Vol 5, No 1 (2015)
VASCULAR PATHOLOGY IN CHILDREN
REDUCTION IN THE INCIDENCE OF COMPLICATIONS DUE TO USING OF SKIN-TUNNELED CATHETERS IN CHILDREN WITH SHORT BOWEL SYNDROME RECEIVING HOME PARENTERAL NUTRITION
Abstract
The number of patients with chronic intestinal failure including «short bowel syndrome» (SBS) who require long-term parenteral nutrition (PN) is growing now. 10-year experience of authors in providing home parenteral nutrition (HPN) in Russia shows that HPN is cost-saving method that improves prognosis of patients. The effect of skin-tunneled catheters and venous port-systems in hospital and home PN was analyzed in the open prospective study. 23 PN periods in 20 children were studied. The incidence of catheter-associated infections was 2.58 for 1000 catheter-days for tunneled catheter or port. It was shown that skin-tunneled central venous catheters (CVC) and port-systems reduce the incidence of all infectious complications by 10 cases (p=0.033) per 1000 catheter-days in average, the incidence of catheter-related system infections by 9 cases (p=0.004), the incidence of technical complications by 5 cases (p=0.005) per 1000 catheter-days if compared with standard CVC. Our results make it possible to recommend the use of skin-tunneled CVC and port-systems as a method of choice for patients requiring long-term PN.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):98-106
98-106
MODERN POSSIBILITIES OF PEDIATRIC NUTRITIONAL SUPPORT
Abstract
This article reviews the experiences of the academic conference held in Moscow and devoted to modern technologies of nutritional support in pediatrics. Modern possibilities of clinical nutrition, diet for a sick child and correct choice of nutritional support depending on the child’s disease are presented.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):108-110
108-110
GUIDELINES FOR MONITORING OF PEDIATRIC PATIENTS DURING GENERAL ANESTHESIA AND INTENSIVE CARE THERAPY (PROJECT)
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):112-123
112-123
Case reports
MESENCHYMAL HAMARTOMA OF THE LIVER
Abstract
In this paper, we report a case of a giant fast-growing cystic tumor of the liver in an eight-month-old child. Abdominal ultrasound and computed tomography performed in the preoperative stage revealed a mesenchymal hamartoma of the liver. The tumor was removed completely. Histological examination confirmed the mesenchymal hamartoma. Such a benign liver lesion is a very rare case. We are including the data highlighting the issues of etiology, pathogenesis and diagnostics of hamartomas of the liver in children.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):83-91
83-91
THE USE OF PUNCTURE GASTROSTOMY AMONG CHILDREN
Abstract
The analysis of the results endoscopically assisted puncture gastrostomy in children undergoing long-term tube feeding, based on 60 cases of installation gastrostomies. Advantages and disadvantages of the two basic techniques puncture gastrostomy. Explain the approaches to the choice of the operating tactics in patients with altered anatomy in the background of comorbidity. Identified contraindications to the use of this technique.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):93-97
93-97
Short communications
ДОКЛАД «ДИАГНОСТИКА И ЛЕЧЕНИЕ ИНФРАВЕЗИКАЛЬНОЙ ОБСТРУКЦИИ У НОВОРОЖДЕННЫХ»
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):138-143
138-143
ДЕМОНСТРАЦИЯ «ВИДЕОАССИСТИРОВАННАЯ УСТАНОВКА СИСТЕМЫ ДЛЯ ПЕРИТОНЕАЛЬНОГО ДИАЛИЗА У РЕБЕНКА 6 ЛЕТ С ХРОНИЧЕСКОЙ ПОЧЕЧНОЙ НЕДОСТАТОЧНОСТИ В ТЕРМИНАЛЬНОЙ СТАДИИ»
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):135-136
135-136
ДЕМОНСТРАЦИЯ «РЕЗУЛЬТАТЫ МНОГОЭТАПНОГО ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ РЕБЕНКА С ОБШИРНЫМИ СКАЛЬПИРОВАННЫМИ РАНАМИ С РАЗМОЗЖЕНИЕМ МЯГКИХ ТКАНЕЙ И ОТРЫВОМ НАРУЖНЫХ ПОЛОВЫХ ОРГАНОВ»
Abstract
Представлен результат многоэтапного хирургического лечения пострадавшей девочки 6 лет с обширной посттравматической скальпированной раной передней и боковых стенок живота, промежности, обоих бедер (более 1500 см2) с размозжением мягких тканей, отрывом наружных половых органов и переломом лонной кости. Проводилось поэтапное замещение раневого дефекта покровных тканей при помощи таких методов пластической хирургии, как острое растяжение мягких тканей, дозированное растяжение мягких тканей, аутодермопластика расщепленными трансплантатами. Достигнут удовлетворительный результат в виде полного замещения раневого дефекта.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):132-133
132-133
ДЕМОНСТРАЦИЯ ПАЦИЕНТА «СИНДРОМ ДЕЛАФУА, РАЗВИВШИЙСЯ ПОСЛЕ ОПЕРАТИВНОГО ЛЕЧЕНИЯ ДОРЗАЛЬНО-ЭКЗОФИТНОЙ ГЛИОМЫ СТВОЛА И ДНА IV ЖЕЛУДОЧКА ГОЛОВНОГО МОЗГА»
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):125-128
125-128
MODERN TECHNOLOGY IN THE DIAGNOSIS AND TREATMENT OF ACUTE BACTERIAL NECROTIZING PNEUMONIA IN CHILDREN
Abstract
The article discusses his own experience in the treatment of 297 children with various forms of acute bacterial-destructive pneumonia. Defined diagnostic value of different research methods, the criteria of choice of treatment for this pathology.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):50-56
50-56
