Pub Date : 2023-02-15DOI: 10.52888/0514-2515-2022-355-4-11-16
M. Gulzoda, B. I. Safarov, K. R. Ruziboyzoda, K. K. Kobilov
Aim: To study the features of morpho-functional changes in the small intestine mucosa in acute adhesive small bowel obstruction.Material and methods. The results of a comprehensive study of morphological and functional changes in the small intestine’s mucous membrane in 20 patients out of 50 with acute adhesive small intestinal obstruction were analyzed. Patients underwent resection of the small intestine with a biopsy from the mucous membrane, followed by a pathomorphological and biochemical examination of biopsy specimens.Results. The study results show that more pronounced pathomorphological changes in the mucous membrane of the small intestine were observed in patients with acute adhesive small intestinal obstruction with widespread (multiple) adhesions compared with limited (single) adhesions. In the study of biochemical parameters in the small intestine mucosa in patients with acute adhesive small intestinal obstruction with the presence of multiple (widespread) adhesions, there was a significant and critical increase in lipid peroxidation and proinflammatory cytokines, a decrease in antioxidant protection compared to the patient group with the presence of single (limited) adhesions. There was also a decrease in the concentration of serotonin in the mucosa of the small intestine. In the presence of single (limited) adhesions in these patients, it decreases to 0,50±0,3 units, and in patients with multiple (common) adhesions - to 0,20±0,2 arb. units.Conclusion. The severity of morpho-functional changes in the mucosa of the small intestine directly correlates with the severity of the development of the adhesive process and acute adhesive small bowel obstruction.
{"title":"Morphofunctional changes in the small intestine in acute adhesive small bowel obstruction","authors":"M. Gulzoda, B. I. Safarov, K. R. Ruziboyzoda, K. K. Kobilov","doi":"10.52888/0514-2515-2022-355-4-11-16","DOIUrl":"https://doi.org/10.52888/0514-2515-2022-355-4-11-16","url":null,"abstract":"Aim: To study the features of morpho-functional changes in the small intestine mucosa in acute adhesive small bowel obstruction.Material and methods. The results of a comprehensive study of morphological and functional changes in the small intestine’s mucous membrane in 20 patients out of 50 with acute adhesive small intestinal obstruction were analyzed. Patients underwent resection of the small intestine with a biopsy from the mucous membrane, followed by a pathomorphological and biochemical examination of biopsy specimens.Results. The study results show that more pronounced pathomorphological changes in the mucous membrane of the small intestine were observed in patients with acute adhesive small intestinal obstruction with widespread (multiple) adhesions compared with limited (single) adhesions. In the study of biochemical parameters in the small intestine mucosa in patients with acute adhesive small intestinal obstruction with the presence of multiple (widespread) adhesions, there was a significant and critical increase in lipid peroxidation and proinflammatory cytokines, a decrease in antioxidant protection compared to the patient group with the presence of single (limited) adhesions. There was also a decrease in the concentration of serotonin in the mucosa of the small intestine. In the presence of single (limited) adhesions in these patients, it decreases to 0,50±0,3 units, and in patients with multiple (common) adhesions - to 0,20±0,2 arb. units.Conclusion. The severity of morpho-functional changes in the mucosa of the small intestine directly correlates with the severity of the development of the adhesive process and acute adhesive small bowel obstruction. ","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"302 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132873757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-13DOI: 10.52888/0514-2515-2022-354-3-108-119
A. M. Sharipov, B. H. Yusupov
This review analyzes different scientific views on the diagnosis and treatment of chemical burns of the esophagus and its consequences - the formation of cicatricial stenosis of the organ. Post-burn scar stenosis of the esophagus in pediatric surgery is a fairly common disease that is formed in children with chemical burn of the 3rd degree. In the study of this pathology a timely diagnosis between the degrees of esophageal burns and the correct selection of patients for dilatation of the organ is of particular interest for the correct treatment of patients.
