Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care最新文献

{"title":"Commentary on the article “Primary intestinal anastomosis in a child with perforation of Meckel's diverticulum and peritonitis”","authors":"N. Tsap","doi":"10.17816/psaic1504","DOIUrl":"https://doi.org/10.17816/psaic1504","url":null,"abstract":"Commentary on the article Morozov KD, Sharkov SM, Kozlov MYu, Mordvin PA, Ayrapetyan MI, Morozov DA Primary intestinal anastomosis in a child with perforation of Meckels diverticulum and peritonitis published in the Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2023;13(1):105112. (In Russ.) DOI: https://doi.org/10.17816/psaic1498 \u0000After reading the article under discussion, serious doubts were raised about the presence of diffuse peritonitis (there was no typical response of the body to a severe inflammatory process in the abdominal cavity), and the mild course of diffuse peritonitis in surgical practice is unknown. Primary intestinal anastomosis in peritonitis cannot be recommended for pediatric surgeons to present its wide introduction in clinical practice.","PeriodicalId":437552,"journal":{"name":"Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care","volume":"185 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115943862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In memory of Alina P. Shapkina-Pilipenko (24.01.1929 – 01.03.2023)","authors":"Oleg S. Gorbachev","doi":"10.17816/psaic1511","DOIUrl":"https://doi.org/10.17816/psaic1511","url":null,"abstract":"Information about the life path of the founder of pediatric surgery in the Far East, Professor Alina P. Shapkina-Pilipenko, who died in March 2023.","PeriodicalId":437552,"journal":{"name":"Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care","volume":"7 11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129558367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary on the article “Primary intestinal anastomosis in a child with perforation of Meckel's diverticulum and peritonitis”","authors":"S. Minaev","doi":"10.17816/psaic1507","DOIUrl":"https://doi.org/10.17816/psaic1507","url":null,"abstract":"Commentary on the article Morozov KD, Sharkov SM, Kozlov MYu, Mordvin PA, Ayrapetyan MI, Morozov DA Primary intestinal anastomosis in a child with perforation of Meckels diverticulum and peritonitis published in the Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2023;13(1):105112. (In Russ.) DOI: https://doi.org/10.17816/psaic1498 \u0000Performing a primary anastomosis in a child with Meckels gangrenous-perforative diverticulitis in the presence of peritonitis may be the operation of choice only in the early stages of the development of peritonitis.","PeriodicalId":437552,"journal":{"name":"Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122512576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primary intestinal anastomosis in a child with perforation of Meckel's diverticulum and peritonitisauthors","authors":"K. Morozov, S. Sharkov, Michail Yurievich Kozlov, P. Mordvin, M. Ayrapetyan, D. Morozov","doi":"10.17816/psaic1498","DOIUrl":"https://doi.org/10.17816/psaic1498","url":null,"abstract":"A case-report of the treatment of a 13-year-old child with Meckel's gangrenous-perforative diverticulitis complicated by diffuse peritonitis is presented. The perforation localized at the base of Meckel's diverticulum, therefore ileal resection was performed. The presence of peritonitis required a difficult choice of further surgical management - the stoma formation or performing a primary intestinal anastomosis. Nowadays, it is considered an enterostomy to be the most reliable and rational surgical option after bowel resection in peritonitis conditions. However, this issue has become increasingly controversial. There are many publications which testify to the success of primary intestinal anastomosis, regardless of the peritonitis severity and the degree of contamination of the abdominal cavity, even noting the advantages of radical treatment and prevention of various stoma-related complications. In the presented clinical observation the child underwent primary intestinal anastomosis, despite the presence of an exudative inflammatory process in the abdominal cavity. This option was chosen because of the stable general condition of the child, satisfactory central and peripheral hemodynamics, and the absence of significant hydrobalance disorders. There were no complications in the postoperative period. The child was discharged on the seventh postoperative day. \u0000We aimed to evaluate our experience with the primary anastomosis approach in peritonitis condition.","PeriodicalId":437552,"journal":{"name":"Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123150703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Сombination of pectus carinatum and Scheuermann-Mau disease in children: an empirical pattern or somite