[An acute diverticulitis in incarcerated inguinal hernia in a child].
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Biomedical subjects
Publications and source records attributed to V K Litovka.
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The thirty-years experience of diagnosis and treatment of the bladder foreign body in children was summarized. There were treated 19 children with the bladder foreign bodies in the clinic. There were 12 (63.12%) girls and 7 (36.88%) boys, aged from 3 to 15 years old. Three mechanisms of penetration of foreign bodies into the bladder were delineated: by retrograde way via urethra; while gun-shot wounding, trauma or due to migration from surrounding tissues and organs; as the consequence of faults, committed during performance of operations or therapeutic-diagnostic procedures. In 14 patients the foreign bodies were removed transvesically and in 5--transurethrally. All the patients had recovered. Complications did not occur. Late results were studied up.
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Twenty-five years experience of diagnosis and results of treatment of 143 childs aged from 10 days to 15 years with sizable mediastinal formations was summarized. Benign tumor was revealed in 50 (34.96%) childs, malignant one--in 93 (65.04%). Groups of most important symptoms were suggested: generally somatic, compressive, neurological. Principal method of diagnosis of mediastinal tumor in children--the survey roentgenography of thoracic organs in two projection. Immediate and late follow-up results of operative intervention were estimated, diagnostic mistakes were analyzed.
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There was examined 81 children with various renal tumors. Malignant renal tumor was revealed in 74 (91.36%), the benign one--in 7 (8.64%) of patients. All the children were operated on, and 4 of them--in emergency. Polychemotherapy, telegammatherapy were used in the treatment of malignant tumors. Of 26 children with I-II stage of the disease 20 (76.92%) are still alive, of them 50%--more than 5 years. Of 38 children, hospitalized with the III stage of the disease, 15 (39.47%) are alive, and of 10 children with the disease stage IV--one.
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The experience of diagnosis and surgical treatment of gastric diseases in 56 children was summarized. In 33 (58.93%) of the patients was revealed the gastric tumor or tumor-like formation (lymphosarcoma, polyp, cyst and duplication, carcinoma, inflammatory pseudotumor, fibromatosis, lymphangioma), including the malignant one in 15 (26.79%). For the traumatic injury of the organ 5 patients were operated on, including 2--for the gunshot wound. The gastric ulcer disease complications (perforation, bleeding) were diagnosed in 7 patients, and in additional 5 the erosive gastritis was the cause of the gastric bleeding. The gastric volvulus in 2 children, cicatricial stenosis in 3 and foreign body in 2 were diagnosed also. The timely diagnosis have promoted the treatment result improvement.
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