{"title":"Current views on the etiology, classification, diagnosis, treatment of chemical burns and post-burn scar stenosis of the esophagus in children","authors":"A. M. Sharipov, B. H. Yusupov","doi":"10.52888/0514-2515-2022-354-3-108-119","DOIUrl":"https://doi.org/10.52888/0514-2515-2022-354-3-108-119","url":null,"abstract":"This review analyzes different scientific views on the diagnosis and treatment of chemical burns of the esophagus and its consequences - the formation of cicatricial stenosis of the organ. Post-burn scar stenosis of the esophagus in pediatric surgery is a fairly common disease that is formed in children with chemical burn of the 3rd degree. In the study of this pathology a timely diagnosis between the degrees of esophageal burns and the correct selection of patients for dilatation of the organ is of particular interest for the correct treatment of patients.","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115744647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-13DOI: 10.52888/0514-2515-2022-354-3-102-108
A. Muradov, A. A. Ibragimova, N. Z. Nazirova, U. S. Valieva, M. Shumilina
The objective difficulties of managing patients with SARS-CoV-2 infection have attracted the attention of the global medical and scientific community. Despite the optimal treatment, in some cases a cascade of reactions is triggered. It leads to a deterioration in the clinical condition of patients, up to a fatal outcome. The article presents current research data on the pathogenesis, clinical and laboratory features of COVID-19 associated coagulopathy.
{"title":"Features of the hemostasis system in COVID-19","authors":"A. Muradov, A. A. Ibragimova, N. Z. Nazirova, U. S. Valieva, M. Shumilina","doi":"10.52888/0514-2515-2022-354-3-102-108","DOIUrl":"https://doi.org/10.52888/0514-2515-2022-354-3-102-108","url":null,"abstract":"The objective difficulties of managing patients with SARS-CoV-2 infection have attracted the attention of the global medical and scientific community. Despite the optimal treatment, in some cases a cascade of reactions is triggered. It leads to a deterioration in the clinical condition of patients, up to a fatal outcome. The article presents current research data on the pathogenesis, clinical and laboratory features of COVID-19 associated coagulopathy.","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124173840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-13DOI: 10.52888/0514-2515-2022-354-3-119-127
S. Shukurova, R. H. Kabirzoda, G. M. Radzhabova, H. F. Rakhmatulloev, A. I. Faizulloev
The review is based on the analysis of current literature data on acute coronary syndrome (ACS): definition, epidemiology, classification, and methods of modern therapy methods. The article presents in detail the premedication and reperfusion strategies of introduction with an emphasis on a differential approach in the choice of therapy depending on the state of the ST-segment elevation. According to the literature the choice of treatment differs in patients with ACS with ST. The results of multicenter studies on the use of anticoagulant therapy in ACS and the need for double anticoagulant therapy against the background of the use of statins, ACE inhibitors, and beta blockers are presented.
{"title":"Selection of a modern strategy for the treatment of acute coronary syndrome with elevated ST segment","authors":"S. Shukurova, R. H. Kabirzoda, G. M. Radzhabova, H. F. Rakhmatulloev, A. I. Faizulloev","doi":"10.52888/0514-2515-2022-354-3-119-127","DOIUrl":"https://doi.org/10.52888/0514-2515-2022-354-3-119-127","url":null,"abstract":"The review is based on the analysis of current literature data on acute coronary syndrome (ACS): definition, epidemiology, classification, and methods of modern therapy methods. The article presents in detail the premedication and reperfusion strategies of introduction with an emphasis on a differential approach in the choice of therapy depending on the state of the ST-segment elevation. According to the literature the choice of treatment differs in patients with ACS with ST. The results of multicenter studies on the use of anticoagulant therapy in ACS and the need for double anticoagulant therapy against the background of the use of statins, ACE inhibitors, and beta blockers are presented.","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"191 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113982968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-13DOI: 10.52888/0514-2515-2022-354-3-83-89
D. M. Kadyrov, Z. V. Tabarov, F. D. Kodirov, S. S. Saidaliev, V. S. Sharipov
The article explores a clinical observation of a giant postbulbar parapapillary duodenal ulcer with multiple combined complications in the form of penetration into the pancreas, acute gastroduodenal bleeding and subcompensated stenosis occurred against the background of arterio-mesenteric compression of the duodenum in the subcompensation stage. The long course of the disease contributed to the development of alimentary dystrophy, cachexia and severe anemia. After stopping the bleeding, carrying out adequate preoperative preparation, the patient underwent Roux-en-Y gastric resection to “turn off” the ulcer with demucosation of the antrum and formation of the epipyloric stump of the duodenum according to the method modified in the clinic. The postoperative period was complicated by the development of a fistulous variant of duodenal stump suture failure, which was conservatively eliminated. The patient recovered.