syndrome?","authors":"E. Vorobyeva, A. Razumovskiy, V. Dubrov, D. Vybornov, I. Krest'yashin, Z. Mitupov, E. Vakhova","doi":"10.17816/psaic1491","DOIUrl":"https://doi.org/10.17816/psaic1491","url":null,"abstract":"BACKGROUND: In recent years, there has been marked a tendency to a sharp increase in the number of children with complaints of pectus carinatum. The literature describes only a few cases report of a combination of keeled chest deformity with a more serious pathology of the spine - Scheuermann-Mau disease.AIMS: The aim of the work is to study the frequency, clinical manifestations and methods of timely diagnosis of combined structural lesions of the thoracic spine in children with keeled chest deformity.MATERIALS AND METHODS: The observational single-center cross-sectional study included patients from 5 to 176 years old with pectus carinatum. Categorical values ​​were described by indicating absolute values ​​and percentages in the sample, quantitative indicators corresponding to the criteria of normal distribution were described by using arithmetic means (M) and standard deviations (SD), boundaries of the 95% confidence interval; quantitative indicators not meeting the criteria for a normal distribution were descrided by using the median and interquartile range (Me, Q1Q3).RESULTS: Scheuermann-Mau disease was detected in 11 (9.3%) of 118 children with pectus carinatum. Pterygoid scapulae noted in 97 (82.2%) children with pectus carinatum, increased cervical lordosis in 93 (79.7%) children, and sloping, anteriorly adducted shoulders in 99 (83.9%) children significantly hampered the clinical assessment of the magnitude of thoracic kyphosis. Rigid thoracic kyphosis at the time of examination was formed in 1 16-year-old boy. In children of the younger age group (514 years old), Scheuermann-Mau disease had no clinical manifestations and was detected only during screening X-ray examination, while in the older age group (1516 years old), 3 out of 4 adolescents complained on the back pain. \u0000CONCLUSIONS: The frequency of occurrence of Scheuermann-Mau disease in children with pectus carinatum exceeds the average prevalence in the population. In patients with keeled chest pterygoid scapulae, excess cervical lordosis, and rounded shoulders sloping shoulders are associated with the difficulty of assessment the magnitude of thoracic kyphosis. Asymptomatic progression of Scheuermann-Mau disease is typical for younger children with pectus carinatum, and the complaints of pain syndrome and clinical picture of the disease develop only by the age of 15-16.Thus, all patients with pectus carinatum and posture disturbance should undergo a screening X-ray examination of the thoracic and lumbar spine in order to detect Scheuermann-Mau disease and start treatment in time.","PeriodicalId":437552,"journal":{"name":"Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131227686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vascular bypass surgery in the treatment of extrahepatic portal hypertension in children (review)","authors":"Z. Mitupov, A. Razumovsky, V. Rachkov, N. Kulikova, S. Margaryan","doi":"10.17816/psaic1311","DOIUrl":"https://doi.org/10.17816/psaic1311","url":null,"abstract":"In children with extrahepatic portal hypertension (HSV), the most frequent and life-threatening complication is bleeding from varicose veins of the esophagus and stomach. Therefore, the main task of HSV treatment is to prevent bleeding from the veins of the upper gastrointestinal tract. The most effective treatment is portosystem bypass surgery (PSS), the effectiveness of which reaches 94-97%. However, the use of these operations is limited precisely because of a decrease in portal liver perfusion (PPP) and the development of portosystemic encephalopathy (PSE). \u0000The aim is to analyze domestic and foreign publications devoted to the surgical treatment of portal hypertension and the development of portosystemic encephalopathy in the postoperative period. \u0000A systematic search was carried out in the databases PubMed, Web of Science, Scopus, MEDLINE, eLibrary, RSCI, Cyberleninka. 345 references were analyzed, 110 articles were reviewed, 97 publications on surgical treatment of portal hypertension were selected for the review. \u0000The development of PSE in the postoperative period often occurs after the imposition of total PSS. To reduce the risk of developing PSE, selective shunts have been developed, which to some extent preserve the PPP. With distal splenorenal anastomosis (DSRA), the frequency of PE is less than 10-15%. An intermediate position is occupied by a side-to-side splenorenal anastomosis, which has signs of selective surgery. \u0000The results of the analysis of literature sources showed that discussions are still underway regarding the choice of the optimal treatment strategy for patients with HSV, the place and role of endoscopic methods for the prevention of gastrointestinal bleeding, as well as mesoportal shunt (MPSH) in the treatment of patients with extrahepatic PG. \u0000Nevertheless, the