ABSTRACT
AIM: To improve the outcomes in children with ovarian torsion. MATERIAL AND METHODS: Three clinical observations of patients with ovarian torsion are presented. Duration of the disease was 3-4 days. All children underwent organ-sparing surgery including untwisting followed by ovariopexy. RESULTS: All children were examined in early and late postoperative period (up to 5 years) after organ-sparing procedures. Ultrasonic picture of the ovaries including structure and dimensions corresponded to age, the follicles were determined. CONCLUSION: 'Conservative' approach allows to preserve anatomical structure and potential for reproductive function.
Subject(s)
Gynecologic Surgical Procedures/methods , Organ Sparing Treatments/methods , Ovarian Diseases , Ovary/diagnostic imaging , Child, Preschool , Female , Humans , Laparoscopy/methods , Ovarian Diseases/diagnosis , Ovarian Diseases/surgery , Torsion Abnormality/diagnosis , Torsion Abnormality/surgery , Treatment Outcome , Ultrasonography/methodsABSTRACT
AIM: To present an experience of treatment of children with large hernial defects of the anterior abdominal wall. MATERIAL AND METHODS: This article describes management of 43 children with large (n=31) and giant (n=12) ventral hernia who were at N.F. Filatov Children´s City Hospital #13 for the period 2005-2015. All patients underwent surgical correction using local tissues in 'edge to edge' fashion (n=23), aponeurosis dublication of 'coat floors' type (n=14) and biological implant 'Permacol' (n=6). Etiological causes of ventral hernias in children were comprehensively analyzed. Optimal time for surgical treatment and features of viscero-abdominal disproportion were discussed. CONCLUSION: Early restoration of anatomical and functional structures of the anterior abdominal wall is necessary for good cosmetic result and prevention of recurrent ventral hernia. We presented three clinical examples of commonly used surgical procedures in children including anterior abdominal wall repair using biological material 'Permacol'.
