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Khirurgii

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Year 2020 Vol. 28 No 2

REVIEWS

I.I. BABICH, YU.N. MELNIKOV

SURGICAL ASPECTS OF TREATMENT OF COMPLICATED FORMS OF INTESTINAL OBSTRUCTION IN CHILDREN

Rostov State Medical University, Rostov-on-Don,
The Russian Federation

Bowel (intestinal) obstruction is a very common case in pediatric surgical practice. Intestinal transit disorder among children is caused by organic or functional causes of the congenital origin as well as by an acquired pathology. The degree of incidence for intestinal obstruction is steadily increasing. This is due to the increasing number of cases with congenital gastrointestinal tract malformations, as well as the increasing number and volume of surgical interventions onto the intestine.
The literature review is dedicated to the problem relevance of the bowel obstruction complicated forms treatment among pediatric patients. One of the key stages of surgical treatment is the determination of the intestinal viability involved into the lesion. The determination of viability has a matter of subjectivity if based only on the visual characteristics of the ischemia area, which can lead to an incorrect assessment of the vital properties of the organ. The current instrumental methods are technically difficult to implement and, in most cases, cannot be applied within the conditions of the emergency departments of public health care. The outcomes of surgical treatment largely depend on the development of the most effective method for determination of the local bowel necrosis, as well as the resection sites. The outstanding problem is the level involved into the creation of entero- or colostomy considering the subsequent reconstructive surgery, verification of the agangliosis area in Hirschsprung disease, which are the directions of the future research.

Keywords: intestinal obstruction, Hirschsprung disease, intussusception, necrotizing enterocolitis, intestinal viability, adhesive obstruction
p. 188-196 of the original issue
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Address for correspondence:
344022, Russian Federation,
Rostov-on-Don, Nakhichevansky Lane, 29,
Rostov State Medical University,
Surgical Diseases Department of the
Faculty of the Advanced Training and Staff Retraining.
Tel.: +7 950 849 27 21,
e-mail: pobzder@rambler.ru,
Yuri N. Melnikov
Information about the authors:
Babich Igor I., MD, Professor, Professor of the Surgical Diseases Department of the Faculty of the Advanced Training and Staff Retraining, Rostov State Medical University, Rostov-on-Don, Russian Federation.
https://orcid.org/0000-0001-8282-2785
Melnikov Yuri N., Post-Graduate Student of the Surgical Diseases Department of the Faculty of the Advanced Training and Staff Retraining, Rostov State Medical University, Rostov-on-Don, Russian Federation.
https://orcid.org/0000-0002-7035-0415
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