{"title":"Multiple complications of postbulbar parapapillary ulcer combined with arteriomesenteric compression of the duodenum","authors":"D. M. Kadyrov, Z. V. Tabarov, F. D. Kodirov, S. S. Saidaliev, V. S. Sharipov","doi":"10.52888/0514-2515-2022-354-3-83-89","DOIUrl":"https://doi.org/10.52888/0514-2515-2022-354-3-83-89","url":null,"abstract":"The article explores a clinical observation of a giant postbulbar parapapillary duodenal ulcer with multiple combined complications in the form of penetration into the pancreas, acute gastroduodenal bleeding and subcompensated stenosis occurred against the background of arterio-mesenteric compression of the duodenum in the subcompensation stage. The long course of the disease contributed to the development of alimentary dystrophy, cachexia and severe anemia. After stopping the bleeding, carrying out adequate preoperative preparation, the patient underwent Roux-en-Y gastric resection to “turn off” the ulcer with demucosation of the antrum and formation of the epipyloric stump of the duodenum according to the method modified in the clinic. The postoperative period was complicated by the development of a fistulous variant of duodenal stump suture failure, which was conservatively eliminated. The patient recovered.","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124850016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-13DOI: 10.52888/0514-2515-2022-354-3-96-102
M. I. Makhmudnazarov
The review article is devoted to the issues of surgical treatment and postoperative rehabilitation of patients with deformity of the nose, combined with the pathology of the nasal cavity and paranasal sinuses. Analysis of the literature shows that in terms of the tactics of surgical treatment of patients with nasal deformity, combined with the pathology of the nasal cavity and paranasal sinuses, there is no consensus, and the development of more effective methods of simultaneous surgical treatment remains a subject of discussion.
{"title":"Modern surgery of combined nose pathologies and paranasal sinuses","authors":"M. I. Makhmudnazarov","doi":"10.52888/0514-2515-2022-354-3-96-102","DOIUrl":"https://doi.org/10.52888/0514-2515-2022-354-3-96-102","url":null,"abstract":"The review article is devoted to the issues of surgical treatment and postoperative rehabilitation of patients with deformity of the nose, combined with the pathology of the nasal cavity and paranasal sinuses. Analysis of the literature shows that in terms of the tactics of surgical treatment of patients with nasal deformity, combined with the pathology of the nasal cavity and paranasal sinuses, there is no consensus, and the development of more effective methods of simultaneous surgical treatment remains a subject of discussion.","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"292 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124207534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-13DOI: 10.52888/0514-2515-2022-354-3-89-96
J. Abdullozoda, J. R. Sanginov, Z. K. Huseynzoda
The article touches upon the problem of coronavirus infection as a serious problem of the public health system at the current stage. The activity of different subdivisions of the oncological service of the republic was analyzed, the features and tendencies of their functioning were noted and conclusions on the correction of diagnostics and treatment of oncological diseases were made. The results of foreign multicenter studies related to the impact of COVID-19 on the activities of cancer services in different countries and regions and their recommendations were also studied. Cancer patients are the most vulnerable group, as they are at high risk of immunosuppression, are elderly, and have comorbidities (diabetes, cardiovascular). The manifestation of post-COVID19 syndrome becomes relevant and requires further study.
{"title":"Organization of medical care to cancer patients during Covid-19 pandemic and postcovid period","authors":"J. Abdullozoda, J. R. Sanginov, Z. K. Huseynzoda","doi":"10.52888/0514-2515-2022-354-3-89-96","DOIUrl":"https://doi.org/10.52888/0514-2515-2022-354-3-89-96","url":null,"abstract":"The article touches upon the problem of coronavirus infection as a serious problem of the public health system at the current stage. The activity of different subdivisions of the oncological service of the republic was analyzed, the features and tendencies of their functioning were noted and conclusions on the correction of diagnostics and treatment of oncological diseases were made. The results of foreign multicenter studies related to the impact of COVID-19 on the activities of cancer services in different countries and regions and their recommendations were also studied. Cancer patients are the most vulnerable group, as they are at high risk of immunosuppression, are elderly, and have comorbidities (diabetes, cardiovascular). The manifestation of post-COVID19 syndrome becomes relevant and requires further study.","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130550482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-12DOI: 10.52888/0514-2515-2022-354-3-66-71
E. V. Chernyadeva
Aim. To identify and correct cognitive impairment in patients with hypothyroidism.Materials and methods. The study included 76 patients with primary hypothyroidism. All patients were divided into 2 groups: compensated and decompensated hypothyroidism. In addition to general clinical, and hormonal blood tests all participants in the study underwent ultrasound of the thyroid gland and ECG, the neurophysiological study of cognitive evoked potentials, and testing according to the Montreal cognitive function assessment scale.Results. In the majority of patients with a lack of thyroid hormones, cognitive impairments were detected, which increase with worsening compensation for hypothyroidism according to the results of Montreal Cognitive Assessment Scale testing. The study of evoked potentials in patients with hypothyroidism revealed an increase in latency and a decrease in the amplitude of the P300 indicator, indicating the presence of cognitive deficit. The addition of ethylmethylhydroxypyridine succinate to hormone replacement therapy in patients with hypothyroidism significantly improves cognitive performance more than hormone monotherapy.Conclusions. This study showed the need to identify cognitive impairments in patients with primary hypothyroidism, and their correction with the help of complex therapy increases the cognitive potential and the effectiveness of their treatment.
