Publications (13)0 Total impact
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Article: [Treatment of bronchiectasis in children.]
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ABSTRACT: The thoracoscopic and traditional thoracotomic surgical access for bronchiectesis treatment in children were compared. The first (thoracoscopic) group included 18 children. The control (thoracotomic) group included 26 patients. The mean operative time in the 1st group was 78.3±31 min; pleural draining lasted for 1.3 days and postoperative hospital stay was 9.93±2.08 days. The mean operative time in the 2nd group was 81.7±35.1 min; pleural draining lasted for 3.3 days and postoperative hospital stay was 14.4±3.4 days. Conversion was needed in 4 cases. Therefor, the thoracoscopic surgery proved to be much more preferable in children because of its' minimal invasiveness.Khirurgiia 01/2012; -
Article: [The first experience of the thoracoscopic bronchoplasty on the reason of the intermediate bronchus' stenosis in a child.]
Khirurgiia 01/2012; -
Article: [The surgical correction of vascular tracheal rings in children].
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ABSTRACT: The aortic arch and its branches anomalia compound 1-3.8% of all vessel inborn diseases. The treatment of such anomalia as tracheal vessel ring aims the liquidation of esophageal and tracheal compression. The authors introduce their experience of thoracoscopic tracheal vessel rings resection in 6 children. The time of the operation was 145±15min. There were no conversions to the traditional open surgery. The result was excellent in 4 of 6 children, who were completely releaed of tracheal obstruction symptoms. The rest 2 children demonstrated mild respiratory symptoms, cuased by the tracheomalation.Khirurgiia 01/2012; -
Article: [The endoscopic operations by solid thoracic tumors in children].
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ABSTRACT: 20 patients were operated thoracoscopically on the cause of the solid tumors of the pleural cavity. Patients were aged from 1 day of life to 17 years. Minimal size of the tumor was 3.1×3.5×4.0 sm; maximal 10×10×20 sm. The control group was created of 22 children with thoracic tumors, operated via thoracotomy. The postoperative period and outcomes were statistically better among patients, treated thoracoscopically.Khirurgiia 01/2012; -
Article: [Thoracoplasty by pectus carinatum in children].
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ABSTRACT: 91 children were operated on pectus carinatum. Patients were aged 9-15 years. Thoracoplasty by Ravich was performed in 32 children (the first group) and 59 patients were operated using the method of thoracoplasty, modified by the authors. The major features were: transverse skin incision not longer than 8 sm, mobilization of the skin, subcutaneous fat and pectoral muscles en block, bilateral subperichondral resection of the deformated ribs, resection of the most deformated part of the sternal body (up to 2.0-2.5 sm) and suturing the fragments end-to-end. The long-term follow-up results were studied in term from 6 months to 5 years. The comparative analysis of the results demonstrated obvious advantages of the author's method of thoracoplasty.Khirurgiia 01/2011; -
Article: [Surgical aspects of treatment of the upper thoracic aperture in children and adolescents].
Khirurgiia 01/2011; -
Article: [Perspectives of Sugiura operation by portal hypertension in children].
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ABSTRACT: 23 children, aged 3-17 years, have undergone the Sugiura operation since 1989. 18 children had extrahepatic portal hypertension, 3 - the inborn liver fibrosis, 2 - liver cirrhosis. The procedure has been complemented by endoscopic sclerotherapy since 2001. Of 13 children, who had just Sugiura operation, bleeding relapsed in 4 cases. Of 10 patients, who had the combined procedure, the recurrent bleeding was registered in 2 cases. The Sugiura operation in combination with endoscopic varices sclerotherapy was suggested as a method of choice in children with contraindications to portosystemic bypass procedure.Khirurgiia 01/2010; -
Article: [Laparoscopic reconstructive surgery by biliary tract malformations in children].
