RESUMEN
Results of treatment of 62 children aged 1 to 15 years with non-parasitic cysts of kidneys using mini-invasive laparoscopic technologies are analyzed. Laparoscopic operations with original technique have been performed at all the patients with various cysts sizes (from 3 to 13 cm across diameter) and localization (including 12 cases of peripelvic cysts). The time of surgery ranged 25 to 110 min (43 min on average); there were no conversions to open surgery, intraoperative and postoperative complications. The follow-up ranged from 1 to 3 years, there were no cases of cyst recurrence, and the functional and cosmetic results were excellent. It is concluded that laparoscopic method should be regarded as "gold standard" for the treatment of non-parasitic kidneys cysts at children that permits to achieve the stable positive results regardless of patient age, size and localization of cyst.
Asunto(s)
Enfermedades Renales Quísticas/cirugía , Laparoscopía/métodos , Procedimientos Quirúrgicos Urológicos/métodos , Adolescente , Niño , Preescolar , Femenino , Estudios de Seguimiento , Humanos , Lactante , Enfermedades Renales Quísticas/diagnóstico por imagen , Masculino , Tomografía Computarizada por Rayos X , Resultado del Tratamiento , UltrasonografíaRESUMEN
The object of the work was to appraise clinically the efficacy of electroanalgesia in the postoperative period in children and study the effect of this type of anesthesia on the vital functions of the organism. The purpose of special studies was to objectively reflect the response of central hemodynamics and neurovegetative state as a response to postoperative stress, pain is the main factor. The conducted complex studies showed that the application of transcutaneous electroneuro-stimulation for postoperative analgesia in minor operative interventions activates the antinociceptive system sufficiently rapidly, stabilizes cardiovascular activity and the activity of the sympathetic and parasympathetic parts of the autonomic, nervous system. The information obtained bears evidence that when applied in minor operative interventions the method is an adequate alternative of postoperative medicamentous analgesia in children.
Asunto(s)
Hemodinámica , Dolor Postoperatorio/terapia , Estimulación Eléctrica Transcutánea del Nervio , Sistema Nervioso Autónomo/fisiopatología , Niño , HumanosRESUMEN
The paper is concerned with analysis of the results of intraoperative phlebotesticulography, performed in 50 patients with varicocele of degree I-II during Ivanissevich's operation. The effect of surgical intervention was shown to depend upon the quality of ligation of the testicular vein, some parts of which are anastomosed between themselves. The localization of this anastomosis is revealed by means of intraoperative phlebotesticulography, which permits increasing the results of surgical treatment and predicting a course of a postoperative period.