracic approach according to the technique developed in the clinic. The results of treatment were studied within 1 to 15 years after the operation. In 15 patients, a good result was noted, in 1--a satisfactory one.
Asunto(s)
Hernia Hiatal/cirugía , Adolescente , Niño , Esofagoscopía , Femenino , Estudios de Seguimiento , Hernia Hiatal/diagnóstico , Hernia Hiatal/fisiopatología , Humanos , Masculino , Cuidados Posoperatorios , Factores de Tiempo , Resultado del TratamientoRESUMEN
Gastroschisis is considered by the authors to be an embryopathy. The main principles of management of newborns with gastroschisis are: warming of the newborn, rehydration, measures against pseudoobstruction of the intestine. An effective method which could be recommended for all kinds of operations for defects of the anterior abdominal wall is a "manual enlargement of the abdominal cavity" during operation.
Asunto(s)
Músculos Abdominales/anomalías , Músculos Abdominales/cirugía , Hernia Ventral/congénito , Hernia Ventral/cirugía , Anomalías Múltiples/mortalidad , Anomalías Múltiples/cirugía , Causas de Muerte , Terapia Combinada , Femenino , Hernia Ventral/mortalidad , Humanos , Recién Nacido , Seudoobstrucción Intestinal/mortalidad , Seudoobstrucción Intestinal/terapia , Masculino , Cuidados Posoperatorios/métodos , Cuidados Preoperatorios/métodosRESUMEN
Based on an analysis of observations of 85 children the authors discuss questions of diagnostics and tactics of treatment of different kinds of fractures of the elbow bone with dislocation of the radius. The authors obtained good results of treatment.
Asunto(s)
Luxaciones Articulares/diagnóstico por imagen , Radio (Anatomía)/lesiones , Fracturas del Cúbito/diagnóstico por imagen , Adolescente , Niño , Preescolar , Femenino , Fijación de Fractura/métodos , Humanos , Luxaciones Articulares/clasificación , Luxaciones Articulares/terapia , Masculino , Radiografía , Radio (Anatomía)/diagnóstico por imagen , Cúbito/diagnóstico por imagen , Fracturas del Cúbito/clasificación , Fracturas del Cúbito/terapiaAsunto(s)
Enfermedad de Hirschsprung/cirugía , Complicaciones Posoperatorias/cirugía , Adolescente , Anastomosis Quirúrgica/instrumentación , Anastomosis Quirúrgica/métodos , Niño , Preescolar , Colon/cirugía , Diseño de Equipo , Humanos , Lactante , Complicaciones Posoperatorias/prevención & control , Recto/cirugía , Recurrencia , Instrumentos QuirúrgicosRESUMEN
The authors report on the diagnosis, therapeutic tactics, the results of morphological studies, and the late-term results of surgery for developmental anomalies of the gallbladder and chronic cholecystitis with organic disorders of bile drainage in 53 children aged from 5 to 15 years. The findings of morphological studies showed that among the causes of impaired bile drainage developmental anomalies of the gallbladder were encountered much more frequently than chronic cholecystitis. Indications for operation were developed on the basis of clinical data and the results of auxiliary methods of examination. Clinical, radiological, and morphological comparisons showed these indications to be well-founded. The immediate and late-term results of surgical management of developmental anomalies of the gallbladder and chronic cholecystitis with organic disorders of bile drainage confirm the expediency of active surgical tactics in the presence of the proper indications.
Asunto(s)
Atresia Biliar/cirugía , Colecistitis/cirugía , Vesícula Biliar/anomalías , Adolescente , Niño , Preescolar , Enfermedad Crónica , Femenino , Vesícula Biliar/cirugía , Humanos , MasculinoRESUMEN
Clinico-experimental data on using the microvascular technique in plastic operations on the esophagus are described. Experiments in puppies have revealed specific features of the surgical technique, the morphology of intestinal grafts and their taking under conditions of growing organism. The microvascular technique was used in 3 patients. In 2 patients additional nutrition of the grafts was performed, in 1 patient free transplantation of small intestine grafts to the cervical and thoracic parts of the esophagus was fulfilled. Results were good.
Asunto(s)
Quemaduras/cirugía , Atresia Esofágica/cirugía , Esofagoplastia/métodos , Esófago/irrigación sanguínea , Microcirugia/métodos , Procedimientos Quirúrgicos Vasculares/métodos , Animales , Perros , Esófago/lesiones , Humanos , Recién Nacido , Intestino Delgado/irrigación sanguínea , Intestino Delgado/trasplanteRESUMEN
Hernia of the diaphragm in children (226 observations) is characterised by a great variety of symptoms. Clinical manifestations of the hernia allow to divide the course of the disease into acute, subacute and recurrent forms and complications (incarcerations) which helps the doctor to timely diagnose the disease.
