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Biomedical subjects

V E Shchitinin

Publications and source records attributed to V E Shchitinin.

At least 19 recordsLinked to original sources

[Restoration of continuity of the large intestine after large resections in children].

The continuity of the large intestine in wide resections in children aged from 7 months to 14 years was restored by rotation of the cecal cupula and ascending part through the lateral canal on a vascular pedicle. Experience in 20 operations and different variants of colorectal anastomosis is discussed. Three children had complications in the form of stenosis of the anastomosis and necrosis of the distal part of the transposed intestine as the result of disturbed circulation.

Adolescent↗

[Method for creating colorectal anastomoses in children].

A variant of two-stage formation of a colorectal anastomosis in children with Hirschprung's disease and megarectum is suggested. Low resection of the rectal ampulla and stitching of its muscular wall with the downwardly displaced area of the colon is conducted in the first stage. The second stage is performed 2 weeks later and consists in removal of the excess part of the intestine from the direction of the perineum. The operation was carried out on 23 children aged from 8 months to 13 years. No complications were encountered in the immediate postoperative period and in the long-term period.

Adolescent↗

[Characteristics of surgical tactics in children with acute appendicitis].

There were 849 children with various forms of acute appendicitis under observation in 1988. Generalized and circumscribed peritonitis was found in 44.2% of cases. The new clinical approach-based introduction of a previously elaborated surgical tactics showed it to be rational. The changing conditions led to a wider use of diagnostic laparoscopy, rejection of the "lavage" system in the postoperative period, and introduction of the method of laparostomy which is simpler and more effective.

Acute Disease↗

[Diagnosis and surgical treatment of intussusception in children].

The article discusses the methods of diagnosis and surgical treatment of intussusception of the intestine in children according to the stages of the disease. Colonoscopy is recommended for wide use; it helps in making the precise diagnosis in an atypical clinical picture of intussusception in the early periods, revealing the indications for operative treatment, and determining the volume of the intervention on basis of objective control of the degree of injury suffered by the strangulated intestine.

Adolescent↗