BACKGROUND: The conditions of premature infants are increasingly part the daily routine pediatric surgeons. Inguinal hernia is one typical in this group patients. However, no unified and secure patient data curation algorithm has been developed Russia or worldwide. AIM: aim study was to evaluate outcomes early versus delayed surgical strategies for planned repair infants. MATERIALS AND METHODS: A retrospective conducted between 2012 2021 included 82 divided into two groups, with surgery...

Objective: To evaluate the feasibility and outcomes of endoscopic cystogastrostomy in pediatric patients. Materials Methods. Between 2021 2023, interventions for pancreatic cysts were performed on five patients (four boys one girl), aged 10 to 11 years (mean age 10.6 years). The etiology was mixed (dietary drug-related) two patients, trauma one, idiopathic pancreatitis two. Additional imaging (abdominal MRI ultrasound) revealed cyst sizes ranging from 6 cm size 8 cm). Results. No...

Background. Inguinal hernias in children are a common problem. They occur 520 cases of 1000 newborns, with the prevalence males about 10 times. Therefore, they present very important problem pediatric surgery.
 Materials and methods. This prospective study was performed from 2019 to 2020 included 30 patients diagnosed inguinal hernias. Video-assisted percutaneous hernia sac ligation all patients.
 Results. The mean operating time 10.3 2.7 min unilateral 14.7 1.6 bilateral variant....

H-type rectovestibular fistula with a normal anus refers to rare types of anorectal malformation in both girls and boys. The clinical picture the is characterized by leakage gas stool through vagina. first manifestations occur mainly infancy. Objective. To describe observation an fistuls girl successful surgery transanal excision fistula. At age 45 days, baby's mother noticed When examining perineum under anesthesia, child revealed anus. Surgery was performed – mobilization anterior wall...

To present the experience of laparoscopic nephrectomies and kidney resections in children.

Tumor thrombosis of the inferior vena cava in children with nephroblastoma is a relatively rare complication that requires multimodal approach to treatment and involves many specialists. This condition occurs 10% Wilms tumor but cases when thrombus extends orifices hepatic veins more cranially, are much less common. In most patients, neoadjuvant chemotherapy can significantly reduce size thrombus, which may eliminate need for revision surgery cava. Due rarity this clinical condition, optimal...

Purpose of the study was to improve surgical treatment results intestinal tract congenital anomalies. Materials and methods. 31 children with small bowel atresia were treated in our department by 2014–2019. This group patients performed as neonates, 2-years old children. There 17 boys. no mortality. Morphologically this consisted 8 cases duodenal web, 1 case annular pancreas, 10 atresia. Jejunoileal found 12 7 it combined perforation, which 5 antenatal. Results discussion . In web incised....

2 Новосибирский государственный медицинский университет Минздрава России 630091

To analyze immediate results of minimally invasive robot-assisted atrial septal defect (ASD) closure in adults.For the period from March 2012 to November 2016 sixty patients with contraindications endovascular procedure have undergone at Meshalkin Siberian Federal Biomedical Research Center. Mean age was 34.5±11.3 years, body mass index - 24.6±4.0 kg/m2. 48 (80%) had NYHA class II before surgery. In 37 (61.7%) isolated ASD deficiency or absence one edge diagnosed, primary septum aneurysm 16...

Introduction. The biggest difficulties of pulmonary sequestration treatment appear when they are combined with other congenital malformations.
 Materials and methods. This article describes a rare case combination infradiaphragmatic extralobar the lung duplication cyst gaster. antenatal ultrasound investigation at 21 week gestation visualized retroperitoneal mass that had cystic-solid structure vessel departed directly from aorta. CT-scan was performed after birth, confirmed an...

Background. Inguinal hernias are very important problem in pediatric surgery. It appears 520 cases every 1000 newborns, approximately 10 times prevalence males. However, the incidence of inguinal hernia is bigger by 1.52 group premature infants.
 Materials and methods. In prospective study, that was performed 20192020, 90 patients diagnosed were included. All had open herniotomy (Duhamel method), subcutaneous endoscopic-assisted ligation using Tuohy needle, or video-assisted...

