ABSTRACT
In our clinics in 1992-2002 89 girls with anorectal developmental anomaly underwent modified perineal proctoplasty. In 65 (73.3%) patients the rectal atresia with vestibular fistula was revealed, in 17 (19%)--vaginal fistula, 7 (7.7%)--perineal fistula. After modified perineal proctoplasty carry out the good result is achieved in 37 (85%) patient, satisfactory one--in 6 (13%), nonsatisfactory (incontinence of feces)--in 1 (2%).
Subject(s)
Rectovaginal Fistula/surgery , Surgical Procedures, Operative/methods , Child , Child, Preschool , Female , Humans , Infant , MaleABSTRACT
The coccygeal agenesis is one of causes of the external anal sphincter functional insufficiency after performing operations for Hirschsprung's disease in children. The frequency of its diagnosis had constituted 6.2%, in 14.6% it was the causative factor of fecal incontinence after the operation. In coccygeal agenesis the normal anatomy of the pelvic floor muscles become disordered. It is convenient to perform the anomaly correction during the radical operation conduction for the main disease.
Subject(s)
Coccyx/abnormalities , Coccyx/surgery , Fecal Incontinence/surgery , Hirschsprung Disease/surgery , Child , Child, Preschool , Fecal Incontinence/complications , Female , Hirschsprung Disease/complications , Humans , Male , Postoperative PeriodABSTRACT
Under analysis are results of treatment of 38 children with liver cirrhosis. Operations were performed in 25 patients, in 13 children decompensating shunts were put between the vessels of the splenic and left renal veins. Based on the assessment of the clinical effect the authors made a conclusion that in children with portal hypertension and symptoms of hypersplenism the creation of a spleno-renal anastomosis with the retained spleen is an effective measure and considerably reduced risk of postoperative complications.
Subject(s)
Hypertension, Portal/surgery , Spleen/surgery , Adolescent , Anastomosis, Surgical , Child , Child, Preschool , Female , Gastrointestinal Hemorrhage/etiology , Gastrointestinal Hemorrhage/surgery , Hepatectomy , Humans , Hypertension, Portal/complications , Hypertension, Portal/etiology , Liver Cirrhosis/complications , Liver Cirrhosis/surgery , Male , Renal Veins/surgery , Splenectomy , Splenic Vein/surgerySubject(s)
Ovarian Cysts/complications , Female , Humans , Infant , Ovarian Cysts/diagnosis , Ovarian Cysts/surgery , Rupture, Spontaneous , Torsion AbnormalitySubject(s)
Meckel Diverticulum/diagnostic imaging , Child , Humans , Male , Meckel Diverticulum/surgery , Preoperative Care , RadiographySubject(s)
Fistula/congenital , Vitelline Duct , Child , Child, Preschool , Hernia, Umbilical/congenital , HumansABSTRACT
The article presents results of a comparative study of clinico-biochemical and morphological alterations in 38 patients with obstructive calculous pyelonephritis before and after operation. The data obtained show considerably elevated activity of LDG and other enzymes, content of cholesterin, total phospholipids followed by histomorphological alterations in the kidney.
Subject(s)
Kidney Calculi/enzymology , Pyelonephritis/enzymology , Child , Child, Preschool , Cholesterol/blood , Humans , Isoenzymes , Kidney/pathology , Kidney Calculi/diagnosis , Kidney Calculi/pathology , L-Lactate Dehydrogenase/blood , Necrosis , Phospholipids/blood , Pyelonephritis/diagnosis , Pyelonephritis/pathology , Ureteral Calculi/diagnosis , Ureteral Calculi/enzymology , Ureteral Calculi/pathologyABSTRACT
The authors have performed operations on 132 children with different kinds of acute intestinal ileus caused by the Meckel diverticulum. Out of 132 children operated upon 22 patients (16,6%) died, 15 of them were newborns. The clinical picture and treatment of the disease are described.
Subject(s)
Cecal Diseases/surgery , Ileal Diseases/surgery , Intestinal Obstruction/surgery , Meckel Diverticulum/complications , Acute Disease , Adolescent , Cecal Diseases/diagnosis , Cecal Diseases/etiology , Child , Child, Preschool , Diagnosis, Differential , Female , Humans , Ileal Diseases/diagnosis , Ileal Diseases/etiology , Infant , Infant, Newborn , Intestinal Obstruction/diagnosis , Intestinal Obstruction/etiology , Intussusception/surgery , MaleABSTRACT
The investigation of blood microelements by a highly sensitive neutron-activation method has shown an increased level of copper, zinc in the plasma, decreased content of iron, zinc in the plasma, decreased content of iron, manganese in erythrocytes, copper and manganese in the plasma of 75 children with calculous pyelonephritis as compared with healthy children. Besides, dysproteinemia was revealed depending on the activity and duration of the inflammatory process.