majority of world experts consider MPSH to be the most optimal operation for primary and secondary prevention of varicose bleeding and other complications of HSV. And if it is impossible to perform it, the operation of selective bypass surgery of the DSRA can serve as an alternative to performing MPSH.","PeriodicalId":437552,"journal":{"name":"Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130843140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of indocyanine green in resection of renal cysts in children","authors":"Y. Kozlov, S. Poloyan, A. A. Marchuk, A. Rozhanski, A. A. Byrgazov, K. Kovalkov, V. Kapuller, A. Narkevich, Sergey S. Muravev","doi":"10.17816/psaic1494","DOIUrl":"https://doi.org/10.17816/psaic1494","url":null,"abstract":"Introduction. The study presents the experience of using ICG imaging to assess the margin of resection of a kidney cyst after intravenous administration of indocyanine green. \u0000Case reports. In the present study, we present a case report of laparoscopic treatment of simple renal cysts in two male patients aged 10 and 12 years. For this purpose, resection of the extrarenal portion of the kidney cyst was performed using fluoroscopic control by intravenous administration of indocyanine green. The intrarenal residue was subjected to argon-plasma coagulation. Treatment outcomes were assessed over a follow-up period of 6 and 12 months. \u0000The size of the cysts measured before surgery using ultrasound and computed tomography was 50 and 70 mm. Both cysts were located in the lower pole of the right kidney. The duration of the operation was 40 and 45 minutes, respectively. During the surgical intervention, there were no complications in the form of bleeding from the kidney parenchyma or damage to neighboring organs. The content of the cyst was in all cases a clear liquid without pathological impurities. Cytological examination revealed a low content of cells, which were represented by single macrophages and urothelial cells. Histological analysis revealed that the lining of the cyst wall was represented by transitional epithelium without signs of malignancy. The length of stay of patients in the hospital was 3 days. According to the ultrasound examination performed 1, 3, 6 and 12 months after the operation, there were no signs of recurrence of the disease. \u0000Conclusion. Thus, based on the presented clinical case, it can be assumed that the main advantage of using fluorescent technology during resection of kidney cysts include a clear definition of the demarcation line between the avascular wall of the cyst and the perfused kidney tissue, which helps prevent bleeding from the renal parenchyma.","PeriodicalId":437552,"journal":{"name":"Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131126929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robot-assisted bladder diverticulectomy in a 9-year-old boy","authors":"M. S. Mosoyan, D. Fedorov, I. Osipov, Viktor V. Burkhanov, T. Pervunina, I. Kagantsov","doi":"10.17816/psaic1305","DOIUrl":"https://doi.org/10.17816/psaic1305","url":null,"abstract":"Bladder diverticulum in children is rarely encountered in the practice of a pediatric urologist. If the bladder diverticulum has clinical manifestations (pain, urinary tract infection, hematuria, voiding dysfunction, vesicoureteral reflux, or obstruction of the ureterovesical anastomosis), then surgical treatment is indicated. Recently, more and more publications began to appear on the removal of the bladder diverticulum using laparoscopic or vesicoscopic access. Several foreign publications report on the removal of a bladder diverticulum in children using a robotic approach. \u0000A 9-year-old boy with a diagnosis of bladder diverticulum underwent surgical intervention in the volume of robot-assisted bladder diverticulectomy in January 2020 at the Almazov National Medical Research Centre. Ports da Vinci 12 and two 8 mm were used, as well as an assistant 5 mm port, which were installed in typical places for lower abdominal surgery. The duration of the operation was 135 minutes. Console time - 75 minutes. The volume of blood loss is 20 ml. The patient was in the intensive care unit for a day. The urethral catheter was removed on the 7th day after the operation. Urination independent, free; phenomena of delay, incontinence were not noted. The patient was discharged on the 9th postoperative day in a satisfactory condition. At the control examination after a year at the place of residence, she does not complain, urination is not disturbed, there are no pathological changes in the ultrasound of the kidneys and bladder. \u0000Robot-assisted bladder diverticulectomy in children is a feasible, effective and safe treatment option in expert centers with extensive experience in robotic surgery. The described clinical case of bladder diverticulectomy is the first in Russia performed using a robotic system in pediatric