Asunto(s)
Hernia Diafragmática/diagnóstico , Enfermedad Aguda , Adolescente , Niño , Preescolar , Diafragma/diagnóstico por imagen , Hernia Diafragmática/cirugía , Humanos , Lactante , Recién Nacido , Palpación , Radiografía , RecurrenciaRESUMEN
At the period of from 1965 to 1988, the authors observed 20 children with cholelithiasis. Among the patients, the number of girls was predominant. Operated on were 13 patients. The indications for operative intervention, immediate and long-term results of the treatment are presented.
Asunto(s)
Colelitiasis , Adolescente , Niño , Preescolar , Colelitiasis/diagnóstico , Colelitiasis/cirugía , Femenino , Humanos , MasculinoRESUMEN
Based upon literature data and an analysis of immediate and remote results of treatment of 50 children with acalculous cholecystitis the authors point to the advisability of operative interventions in patients with organic disturbances of the bile outflow. An analysis of the clinical picture, effects of the conservative therapy and results of subsidiary investigations enabled the authors to establish indications to surgery. The surgical methods must be determined by the character of pathology of the gallbladder, bile ducts and concomitant diseases. The immediate and long-term results of the surgical treatment of chronic cholecystitis resulting from organic disturbances of bile excretion confirm expediency of active surgical tactics in the presence of indications and of strict dispensary observation after operations for this disease.
Asunto(s)
Colecistitis/cirugía , Adolescente , Niño , Preescolar , Colecistectomía/métodos , Colecistitis/diagnóstico , Enfermedad Crónica , Femenino , Humanos , Lactante , MasculinoRESUMEN
An analysis of results of the surgical treatment of 61 patients aged from 1 to 14 years has been made. Follow-up examinations from 1 to 18 years after treatment was performed in 53 of the 61 patients. In sacral and iliac dystopia of the kidney good outcomes were obtained after combined reconstructive plastic operations consisting of nephropexy associated with ureterolysis, resection of accessory vessels, plasty of the pyeloureteral segment and resection of the kidney pole with abnormal blood supply. With pelvic and crossed dystopia nephrureterectomy is indicated. With the only dystopic kidney good remote results were obtained after a one-step radical correcting operation.
Asunto(s)
Riñón/anomalías , Complicaciones Posoperatorias/etiología , Adolescente , Niño , Preescolar , Estudios de Seguimiento , Humanos , Lactante , Riñón/cirugía , Pelvis Renal/cirugía , Nefrectomía , Factores de Tiempo , Uréter/cirugíaRESUMEN
An analysis of the clinical picture of dislocation of both forearm bones complicated by abruption of the internal epicondyle with strangulation of it in the articulation cavity in 46 children is given. A method of open reposition of the fragment is described on the basis of many-years experience of treatment of dislocation fractures in the area of elbow joint. Long-term results of treatment were studied in 38 patients during 1-21 years. In 33 of them good results were noted.
Asunto(s)
Lesiones de Codo , Fracturas del Húmero/complicaciones , Luxaciones Articulares/complicaciones , Radio (Anatomía)/lesiones , Cúbito/lesiones , Adolescente , Niño , Articulación del Codo/cirugía , Femenino , Fijación Interna de Fracturas , Humanos , Fracturas del Húmero/cirugía , Luxaciones Articulares/cirugía , Masculino , Cuidados Posoperatorios , Radio (Anatomía)/cirugía , Cúbito/cirugíaAsunto(s)
Colecistitis , Enfermedad Aguda , Niño , Colecistitis/diagnóstico , Colecistitis/cirugía , Femenino , Humanos , MasculinoRESUMEN
Results of the surgical treatment of abruption of epicondyles in dislocation of both forearm bones in 86 children aged 9-14 are described. Long-term results of the treatment were studied in 63 patients within the period from 1 till 21 years. In most patients excellent and good anatomical and functional results were obtained.
Asunto(s)
Luxaciones Articulares/cirugía , Radio (Anatomía)/lesiones , Cúbito/lesiones , Adolescente , Niño , Humanos , Luxaciones Articulares/complicaciones , Masculino , Radio (Anatomía)/cirugía , Rotura , Cúbito/cirugíaRESUMEN
Results of treatment of 87 children with infiltrative subacute omentitis (ISO) which appeared after operation for acute appendicitis are described. ISO has its clinical and morphological picture, can be complicated by comissural obstruction of the intestine (27 patients) or abscess formation (10 patients). It was observed in acute appendicitis in 0.18% of the cases, after appendicular peritonitis--in 2.8%. The operation of choice in infiltrative omentitis is supposed to be a removal of the greater omentis, in abscessing omentitis--resection of the omentum. Two patients with ISO developed after appendicular peritonitis died.