[Meckel's diverticulum in children]. / Divertikul Mekkelia u detei.

In 1978-1988 operations were performed on 92 children: 35 with diverticulitis, 7 with intestinal intussusception, 5 with hemorrhage from an ulcer of the diverticulum, 13 with strangulation or mechanical ileus, 2 with strangulated Littre's hernia, one with torsion of the omentum, 22 with secondary diverticulitis, and in 7 children Meckel's diverticulum was a chance finding during other operations in the cavities. Boys accounted for 60.9' (56) of cases. There were 12 children under one year of age, nine from 1 to 3 years, 17 from 3 to 5 years, 17 from 5 to 7 years, and 12 children aged from 7 to 10 years. The clinical manifestations depended on the pathological changes developing in Meckel's diverticulum. A clinical picture of acute appendicitis developed in diverticulitis, six children had a typical picture of intussusception, and one child had a picture of acute abdomen. Anemia and a stool with dark blood were encountered in hemorrhage from a diverticular ulcer. Seven out of 13 children with ileus had a pronounced clinical picture, in the remaining 5 it was unclear and resembled that of acute appendicitis. Meckel's diverticulum was suspected before the operation in 17 (9.95%) patients. The Volkovich-Dyakonov laparotomy approach was used in 64 children, a pararectal incision in 9, a transrectal incision in 15, a median incision in one patient, hernio-laparotomy was conducted in one and Shpizi's operation in 2 children. Diverticulectomy was accomplished by the oblique-transverse method in 79 children, by the wedge techniques in 5, by the purse-string method in 2 patients, and resection of the intestine with the diverticulum was conducted in 5 children.(ABSTRACT TRUNCATED AT 250 WORDS)

[Effect of the osteomyelitic process on bone growth in children and its correction]. / Vliianie osteomieliticheskogo protsessa na rost kostei u detei i ego korrektsiia.

The article is devoted to the results of the treatment of 264 children with hematogenic osteomyelitis. The analysis of the changes of the extremities length growth depending on the children's age, the form of the disease, the localization of the osteomyelitic process and the administered treatment is presented. The authors have proposed a new method of stimulating the growth of the shortened tubular bones in cases of difference in the length of the extremities up to 3 cm in the children of the younger age group.

[Peace-time gunshot wounds in children]. / Ognestrel'nye raneniia mirnogo vremeni u detei.

The authors have analyzed specific features of the clinical course, diagnosis and treatment of gunshot wounds in 34 children. The surgical treatment of gunshot wounds in peace-time is considered to be sparing and complex.