A retrospective analysis of 49 cases the initial hospital admission on account chemical burn esophagus to Children's City Hospital No. 1 during period from 2011 2015 was carried out. Patients were divided into 2 groups depending agent: group 25 children (48,9 %) with burns 70% vinegar essence, and 24 patients, in whom caused by alkaline solutions household chemicals. Statistically significant difference between found bed-day: 1, duration stay 29,9 ± 16,4 days, — 45,2 27,6 days. And also...

Spontaneous perforation of the external biliary tract is an extremely rare pathology in childhood, presented literature by description clinical cases. To date, a unified approach to treatment children with this has not been developed.
 The paper presents case spontaneous anterior wall common hepatic duct child seven months, development bilioperitoneum against background obstruction bile bilirubin calculi.
 CASE REPORT. disease began acutely repeated vomiting, stool acholia, dark...

Acute pancreatitis is relatively rare in children, with approximately 313 cases per 100,000 populations annually, and complicated forms are three times less common than those adults. However, recently, the number of acute children has increased, which entails a higher incidence pancreatitis, including parapancreatic fluid accumulation, determines relevance this problem for pediatric surgeons.
 In study, using two sample observations, pseudocyst puncture under ultrasound X-ray control...

Богачев-Прокофьев Александр Владимирович, доктор мед

To describe single-center evolution of the procedure and to evaluate results thoracoscopic clipping patent ductus arteriosus (PDA) with diameter over 3,0 mm in term infants weighting 4,0 kg.Thoracoscopic PDA has been performed 140 patients for period from March 2012 2018 Meshalkin National Medical Research Center. Mean age was 4.0 years (range 3 months - 13 years), mean body mass index 15.4±2.2 kg/m2.PDA size 3.5-10 mm, Qp/Qs >1,3/1,0, weight 4.0-40 kg. 4.6±0.9 3.5-8.0 mm), pulmonary artery...

A rare clinical case of an isolated intestinal duplication cyst in a 6-year-old child with unclear picture alimentary dyspepsia is described the work. Surgical laparoscopic removal resulted convalescence. The article presents review literature devoted to treatment this pathology.

Gipospadia is one of the most common genital malformation in male children, that cause amount urethroplasty. Urethral stricture frequent complications after The objective study was to compare two methods management neourethral strictures: internal optical urethrotomy (IOU) and IOU + urethral stenting. Patients methods. 28 patients with strictures were included prospective randomized study. All had a special urological investigation, consisted uroflowmetry, urethrography urethroscopy. Most...

Introduction. In the majority of cases, acute abdominal pathology in premature newborns masks as necrotizing enterocolitis and, if there are no signs intestinal perforation, conservative therapy is prescribed. The article discusses rare forms surgical newborns.Clinical observations. first clinical case, a baby had an initial air leak syndrome (pneumothorax and pneumoperitoneum). Meckel’s diverticulitis with perforation without peritonitis was found during surgery. second newborn child body...

Background.Urethral stricture is one of the most common complications after urethroplasty.And nowadays a growing number congenital urethral diseases observed.It obvious that there huge amount urethroplasty needed all over world.Material and Methods.15 patients with strictures were included in conducted prospective research.All underwent complex urology investigation consisted uroflowmetry, urethrography urethroscopy.Most located penile urethra, their length varied from 1 to 5 mm.All enrolled...

Pancreatic tumors are very rare problem in children that mostly literature presented just with case reports. Solid-pseudopapillary of the pancreas a little part, about 1–2%, from all nonendocrine pancreas. About 90% patients this tumor female teenagers and young women. innocent, them incidental findings. However, we can see clinical findings if patient has big size such tumor, which compress nearest anatomical structures. In article present finding solid- pseudopapillary body tale 11 years...