Biomedical subjects
Publications and source records attributed to V G Svarich.
The authors have proposed a method of ultrasonic control of the dynamics of the colon size in children with Hirschsprung's disease with the filling of the colon with a 1% solution of sodium chloride. The method may be used as an independent examination.
On the basis of examinations of 15 children the authors consider that recurrent constipation and fecal discharges as complications of a remote postoperative period take place more frequently than incontinence of feces. One of the causes of constipation after radical operation for Hirschsprung's disease may be a long hypoganglionic zone of the distal portion of the colon. To solve the question about reoperation of children with Hirschsprung's disease the complex examination must necessarily include the determination of activity of tissue acetylcholinesterase in colon mucosa biopsies, balloon proctography, sphincterotonometry, endoscopic examination of the colon in addition to irrigography.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Among the criteria of evaluation of the results of operative treatment of Hirschsprung's disease in children, along with the absence of constipation is the function of defecation control. The authors examined 27 patients with fecal incontinence after Duhamel's operation. It was established that fecal incontinence in children after operative treatment of Hirschsprung's disease may be caused not only by affection of the external sphincter muscle of the anus, the nerve plexuses, and adaptation of the rectum to the new conditions after the pull-through operation, but also by trauma inflicted to the levator ani muscle. In children with severe damage to the levator group of muscles consequent upon operative treatment of Hirschsprung's disease, operative intervention for creating the anorectal angle is indicated.
The method of acupuncture may be used for postoperative rehabilitation of patients operated upon for Hirschsprung's disease. It can be one of main methods of treatment of postoperative complications which are of functional character. If there was no effect of the repeated course of acupuncture in patients with a long hypoganglionic zone of the descended gut, the latter must be resected within the healthy limits.