[Funnel chest in children].
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Biomedical subjects
Publications and source records attributed to G A Bairov.
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An analysis of immediate and long-term results of urine elimination into the intestine in exstrophy of the urinary bladder in 100 children has shown sigmocystoanastomosis to be the optimal method which reliably restores continence of urine and prevents the development of urinary infection and pyelonephritis.
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A method of prophylactics and treatment of postoperative eventrations in newborns (25 observations), is described. The incidence of this complication was decreased from 2,19% (1960-1971) to 0,95% (1972-1983).
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Two main types of the clinical course of the disease were distinguished on the basis of the examination of great clinical material. They are the chronic course and incarcerated hernias. The clinical picture and treatment of children with paraesophageal hiatal hernias are described in detail. Main roentgenological features of the malformation are shown in association with the clinical course of the disease.
Associated injuries of pelvic bones and urethra were observed in 50 children. The clinical picture, diagnosis and methods of treatment are described with special reference to time gone after trauma. The most effective method of treatment of ruptured urethra is thought to be putting the primary suture.
Based upon the experience with the operative treatment of 178 children with congenital stenoses of ureters and double urinary tracts the authors consider the upper heminephroureterectomy to be the main operation in the stenosis of the terminal part of the extra ureter. In stenosis of the prepelvic part of the ureter many modifications of pyeloureteral anastomoses can be used.
The clinical picture, diagnosis and surgical methods of treatment of tumors of the urinary bladder are described in 7 children aged from 6 months to 2,5 years. Malignant tumors were found in 5, benign in 2 children.
The analysis of immediate results of 271 correcting operations for congenital hydronephrosis in children has shown that the operations may be followed by such complications at the early postoperative period as aggravation of pyelonephritis (10 patients), urinal fistulas (8 patients), urinary leakage (4 patients), paraureteral abscesses (3 cases) as well as postoperative bleedings (5 cases) and suppuration of the operative wound (4 cases). The exact performance of plastic operations according to the elaborated method, strict observation of indications and contraindications, complex therapy in the postoperative period were found to reduce the amount of complications.
An analysis of 14 patients with cleft sternum is presented. Eleven patients were operated upon. A classification of this defect is proposed. The clinical picture of each type of cleft sternum is given with a description of the operative technique. There were no lethal outcomes. Remote results were good.
The operative treatment of 46 children has shown that favorable long-term results were obtained due to early detection and radical treatment of the defect. The pathological changes of the esophagus and stomach mucosa gradually disappeared.
The clinics of the Department of Surgery in Children of the Leningrad Pediatric Medical Institute during the period of 1951-1983 dealt with 29 children aged from some days to 9 years with hiatal hernias and the elevated esophagus. Results of the observation of patients with hiatal hernia and elevated esophagus have shown the clinical manifestations of the disease to be various. They can be divided into 4 clinical groups: 1) acute course, 2) subacute course, 3) incarcerated hernias, 4) asymptomatic course.
A classification of hiatal hernias has been developed on the basis of an analysis of the clinical picture and rentgenological examination of 63 children. For the diagnosis of hiatal hernias a method of rentgenological and endoscopic examination is proposed. Remote results of the operative treatment within the period of from 1 to 23 years of follow-up observations are favourable.