practice.","PeriodicalId":437552,"journal":{"name":"Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care","volume":"103 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116637873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic ultasound guided cystogastrostomy in treatment of complicated form of acute pancreatitis in children","authors":"P. Pavlushin, A. Gramzin, Eugeniy Drobyazgin, S. Dobrov, A. Okhotina, A. Nikulina, D. Arkhipov, Nikolay Krivosheenko, Y. Koinov, V. Tsyganok, Y. Chikinev","doi":"10.17816/psaic1486","DOIUrl":"https://doi.org/10.17816/psaic1486","url":null,"abstract":"Acute pancreatitis in children is relatively rare, about 3-13 cases per 100,000 population annually, and complicated forms are three times less common than in the adult cohort of patients. However, recently there has been an increase in the number of acute pancreatitis in the pediatric group, which entails a relatively higher incidence of complicated forms of acute pancreatitis, including the formation of parapancreatic acute fluid accumulations, and determines the relevance of this problem for pediatric surgeons. \u0000In this article, using the example of 2 observations, the technology of puncture of a parapancreatic pseudocyst under ultrasound and X-ray control is presented, followed by the introduction of a conductor string into the cavity of the pseudocyst and further stenting of this anastomosis with two plastic double-pigtail stents. In the first case, a 12-year-old boy was operated on with idiopathic pancreatitis and the formation of an acute parapancreatic fluid accumulation in the tail of the pancreas. In the second observation, in a 10-year-old girl, the formation of a parapancreatic pseudocyst occurred as a result of drug-induced pancreatitis (a complication of long-term use of the antiepileptic drug - valproic acid). Both children were operated on using this technique. Antisecretory therapy was carried out in the postoperative period. Catamnesis after 1 year and 6 months: children do not complain, ultrasound and x-ray studies did not reveal any pathology. \u0000Conclusion. Endoscopic cystogastrostomy under ultrasound guidance is a method that has found wide application in the complicated course of pancreatitis in adult patients. These observations show its effectiveness in pediatric practice. But the relatively short period of observation of treatment results requires additional research on a much larger number of outcomes of these surgical interventions in children.","PeriodicalId":437552,"journal":{"name":"Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130304361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-fused dystopia of the right kidney with cystic dysplasia of the non-functioning left kidney associated with ureterocele","authors":"G. I. Kuzovleva, Veronika V. Rogozhina, O. Staroverov, E. Ayryan, N. Кhvatynets, V. V. Rostovskaya","doi":"10.17816/psaic1488","DOIUrl":"https://doi.org/10.17816/psaic1488","url":null,"abstract":"Cross-dystopia is a rare type of congenital anomaly, characterized by a displacement of the kidney to the opposite side, as a result of which both of them are located on the same side and in about 85% of such cases, a fusion of the parenchyma of two kidneys can be observed. We have not found descriptions of cases from practice when an orthotopic cystic dysplastic kidney with a lack of function associated with the pathology of the ureterovesical segment (ureterocele) was fused with the lower pole of a cross-dystopian normally formed kidney in literature.The patient, 8 d.o., a preliminary diagnosis - agenesis of the right kidney, doubling of the left kidney, cystic dysplasia, doubled left kidney whiyh ureterohydronephrosis lower half and ureterocele. In order to restore the outflow of urine and function of the lower half of the presumably doubled left kidney, a cystourethroscopy was performed. In a typical place on the right there is a correctly formed ureteral orifice, ureterocele on the left, which occupies half volume of bladder. With a holmium laser, an artificial orifice was formed in the ureterocele in order to restore the urine passage. \u0000At 9 m.o., tomography urinary tract was performed - cross-dystopia of the right kidney with fusion of the lower pole with a cystic dysplastic orthotopic left kidney.Laparoscopic nephrureterectomy of a non-functioning orthotopic kidney was performed.The control examination indicate complete clinical remission and social adaptation of the patient after discharge. Cross-dystopia of the kidney with fusion with cystic dysplastic kidney and a formed ureterocele is a rare congenital anomaly that requires timely examination in a specialized clinic and drawing up an individual treatment plan. The surgical manual should be focused on a symptomatic urological problem with an emphasis on preserving kidney function.","PeriodicalId":437552,"journal":{"name":"Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123268207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}