ABSTRACT
The experience of treatment of 513 children with an acute destructive appendicitis, complicated by peritonitis, was presented. The guided laparostomy conduction in patient in terminal state had promoted the frequency lowering of the postoperative complications occurrence and of the patients deaths. In 11 patients, whose state was estimated as extremely severe, laparostomy with double bottom according to classical method was performed. Of them 8 had recovered, 3 died, in 7 patients the complications occurred: the intestinal loops eventration--in 2 and postoperative infiltrate--in 5. The prolonged novocainic block of the terminal ileum mesentery and ileocecal valve with transcutaneous retroperitoneal introduction of catheter to mesentery according to Seldinger was applied for the treatment.
Subject(s)
Appendicitis/complications , Peritonitis/etiology , Peritonitis/therapy , Acute Disease , Adolescent , Anesthetics, Local/therapeutic use , Child , Child, Preschool , Humans , Laparotomy/methods , Male , Peritoneal Lavage/methods , Procaine/therapeutic useABSTRACT
The experience with the use of a cryosurgical method in the out-patient treatment of 3112 children of different age with congenital vascular formations was summarized. In the total structure of neoplasms, capillary hemangioma was predominant. The original apparatus was used with exposure of from 10 to 45 sec. The results of follow-up of the patients for 2 to 5 years are presented. A good cosmetic and functional result was noted in 96.2% of patients.
Subject(s)
Arteriovenous Malformations/surgery , Cryosurgery , Adolescent , Ambulatory Surgical Procedures , Child , Child, Preschool , Cryosurgery/instrumentation , Cryosurgery/methods , Follow-Up Studies , Hemangioma/congenital , Hemangioma/surgery , Humans , Infant , Treatment OutcomeABSTRACT
Cellular and humoral immunity was studied in 300 patients with acute appendicitis at the age of from 1 to 14 years. In all the patients, the secondary immunodeficient state was documented, which was the most pronounced at day 3 after the operation. In children after appendectomy, the inclusion into the complex of measures of the preparations increasing the immunologic reactivity of an organism is indicated.