PubMed Health⌕ Search

Biomedical subjects

I N Grigovich

Publications and source records attributed to I N Grigovich.

At least 19 recordsLinked to original sources

[Emergency surgical treatment of children in hospitals for adults].

More than 50% of children with urgent surgical diseases are operated upon in district hospitals at the units for adults. Insufficient knowledge of particularities of surgery and intensive therapy in children of the doctors working mainly with adult patients is often responsible for errors and complications which often requires to transfer such patients to specialized hospitals for children. The author proposes a system of organizing measures based on regulation of the district medical prophylactic institutions according to the competence of specialists in problems of medicine in children and the equipment of the hospital as well as on the division of the patients by their age and degree of hemostasis disturbances. An experience with the regulation of surgical treatment to children in republic Karelia introduced since 1987 has shown that the proposed organization of medical treatment of children in district hospitals for adults proved to be effective.

Adolescent↗

[Correction of postoperative fecal incontinence in children].

The results of surgical treatment of II-III degree incontinence of feces in 6 patients previously operated on for anorectal anomaly are presented. Clinico-functional examination permitted topical verification of damage to rectal sphincter apparatus. Sphincterolevatoroplasty with the use of a posterior sagittal approach was performed. The given approach permitted maximum use of the preserved muscular elements of the obturator apparatus. In a number of cases sphincterolevatoroplasty was combined with smooth muscle plasty of the internal anal sphincter from the distal colon. The functional results followed in 5 patients were considered as good and satisfactory ones.

Anal Canal↗

[Late results of surgical treatment of pathology of the cysto- ureteral segment in children].

The authors analyze 124 reimplantations of ureters in 97 patients aged from 6 months to 14 years. Long-term results were followed-up in 84 patients within the period from 2 to 5 years after surgery. A conclusion was made that the main causes of bad and satisfactory results of the operative treatment of the pathology of the bladder-ureter segment are a persistent infection of the urinary system, insufficient observation in the polyclinic after discharge from the hospital and early age of the patients.

Adolescent↗