RESUMEN
174 children of all ages with acute destructive pneumonia complicated with pleural empyema were treated during 10 ten years using videothoracoscopic method; among them 74 children were of younger age (43%). General principles of modern diagnostics and videothoracoscopic pleural cavity sanations were formulated. Ultrasonography and computer tomography of the chest carried out in younger children give possibilities for clear differential diagnostics with other diseases. Advantages of endosurgical treatment are proved. Indications for planned recurrent pleural cavity sanations were worked out.
Asunto(s)
Empiema Pleural/diagnóstico , Cirugía Torácica Asistida por Video/métodos , Adolescente , Preescolar , Diagnóstico Diferencial , Empiema Pleural/cirugía , Humanos , Lactante , Recién Nacido , Tomografía Computarizada por Rayos X , Resultado del TratamientoRESUMEN
An experience with the diagnosis and surgical treatment of hydatid disease of the liver included 191 patients aged from 2 through 15 years, 26 of them had a combined involvement of the liver and lung, in 7 patients there were combined lesions with other organs. Complicated echinococcosis was noted in 25 children. Ultrasonography was given the main role in the diagnosis. Videolaparoscopic hydatidectomy of the liver was performed in 62 patients. Solitary cysts of small and medium sizes located superficially were considered as indications to operation. In patients with large and gigantic cysts of special significance was capitonnage of the residual cavity. Use of albendazole as an antiparasitic agent for the recurrent disease and a prophylactic agent after operation for multiple and combined hydatid disease of the liver was found to be sufficiently effective.
Asunto(s)
Equinococosis Hepática/diagnóstico por imagen , Equinococosis Hepática/cirugía , Endoscopía/métodos , Adolescente , Niño , Preescolar , Equinococosis Hepática/parasitología , Femenino , Humanos , Masculino , UltrasonografíaRESUMEN
The paper describes simple and reliably reproducible methods of inducing superficial and deep skin burns (both infected and non-infected) in rats, which model IIIa and IIIb degree burns in humans. These methods reduce the costs and accelerate the development of local preparations.
Asunto(s)
Quemaduras/tratamiento farmacológico , Quemaduras/etiología , Animales , Quemaduras/patología , Fármacos Dermatológicos/uso terapéutico , Modelos Animales de Enfermedad , Evaluación Preclínica de Medicamentos , Femenino , Humanos , Masculino , Ratas , Reproducibilidad de los ResultadosRESUMEN
The paper is concerned with the results of extended and combined operations on 58 patients, subjected to a previous radical course of beta-beam or combined (external and contact) irradiation for cancer of the oral cavity and oropharyngeal organs. Over 2 years after operation 50% of the patients are alive. Twenty-two patients died of tumor relapse, regional or distant metastases, one patient died of another tumor site, and 6 patients died from intercurrent diseases. The results obtained are indicative of the appropriateness of this kind of operations. The use of plastic surgery simultaneously with the removal of a primary tumor prevents severe postoperative complications.