{"title":"Cognitive impairment in patients with hypothyroidism and possibilities of its correction","authors":"E. V. Chernyadeva","doi":"10.52888/0514-2515-2022-354-3-66-71","DOIUrl":"https://doi.org/10.52888/0514-2515-2022-354-3-66-71","url":null,"abstract":"Aim. To identify and correct cognitive impairment in patients with hypothyroidism.Materials and methods. The study included 76 patients with primary hypothyroidism. All patients were divided into 2 groups: compensated and decompensated hypothyroidism. In addition to general clinical, and hormonal blood tests all participants in the study underwent ultrasound of the thyroid gland and ECG, the neurophysiological study of cognitive evoked potentials, and testing according to the Montreal cognitive function assessment scale.Results. In the majority of patients with a lack of thyroid hormones, cognitive impairments were detected, which increase with worsening compensation for hypothyroidism according to the results of Montreal Cognitive Assessment Scale testing. The study of evoked potentials in patients with hypothyroidism revealed an increase in latency and a decrease in the amplitude of the P300 indicator, indicating the presence of cognitive deficit. The addition of ethylmethylhydroxypyridine succinate to hormone replacement therapy in patients with hypothyroidism significantly improves cognitive performance more than hormone monotherapy.Conclusions. This study showed the need to identify cognitive impairments in patients with primary hypothyroidism, and their correction with the help of complex therapy increases the cognitive potential and the effectiveness of their treatment.","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126082290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-12DOI: 10.52888/0514-2515-2022-354-3-41-47
B. T. Mirzabekova, H. O. Saidova, S. M. Mukhamadieva, Sh. J. Saydahmadova
Aim. To identify the frequency and the structure of congenital malformations in the new socio-economic conditions of the region for the period betwee 2014-2018.Material and methods. Annual statistical data of form 32 “Report on the provision of medical care to pregnant women, women in labor and newborns”, approved by No. 54 of 11.11.2014, of the Center for Medical Statistics and Information of the Ministry of Health and Social Protection of the Republic of Tajikistan for the period 2014-2018 were analyzed.Results and discussion. In the new socio-economic conditions of the country, a high frequency of congenital malformations has been established, which has an unstable tendency to decrease. The findings indicate that congenital malformations occur mainly among premature newborns, while lesions of the central nervous system prevail. Defects of the cardiovascular system prevail among full-term infants, which is possibly associated with the late diagnosis of the pathology.Conclusion. Perinatal screening will allow timely detection of congenital malformations of the fetus, reduce perinatal morbidity and mortality.