ДОКЛАД «ХИРУРГИЯ ЩИТОВИДНОЙ ЖЕЛЕЗЫ У ДЕТЕЙ»
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):137-137
137-137
ДОКЛАД «ВЛИЯНИЕ СЛИНГОВЫХ ОПЕРАЦИЙ ПРИ НЕДЕРЖАНИИ МОЧИ У ДЕТЕЙ С МИЕЛОДИСПЛАЗИЕЙ НА РЕГИОНАРНОЕ КРОВООБРАЩЕНИЕ МОЧЕВОГО ПУЗЫРЯ»
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):133-134
133-134
ДЕМОНСТРАЦИЯ ПАЦИЕНТА «АБСЦЕСС ПЕЧЕНИ КАК ОСЛОЖНЕНИЕ ДЕСТРУКТИВНОГО АППЕНДИЦИТА»
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):128-129
128-129
VIDEOTHORACOSCOPY - EFFECTIVE TREATMENT PIOFIBRINOTHORAX IN BACTERIAL DESTRUCTION OF THE LUNGS IN CHILDRENS
Abstract
This article provides an analysis of treatment of 192 patients with piofibrinothorax with bacterial destruction of the lungs. The comparative analysis of various treatments on the criteria: long standing drainage of the pleural cavity, terms of normalization of temperature, the duration of infusion therapy, duration of antibiotic therapy, dynamics of pathological changes in the lung parenchyma and pleural cavity According to X, duration of hospitalization. There were statistically significant differences in all indicators presented in favor of a group of children that apply reorganization thoracoscopic pleural cavity.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):57-60
57-60
SURGICAL TREATMENT OF CHILDREN WITH BRONCHIECTASIS
Abstract
The article presents comparative results of endosurgical and traditional surgical approach for bronchiectasis in children. The patients were divided into 2 groups depending on the surgical approach. The control group (1st group) included 26 children who underwent surgery using thoracotomy. 18 patients operated on through thoracoscopy were included in the experimental (2nd) group. Diagnostic stage, thoracoscopic lobectomy and method of treatment of lung root elements were paid an increased focus on. The authors provide a detailed description of endoscopic treatment of bronchiectasis applied in the clinic. The average duration of surgical treatment accounted for 78.3±31 min in the experimental group, duration of pleural drainage is 3.3 days and the average of postoperative hospitalization equals to 14.4±3.4 days. Four observations required conversion in the experimental group. Two patients in the experimental group developed complications such as pneumothorax and bronchial fistula. The pneumothorax was resolved by pleural drainage and the bronchial fistula was managed thoracoscopically. Three patients in the control group developed complications such as bronchial fistulas and pleural empyema in postoperative period. The bronchial fistulas were completed thoracoscopically. The effect was however lacking in one case that’s why rethoracotomy and bronchial closure were performed. The pleural empyema was removed during the recurrent surgery. It has been established that thoracoscopy is the first choice for bronchiectasis in children due to its minimum invasiveness.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):61-68
61-68
ДОКЛАД «НОВЫЙ МЕТОД МАЛОИНВАЗИВНОЙ ГАСТРОСТОМИИ: ПЕРВЫЙ ОПЫТ У ДЕТЕЙ»
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):129-131
129-131
THE INTERACTION BETWEEN SURGEON AND PEDIATRICIAN IN THE TREATMENT OF DESTRUCTIVE FORMS OF PNEUMONIA
Abstract
The complexity of the treatment of children with destructive forms of pneumonia is largely due to the fact that it is necessary to improve coordination of treatment between pediatricians and surgeons. For 2014 in MDGKB treatment for acute pneumonia received 830 children, with destructive forms over 140, 21 (14%) people had pulmonary and pleural complications, requiring surgical treatment. Coordinated interaction with the surgical service, adequate conservative therapy with regard to etiology, have enabled us to achieve a quick positive dynamics in the patient’s condition.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):69-73
69-73
THORACOSCOPIC SANATION PLEURAL CAVITY WITH PURULENT INFLAMMATORY LUNG DISEASES IN CHILDREN
Abstract
Experience in treatment of pleural complication of destructive pneumonia in children was submitted. Of the 46 children, admitted with pneumonia complicated by the destructive, in 92% cases were typed pleural complications - 35% in the form of pleural empyema, in 30% fibrinothoracs. Delimited pleural empyema and fibrinothoracs found in children, treated for an average of two weeks in district hospitals. In these cases is made thoracoscopic pnevmoliz with resolution adhesions, opening and readjustment cavities, abscesses, removal of fibrin and subsequent drainage of pleural cavity. All 16 operated patients have a positive result, length of stay decreased by 1,5-2 times: 21 days vs 44-68 days with conservative tactics.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):74-77
74-77
SUPPURATIVE COMPLICATIONS ECHINOCOCCOSIS LIGHT IN CHILDREN
Abstract
