ABSTRACT
Results of treatment of 235 patients with intussusception are analyzed. The treatment tactics in different period of disease is described in details, the role of echography is emphasized. For the first time the conception of functional (reversible) intussusception was offered, treatment tactics were determined. Results of treatment were studied, conservative and surgical tactics of treatment were substantiated.
Subject(s)
Intussusception/surgery , Child , Child, Preschool , Humans , Infant , Intestine, SmallSubject(s)
Burns, Chemical/surgery , Colon/surgery , Child , Colon/injuries , Colostomy , Female , Humans , ReoperationABSTRACT
There were 849 children with various forms of acute appendicitis under observation in 1988. Generalized and circumscribed peritonitis was found in 44.2% of cases. The new clinical approach-based introduction of a previously elaborated surgical tactics showed it to be rational. The changing conditions led to a wider use of diagnostic laparoscopy, rejection of the "lavage" system in the postoperative period, and introduction of the method of laparostomy which is simpler and more effective.
Subject(s)
Appendectomy/methods , Appendicitis/surgery , Peritonitis/surgery , Acute Disease , Appendicitis/complications , Child , Humans , Intraoperative Care , Peritoneal Lavage , Peritonitis/etiologySubject(s)
Accidental Falls , Accidents , Hemorrhage/surgery , Hepatic Artery/injuries , Liver/injuries , Adolescent , Child , Female , Hemorrhage/etiology , Hemostatic Techniques , Hepatic Artery/surgery , Humans , Ligation , Liver/blood supply , Liver/surgery , Male , Rupture , Suture TechniquesABSTRACT
The authors analyze 120 observations of children admitted to the hospital with suspected acute appendicitis for the period from 1977 till 1978. Positive thermographic results were obtained in 71 of 83 operated patients and in 22 of 32 non-operated patients the diagnosis of acute appendicitis was rejected. Thermographic data on different stages of peritonitis and destructive forms of appendicitis are presented. These data combined with others allowed the stage of the inflammatory process and the degree of the severity of the condition to be established. The dynamic observation during the postoperative period suggests that the thermographic method is a necessary and timely one for revealing postoperative complications and choice of therapeutic tactics.