{"title":"Frequency and structure of congenital fetal malformations in the new socioeconomic conditions","authors":"B. T. Mirzabekova, H. O. Saidova, S. M. Mukhamadieva, Sh. J. Saydahmadova","doi":"10.52888/0514-2515-2022-354-3-41-47","DOIUrl":"https://doi.org/10.52888/0514-2515-2022-354-3-41-47","url":null,"abstract":"Aim. To identify the frequency and the structure of congenital malformations in the new socio-economic conditions of the region for the period betwee 2014-2018.Material and methods. Annual statistical data of form 32 “Report on the provision of medical care to pregnant women, women in labor and newborns”, approved by No. 54 of 11.11.2014, of the Center for Medical Statistics and Information of the Ministry of Health and Social Protection of the Republic of Tajikistan for the period 2014-2018 were analyzed.Results and discussion. In the new socio-economic conditions of the country, a high frequency of congenital malformations has been established, which has an unstable tendency to decrease. The findings indicate that congenital malformations occur mainly among premature newborns, while lesions of the central nervous system prevail. Defects of the cardiovascular system prevail among full-term infants, which is possibly associated with the late diagnosis of the pathology.Conclusion. Perinatal screening will allow timely detection of congenital malformations of the fetus, reduce perinatal morbidity and mortality.","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114893757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-12DOI: 10.52888/0514-2515-2022-354-3-34-41
H. Ibodov, K. Mirakov, R. Rofiev, A. Davlatov, N. S. Ibodov
Aim. To optimize conservative and surgical treatment of neuromuscular dysplasia of the vesicoureteral segment in children.Materials and methods. Study included 84 operated children with neuromuscular dysplasia of the vesicoureteral segment of the ureters. Megaureter antenatally diagnosed in 28 (25.4%) children: Ι degree - in 5, II degree - in 9, III degree - in 10, IV degree - in 4 children. The main criteria for diagnosing a megaureter in the perinatal period are an expansion of the anterior-posterior size of the pelvis, visualization of the dilated ureter, and in СFM - identification of weakening of the renal blood flow in the affected side.Results and discussion. As a result of the conservative and minimally invasive therapy – stenting of the ureters for up to 2 years, urodynamics were restored and the phenomena of ureterohydronephrosis were eliminated in 30 (27.2%) patients. In 32 (29%) patients, percutaneous puncture nephrostomy was performed, aimed at reducing the collecting system of the kidney, and ureter, as well as preparing for surgical treatment. The operated patients (84) were divided into 3 groups: Group I - operated according to the Politano-Ledbetter method (29); Group II - according to Cohen (20); Group III operated according to the method of extravesical reimplantation of the ureter with antireflux protection, developed in the clinic of pediatric surgery (35). Complications were noted in 8 (27.5%) patients after the Politano-Ledbetter operation; in 4 (20%) cases after the Cohen method operation; and in 5 (14.2%) cases after the extravesical reimplantation with antireflux protection.Conclusion. The method of ureteral reimplantation, developed and tested at the Clinic of Pediatric Surgery, is a fairly effective way to treat megareteral disease in children. This technique is highly effective in children older than 1-3 years, which makes 85.8%.
{"title":"Treatment of neuromuscular dysplasia of the vesicoureteral segment of the ureters in children","authors":"H. Ibodov, K. Mirakov, R. Rofiev, A. Davlatov, N. S. Ibodov","doi":"10.52888/0514-2515-2022-354-3-34-41","DOIUrl":"https://doi.org/10.52888/0514-2515-2022-354-3-34-41","url":null,"abstract":"Aim. To optimize conservative and surgical treatment of neuromuscular dysplasia of the vesicoureteral segment in children.Materials and methods. Study included 84 operated children with neuromuscular dysplasia of the vesicoureteral segment of the ureters. Megaureter antenatally diagnosed in 28 (25.4%) children: Ι degree - in 5, II degree - in 9, III degree - in 10, IV degree - in 4 children. The main criteria for diagnosing a megaureter in the perinatal period are an expansion of the anterior-posterior size of the pelvis, visualization of the dilated ureter, and in СFM - identification of weakening of the renal blood flow in the affected side.Results and discussion. As a result of the conservative and minimally invasive therapy – stenting of the ureters for up to 2 years, urodynamics were restored and the phenomena of ureterohydronephrosis were eliminated in 30 (27.2%) patients. In 32 (29%) patients, percutaneous puncture nephrostomy was performed, aimed at reducing the collecting system of the kidney, and ureter, as well as preparing for surgical treatment. The operated patients (84) were divided into 3 groups: Group I - operated according to the Politano-Ledbetter method (29); Group II - according to Cohen (20); Group III operated according to the method of extravesical reimplantation of the ureter with antireflux protection, developed in the clinic of pediatric surgery (35). Complications were noted in 8 (27.5%) patients after the Politano-Ledbetter operation; in 4 (20%) cases after the Cohen method operation; and in 5 (14.2%) cases after the extravesical reimplantation with antireflux protection.Conclusion. The method of ureteral reimplantation, developed and tested at the Clinic of Pediatric Surgery, is a fairly effective way to treat megareteral disease in children. This technique is highly effective in children older than 1-3 years, which makes 85.8%.","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128531098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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