There were the cases, clinical course, methods of diagnostic and treatment of pus-being eccinoccal desease of lung in children are studied in this work. From 157 cases of surgical ectomia of eccinoccocal cysts in 39 (24,8%) cases there was pus-being eccinoccal cysts and major age of children was from 8 up to 17 years old 84,6%. The major localization was in left lung - 24 (61,5%) patients, in the middle lobe of lung - 13 (33,3%), lower lobe - 22 (56,4%) patients. Open cysts of lung - 53,8%, opening to the bronchi - 35,9%, to the pleural cavity - 17,9%. Methods of diagnostic-X-ray of lungs, U-sound of internal organs and pleural cavity, CT, MRI. Surgical ectomia of eccinoccocal cysts were performed to the all patients. The method of choice to prevent from remaining cavities is step by step sutures with microirrigator. In all patients there were bronchial passes. In the postoperative period there were such difficulties as bronchial passes 2 cases, pleuritis - 3 cases.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):78-81
78-81
Historical Articles
SOVIET HEALTHCARE AND MILITARY MEDICINE IN THE GREAT PATRIOTIC WAR
Abstract
This article briefly analyzes the development of the Soviet healthcare and medical science in the pre-war period, highlights the training of military doctors and states data on losses in manpower during the Great Patriotic War. Due to the scientific approach to organization of army medical support, efficient study of experience and development of innovative, most rational forms and methods of activity at all stages of medical evacuation the Medical Service of the Red Army was capable to achieve spectacular results i. e. 71.7% of the injured returned to the battle field. The medical personnel did it at a high price: 125,808 medical specialists were injured and 84,793 of them died during that war. What was done by the Soviet military medicine in those years can definitely be called a deed.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):8-15
8-15
REMEMBERED AND THANKED
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):18-20
18-20
MEDICAL CARE FOR CHILDREN, DAMAGED IN LOCAL MILITARY CONFLICTS AND TERRORIST ATTACKS
Abstract
Statistical data of foreign and domestic sources of children damaged in armed conflicts and terrorist acts are presented. The authors discuss the organizational forms of medical care to children in emergency situations and specific problems of medical diagnostic tactics in situations of armed conflict in the first place, questions of military surgery. The efficacy of a new model of organization of specialized surgical care for children - the field of pediatric hospital are demonstrated on experience in the Chechen Republic and in Beslan.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):21-27
21-27
TRAGEDY IN BASHKIRIA - THE SOURCE OF FORMATION MODERN PEDIATRIC COMBUSTIOLOGY IN DISASTER MEDICINE
Abstract
More than 1,000 people, including 125 children with severe burns, were suffered in man-made disaster in Bashkiria (1989). The results of the analysis of all stages of care for children were discussed in article. This experience was the basis of becoming a pediatric combustiology in disaster medicine.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):28-32
28-32
EXPERIENCE OF BESLAN: THE EFFICIENCY OF MEDICAL-EVACUATION SUPPORT OF CHILDREN
Abstract
The results of the analysis step of care to children, victims of the terrorist act in Beslan are presented. The basis of the success of medical interventions in large-scale terrorist attack (more than 1000 hostages) was proper planning, the All Russian Center for Disaster Medicine «Protection» (RCDM), using the methods of military surgery during triage and determination of rational volume of care at all stages and emergency evacuation. In the first day of medical assistance was provided to 300 children, 146 of them were evacuated to hospitals in Moscow and Rostov. Died 10 children. Effectiveness of medical evacuation support was provided through the interaction of all the medical services of the Ministry of Health of Russia and North Ossetia with the Russian Emergencies Ministry, the Ministry of Defence as well as the experience of pediatric brigade of RCDM in local armed conflicts.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):33-41
33-41
EXPERIENCE IN THE TREATMENT OF GUNSHOT INJURIES OF THE CHEST IN CHILDREN
Abstract
The article summarizes the experience obtained in treatment of children with gunshot wounds of the chest both in time of peace and during local armed conflicts and acts of terrorism. Gunshot injuries of the chest in children were characterized by severe damages of organs, frequency of complications (30.9%) and high lethality (25.9%). We analyzed the structure of injuries in the gunshot injury of the chest and in the thoracoabdominal injury and determined indications for thoracotomy. We also developed the therapeutic and diagnostic algorithm which could reduce the number of ‘unnecessary’ thoracotomies and cut the amount of complications.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):42-49
42-49
Biography
144-147
IN MEMORY OF VADIM VASILIEVICH IVANOV
Abstract
On February 20, 2015, the founder of pediatric surgery in Tyumen and the Tyumen region, Professor of the Department of Pediatric Surgery, Traumatology and Anesthesiology of the Tyumen State Medical Academy, Doctor of Medical Sciences, Honored Doctor of the Russian Federation Vadim Vasilyevich Ivanov passed away.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2015;5(1):150-151
150-151