There is presented the analysis of 13 patients with polycystic lung disease. In the diagnosis of the disease, spiral computed tomography has a decisive importance. The technique of performing surgical interventions aimed at maximum preservation of healthy lung tissue is described in detail. The excision of cystic membranes and reliable suturing of bronchial fistulas determines the radicality of surgical interventions that provided favorable outcomes in the long term after operations in all patients.

There is presented a clinical observation of such rare form of Hirschsprung’s disease in a newborn -as terminal aganglionosis of the ileum and hypo-ganglionosis of the cecum, manifested by acute intestinal obstruction. Resection of the ileocecal angle and leaving the distal colon in the child’s body with good functional results in the long-term postoperative period made it possible to affirm the existence of high isolated segmental forms of Hirshprung’s disease.

Surgery 26 Н ередким осложнением загрудинной эзофагопластики является сдавление кишечного трансплантата в ретростернальном туннеле, приводящее к нарушению пищепроводящей функции вновь созданного органа [1, 2]. Кишечный трансплантант имеет впереди себя только кожу и мышечные элементы и выпячивается в виде дивертикула во время наполнения пищей и воздухом и контурируется у детей, перенесших эзофагопластику. Вследствие этого сформировавшийся пищевой комок в таком дивертикуле пациенту приходится проталкивать в загрудинную часть искусственного пищевода пальцами. Такое тяжелое страдание делает актуальным поиск способов, позволяющих предотвратить сдавление кишки в загрудинном туннеле. Для установления причин, приводящих к сдавлению кишки в ретростернальном пространстве, нами были предпри-1 rostov state medical university, rostov-on-don, russia 2 regional advisory diagnostic center, rostov-on-don, russia

The aim of the work is to improve the results of the surgical treatment of congenital ovarian cysts in newborns. Material and methods. From 1982 to 2017, 147 newborns with simple ovarian cysts were treated at the clinic. The main diagnostic method was clinical - ultrasound. Two groups of patients were compared: with access according to Pfannenstiel incision and paraumbilical access. The technology of surgical intervention with paraumbilical access is described in detail. Results. In comparative studies, the benefits of parumbilical access are fully in line with the requirements of modern “open” pediatric surgery for the removal of ovarian cysts (OC) in newborns. There was noted a unique feature of the torsion of simple congenital OK: the emerging ischemia of the cysts leads only to the development of aseptic necrosis without purulent-inflammatory changes in the cyst itself and the adhesive process around. Conclusion. Para-umbilical access during surgical removal of OC may be an alternative to laparoscopic when the latter can not be used. Bearing in mind the torsion of most simple OC to occur in the antenatal period, as well as the asymptomatic course of the disease in the neonatal period, we consider it necessary to operate children with this pathology in the first 2 days after birth.

Ярыгина Елена Николаевна, кандидат медицинских наук, доцент кафедры хирургической стоматологии и челюстно-лицевой хирургии Волгоградского государственного медицинского университета; тел.: