Pediatric Surgery

doi: 10.25005/2074-0581-2018-20-1-30-36
THE ROLE OF ULTRASOUND AND VIDEOLAPAROSCOPY IN DIAGNOSIS AND TREATMENT OF ACUTE SURGICAL DISEASES OF THE ABDOMINAL CAVITY ORGANS IN CHILDREN

Sh.R. Sultonov, S.S. Rasulov, M.F. Abdulloev, Kh.D. Guriev

Department of Pediatric Surgery, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan

Objective: To improve the results of diagnostic and treatment of acute surgical diseases of organs of the abdominal cavity (ASDOAC) in children.

Methods: The work is based on the study of 327 seek children with different ASDOAC at the age of 2 to 15 years. The boys were 125 (38.2%), girls – 202 (61.8%). The ASDOAC included: acute appendicitis and its complications – 163 (49.9%), pathology of pelvic organs – 139 (42.5%), intussusception – 14 (4.2%) and pathology of Meckel's diverticulum – 11 (3.3%) of cases, of which in 5 – Meckel's diverticulum was the cause of acute intestinal obstruction.

Results: Suggested therapeutic and diagnostic tactics for ASDOAC in children with the extensive use of ultrasound and video laparoscopy is rational and very effective. Sensitivity and specificity of ultrasound in the diagnosis of ASDOAC was more than 92%. Video laparoscopy is also a highly informative, relatively safe and objective method for diagnosing ASDOAC in children and in 100% of cases, it allows to clarify the diagnosis and choose the optimal tactics for surgical treatment.

Conclusion: Comparative analysis of diagnosis and treatment of ASDOAC convincingly proves that traditional methods are much inferior to video-laparoscopic operations on the severity of the operating period, the number of postoperative complications, the normalization of clinical and laboratory parameters, the reduction in hospitalization of patients, and cosmetic results, especially in girls.

Keywords: Ultrasound, video laparoscopy, acute surgical diseases of the abdominal cavity organs.

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Author information:


Sultonov Sherali Rakhmonovich,
Doctor of Medical Sciences, Head of the Department of Pediatric Surgery, ATSMU

Rasulov Said Sulaymonovich,
Postgraduate Student of the Department of Pediatric Surgery, ATSMU

Abdulloev Mahmadsodik Fayzalievich,
Competitor of the Department of Pediatric Surgery, ATSMU

Guriev Kholid Jomahmadovich,
Laboratory Assistant of the Department of Pediatric Surgery, ATSMU

Conflicts of interest: No conflict

Address for correspondence:


Sultonov Sherali Rahmonovich

Doctor of Medical Sciences, Head of the Department of Pediatric Surgery, ATSMU

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel.: (+992) 918 629817

E-mail: sherali_1969@mail.ru

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