Subject(s)
Forearm Injuries/diagnosis , Joint Dislocations/diagnosis , Accidental Falls , Adolescent , Anesthesia, General , Child , Child, Preschool , Combined Modality Therapy , Follow-Up Studies , Forearm Injuries/classification , Forearm Injuries/therapy , Humans , Joint Dislocations/classification , Joint Dislocations/therapy , Manipulation, OrthopedicABSTRACT
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.
Subject(s)
Poland Syndrome/surgery , Adolescent , Child , Child, Preschool , Female , Follow-Up Studies , Humans , Infant , Male , Methods , Ribs/abnormalities , Ribs/surgeryABSTRACT
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.
Subject(s)
Hernia, Hiatal/surgery , Adolescent , Child , Esophagoscopy , Female , Follow-Up Studies , Hernia, Hiatal/diagnosis , Hernia, Hiatal/physiopathology , Humans , Male , Postoperative Care , Time Factors , Treatment OutcomeABSTRACT
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.
Subject(s)
Arteriovenous Malformations/diagnosis , Adolescent , Arteriovenous Fistula/congenital , Arteriovenous Fistula/diagnosis , Arteriovenous Fistula/surgery , Arteriovenous Malformations/surgery , Child , Child, Preschool , Female , Humans , Infant , Lymphatic System/abnormalities , Lymphatic System/surgery , Male , Sociology , SyndromeABSTRACT
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.
Subject(s)
Abdominal Muscles/abnormalities , Abdominal Muscles/surgery , Hernia, Ventral/congenital , Hernia, Ventral/surgery , Abnormalities, Multiple/mortality , Abnormalities, Multiple/surgery , Cause of Death , Combined Modality Therapy , Female , Hernia, Ventral/mortality , Humans , Infant, Newborn , Intestinal Pseudo-Obstruction/mortality , Intestinal Pseudo-Obstruction/therapy , Male , Postoperative Care/methods , Preoperative Care/methodsABSTRACT
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.
Subject(s)
Joint Dislocations/diagnostic imaging , Radius/injuries , Ulna Fractures/diagnostic imaging , Adolescent , Child , Child, Preschool , Female , Fracture Fixation/methods , Humans , Joint Dislocations/classification , Joint Dislocations/therapy , Male , Radiography , Radius/diagnostic imaging , Ulna/diagnostic imaging , Ulna Fractures/classification , Ulna Fractures/therapySubject(s)
Elbow Injuries , Fractures, Bone/classification , Joint Dislocations/classification , Child , HumansSubject(s)
Abnormalities, Multiple/surgery , Duodenal Obstruction/etiology , Duodenum/abnormalities , Jejunum/abnormalities , Anus, Imperforate/surgery , Duodenal Obstruction/congenital , Duodenal Obstruction/surgery , Duodenum/surgery , Hernia, Umbilical/surgery , Humans , Infant, Newborn , Jejunum/surgerySubject(s)
Hirschsprung Disease/surgery , Postoperative Complications/surgery , Adolescent , Anastomosis, Surgical/instrumentation , Anastomosis, Surgical/methods , Child , Child, Preschool , Colon/surgery , Equipment Design , Humans , Infant , Postoperative Complications/prevention & control , Rectum/surgery , Recurrence , Surgical InstrumentsABSTRACT
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.
Subject(s)
Biliary Atresia/surgery , Cholecystitis/surgery , Gallbladder/abnormalities , Adolescent , Child , Child, Preschool , Chronic Disease , Female , Gallbladder/surgery , Humans , MaleABSTRACT
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.
Subject(s)
Burns/surgery , Esophageal Atresia/surgery , Esophagoplasty/methods , Esophagus/blood supply , Microsurgery/methods , Vascular Surgical Procedures/methods , Animals , Dogs , Esophagus/injuries , Humans , Infant, Newborn , Intestine, Small/blood supply , Intestine, Small/transplantationABSTRACT
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.
Subject(s)
Hernia, Diaphragmatic/diagnosis , Acute Disease , Adolescent , Child , Child, Preschool , Diaphragm/diagnostic imaging , Hernia, Diaphragmatic/surgery , Humans , Infant , Infant, Newborn , Palpation , Radiography , RecurrenceABSTRACT
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.
Subject(s)
Cholelithiasis , Adolescent , Child , Child, Preschool , Cholelithiasis/diagnosis , Cholelithiasis/surgery , Female , Humans , MaleABSTRACT
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.
Subject(s)
Cholecystitis/surgery , Adolescent , Child , Child, Preschool , Cholecystectomy/methods , Cholecystitis/diagnosis , Chronic Disease , Female , Humans , Infant , MaleABSTRACT
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.
Subject(s)
Kidney/abnormalities , Postoperative Complications/etiology , Adolescent , Child , Child, Preschool , Follow-Up Studies , Humans , Infant , Kidney/surgery , Kidney Pelvis/surgery , Nephrectomy , Time Factors , Ureter/surgeryABSTRACT
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.
Subject(s)
Elbow Injuries , Humeral Fractures/complications , Joint Dislocations/complications , Radius/injuries , Ulna/injuries , Adolescent , Child , Elbow Joint/surgery , Female , Fracture Fixation, Internal , Humans , Humeral Fractures/surgery , Joint Dislocations/surgery , Male , Postoperative Care , Radius/surgery , Ulna/surgerySubject(s)
Cholecystitis , Acute Disease , Child , Cholecystitis/diagnosis , Cholecystitis/surgery , Female , Humans , MaleABSTRACT
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.
