Novosti
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Year 2012 Vol. 20 No 1
PEDIATRIC SURGERY
V.I. AVERIN 1, V.N. PODGAYSKY 2, L.N. NESTERUK 3, YU.M. GRINEVICH 1, A.F. RYLYUK 2
FIRST EXPERIENCE OF GRAFT REVASCULARIZATION AT ESOPHAGOPLASTY IN CHILDREN IN NON-STANDARD CASES
EE “Belarusian State Medical University” ¹,
SEE “Belarusian Academy of Post-Graduate Education” ²,
ME “The First city clinical hospital”, Children’s surgical center ³, Minsk
The Republic of Belarus
Objectives. To analyze the first experience of graft revascularization at esophagoplasty in children in non-standard cases.
Methods. In children’s surgical center (CSC) 5 children with the congenital and acquired esophagus pathologies were operated on. The technique of the additional graft vascularization was applied in 3 patients; free autotransplantation of the bowel segment with revascularization was carried out in 2 patients. The estimation of the operation as well as of early and late complications was done. There were no lethal outcomes.
Results. Nearest and distant results (from 3 to 10 months) were studied in all the patients. It was found out that the operations aiming to form the artificial esophagus with revascularization and additional vascularization of the bowel graft using microsurgical equipment permitted to complete successfully esophagoplasty in all children.
Conclusions. Operations when the artificial esophagus is formed with the bowel graft revascularization using microsurgical equipment may be successfully used both for the primary reconstruction of the upper sections of the alimentary tract and for the secondary reconstruction – “anaboly” forming to finish unsuccessful sub- and total esophagoplasty.
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220116, Respublika Belarus', g. Minsk, pr-t. Dzerzhinskogo, d. 83, UO “Belorusskii gosudarstvennyi meditsinskii universitet”, kafedra detskoi khirurgii,
e-mail: averinvi@mail.ru,
Averin Vasilii Ivanovich
Averin V.I. Doctor of medical sciences, professor, head of the pediatric surgery chair of EE “Belarusian State Medical University”.
Podgaysky V.N. Doctor of medical sciences, professor of surgery chair of SEE “Belarusian Academy of Post-Graduate Education”.
Nesteruk I.N. Surgeon of the ME “The First City Clinical Hospital”, Children’s Surgical Center
Grinevich Yu.M. Candidate of medical sciences, associate professor of the pediatric surgery chair of EE “Belarusian State Medical University”.
Rylyuk A.F. Doctor of medical sciences, professor of surgery chair of SEE “Belarusian Academy of Post-Graduate Education”.
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