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ABSTRACT: Treatment results of 18 children operated on various biliary tract malformations were analyzed. Laparoscopic portoenteroanastomosis by Kasai was performed in 10 patients with biliary atresia aged from 10 days to 3,5 months. Average weight of the operated children was 3640 +/- 124 g. 8 patients aged from 2 to 15 years operated on cystic common bile duct malformation. Laparoscopic dissection of cystic deformated biliary ducts with Roux-en-Y hepaticoenterostomy was performed in these cases. 5 troacars were used for both operations. First stage of portoenteroanastomosis formation represented of laparoscopic portal fibrous plate separation. By cystic common bile duct malformations, altered bile ducts were dissected. The second stage--Roux-en-Y enteroenteroanastomosis--was performed through a paraumbilical microincision. Portal anastomosis or common bile duct anastomosis was performed also laparoscopically. Recovery of patients was observed in all cases. Early postoperative course demonstrated a low invasiveness of the method. Thus, laparoscopic access can become a method of choice in treatment of biliary tract malformations in children.Khirurgiia 01/2009; -
Article: [Portal hypertension at children: current aspects of portal-systemic bypass].
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ABSTRACT: Overall 438 children with extrahepatic portal hypertension underwent surgical treatment. Portal-systemic bypass was performed at 383 patients, meso-portal bypass -- at 56. These surgical procedures were effective at 96.4% cases. All the children with bleeding recurrences were operated repeatedly. Meso-portal bypass not only prevents risk of bleeding but also reconstruct normal anatomy and physiology of portal system.Khirurgiia 02/2007; -
Article: [Laryngostenoses in children].
Vestnik otorinolaringologii 02/2005; -
Article: [Reconstructive surgery in laryngostenosis in children].
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ABSTRACT: Methods of laryngoplasty with usage of costal cartilage autotransplant and segmental laryngeal resection were applied in 33 patients with laryngostenosis of various etiology. Decannulation of the patients during the first 4 months after beginning of the treatment was made in 75% patients with one-stage laryngoplasty. A new method of stenting in reconstructive operations on the larynx is proposed. The endolumen technique of silicon stent fixation isolated from tracheostome cannula is thought an optimal method of stenting. Surgery is optimal early after verification of the diagnosis. Early operations make it possible to optimize prognosis of one-stage treatment as they reduce the number of complications after long-term carrying of tracheostomic cannula as well as provide better socio-psychological adaptation of the patients.Vestnik otorinolaringologii 02/2005; -
Article: [Radical treatment of extrahepatic portal hypertension in children].
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ABSTRACT: Results of radical correction of extrahepatic portal hypertension in 25 children are presented. It is demonstrated that this surgery is feasible in 38.5% patients with this disease. Feasibility of surgery is based on the results of revision of hepatic vessels after laparotomy. The existing diagnostic methods don't permit one to predict feasibility of this bypass variant before surgery. It is demonstrated that this surgery leads not only to elimination of hemorrhage risk but also to complete reconstruction of portal perfusion and cure of portosystemic encephalopathy and hyperdynamic cardial syndrome. Surgeries are successful at any age, and also in of hemorrhage peak.Khirurgiia 02/2003; -
Article: [Central hemodynamics in the remote period in children operated for extrahepatic portal hypertension].
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ABSTRACT: The authors studied functional state of circulation in various terms after operation. Depending on anastomosis creation two group of patients different by visceral hemodynamics change were identified. 58 patients were examined before operation, one year and later after the operation. Functional state of central hemodynamics was evaluated with echo- and Dopplercardiography. It was revealed that after operation the number of children with hyperdynamic type of circulation decreased. A year after distal splenorenal anastomosis creation number of children with hyperdynamic type of central hemodynamics decreased by 20%. Later, regardless of anastomosis type increased cardiac index was revealed in 32.32 and 36.3% children respectively after total and selective anastomosis creation. After total bypass more severe hemodynamic disorders (diastolic dysfunction and inotropic disorders) developed. After distal splenorenal anastomosis creation hemodynamic disorders were seen later due to increase of bypass volume blood flow. Increase of venous return leads to moderate diastolic overloading and myocardial hypertrophy.Khirurgiia 02/2002;
