logo
Medical news
of the North Caucasus
Scientific journal
Mass media registration certificate dated December 7, 2006.
Series ПИ #ФС 77-26521.
Federal service for surveillance over non-violation of the legislation in the sphere of mass communications and protection of cultural heritage.
ISSN 2073-8137
rus
русский
eng
english

Site search



Correspondence address
310 Mira Street, Stavropol, Russia, 355017

Tel
+7 865 2352511, +7 865 2353229.

E-mail
medvestnik@stgmu.ru

Intraoperative diagnostics of intestines vitality under conditions of different variations of children ’s intestines obstructions

[Surgery]
Igor Babich; Yury Melnicov;

The study aim was to improve the results of treatment of patients who have different variations of acute intestines obstruction by means of objective intraoperative diagnosis of intestines vitality by the prosedure that we have involved. In the clinic of surgery for children 156 patients had acute intentional obstruction. All the patients were devided into two groups depending on the way of evaluation of intestines vitality. As a result of done research high efficiency of proposed method of evaluation of intestines vitality in comparison to visual subjective evaluation was proved, that made it possible to prune the erea of resection and to make it in the erea of healthy tissue, and to exclude relaparotomy when there are peritoneal complications during postoperatine period, to make the results of treatment of patients with this pathology better, to prevent development of enteral insufficiency.

Download

References:
1. Babich I. I., Bagnovskij I. O. Treatment of entericemboly among infants. Materialy Severo-Kavkazskoj nauchno-prakticheskoj konferencii s mezhdunarodnym uchastiem. – Materials of the North-Caucasian Scientific and Practical Conference with international participation. Stavropol: StGMU. 2016:10-13. (In Russ.).
2. Razin M. P., Minaev S. V., Skobelev V. A., Strelkov N. S. Neotlozhnaja hirurgija detskogo vozrasta. Moskva: «GJeOTAR Media», 2015. (In Russ.).
3. Razin M. P., Syrchin Je. F., Kuznecova S. Ju., Lobastov D. K. Rare form of intussusception. Rossijskij vestnik detskoj hirurgii, anesteziologii i reanimatologii. – Russian bulletin of pediatric surgery, anesthesiology and resuscitation. 2015;5(2):79-82. (In Russ.).
4. Yao-Jong Yang. The Optimal Timing of Enterostomy Closure in Preterm Infants. Pediatrics and Neonatology. 2014;55(3):333-334. https://doi.org/10.1016/j.pedneo.2014.06.001
5. Momynkulov А. О., Tursunkulov B. Sh., Ruzuddinov D. B. Contemporary diagnosis and management of in tussuscaption children. Rossijskij vestnik detskoj hirurgii, anesteziologi i ireanimatologii. – Russian bulletin of pediatric surgery, anesthesiology and resuscitation. 2014;4(1):51-54. (In Russ.).
6. Pykov M. I., Gurevich A. I., Osmanov I. M. Detskaja ul’trazvukovaja diagnostika. Gastrojenterologija. Moskva: «Vidar-M», 2014. (In Russ.).
7. Hamraev A. Zh., Karimov M. M., Sajdalihodzhaev A. B., Fajzulaev L. A. Tactics treatment of neonates with necrotizing enterokolitis. Rossijskij vestnik. – The Russian bulletin. 2014;4(1):55-57 (In Russ.).
8. Lautz T. B., Raval M. V., Reynolds M., Barsness K. A. Adhesive small bowel obstruction in children and adolescents: operative utilization and factors associated with bowel loss. J. Am. Coll. Surg. 2011;212(5):855-861. https://doi.org/10.1016/j.jamcollsurg.2011.01.061
9. Babich I. I., Zakurka M. V. Materialy Rossijskogo simpoziuma detskih hirurgov. – Materials of the Russian Symposium of Pediatric Surgeons. Krasnodar: «GURA», 2015;27-28. (In Russ.).
10. Abdulrasheed A. N., Lukman O. A., Kayode T. B., Adewale O. O., Nurudeen T. A., James O. A. Is non-operative management still justified in the treatment of adhesive small bowel obstruction in children? African. J. Pediatr. Surg. 2013;10:259. https://doi.org/10.4103/0189-6725.120908
11. Babich I. I., Dynnik A. G., Shilov G. L. Features of treatment of combined gunshot wounds of the abdominal cavity in children and adolescents. Rossijskij vestnik detskoj hirurgii, anesteziologii i reanimatologii. – Russian Journal of Pediatric Surgery, Anesthesiology and Reanimatology. 2015;(2):29- 30. (In Russ.).
12. Kashicyna A. A. The role of enterocolostomy in gastrointestinal pathology in infants. Vestnik hirurgii. – Herald of surgery. 2010;2:123-126. (In Russ.).
13. Losev A. A. Experience in the treatment of newborns with artificial intestinal fistulas. Neonatologija, hirurgija, perinatal’naja medicina. – Neonatology, surgery, perinatal medicine. 2013;7(5):47-50. (In Russ.).
14. Awad H., Mokhtar H., Imam S. S. Comparison between killed and living probiotic usage versus placebo for the prevention of necrotizing enterocolitis and sepsis in neonates. Pak. J. Biol. Sci. 2010;13:253-262. https://doi.org/10.3923/pjbs.2010.253.262
15. Emmanuel A. Role of damage control enterostomy in management of children with peritonitis from acute intestinal disease. J. Pediatr. Surg. 2013;10(4):315-319. https://doi.org/10.4103/0189-6725.125429
16. Nasir A. A., Abdur-Rahman L. O., Bamigbola K. T., Oyinloye A. O., Abdulraheem N. T., Adeniran J. O. Is non-operative management still justified in the treatment of adhesive small bowel obstruction in children? African J. Pediatr. Surg. 2013;10(3):259-264. https://doi.org/10.4103/0189-6725.120908
17. Struijs M. S. Late vs early ostomy closure for necrotizing enterocolitis: analysis of adhesion formation, resource consumption and costs. J. Pediatr. Surg. 2012;47:658- 664. https://doi.org/10.1016/j.jpedsurg.2011.10.076
18. Rodin A. V., Pleshkov V. G. Evaluation of the viability of the intestine during surgical treatment in the course of acute intestinal obstruction. Vestnik smolenskoj gosudarstvennoj medicinskoj akademii. – Bulletin of the Smolensk State Medical Academy. 2016;15(1):75-82 (In Russ.).

Keywords: intestines obstruction, results intestines resection, assessment of intestines vitality


Founders:
Stavropol State Medical Academy
Pyatigorsk State Research Institute of Balneotherapeutics
Pyatigorsk State Pharmaceutical Academy