Introduction. Sports popularization as well as better diagnostic options contribute to the relevance of the problem of knee meniscus injuries in children. Current trends in the management of meniscus injuries in Russia are between the choice – meniscectomy or meniscus suturing. There is a global tendency to reduce the number of performed meniscectomies because there has been proven correlation between this surgical intervention and osteoarthritis development.Material and methods. In the present review, the authors analyze outcomes after surgical treatment of knee meniscus injuries, which is still a controversial issue. They have selected sources published in PubMed, EMBASE, CyberLeninka, RSCI databases till September 15, 2022 (most of the articles published in 2017–2022). Keywords for the search were: meniscus suture, meniscectomy, children, osteoarthritis.Conclusion. Meniscus suturing is a more complicated procedure for both surgeons and patients, but it leads to better long-term clinical and radiological outcomes.

Introduction. Currently, the day-care hospital service is being developed because of the need to improve medical, social and economic efficiency of medical institutions, and by a high demand in this type of medical care. However, there are only few publications on hospital-substituting technologies in pediatric surgery in the domestic literature. In addition, the problem of laparoscopic surgeries in children in a short stay hospital unit is still a controversial issue. Purpose. To evaluate the effectiveness of a short stay surgical department as a structural unit in a multidisciplinary pediatric hospital. Material and methods. The researchers have analyzed the effectiveness of a short-stay hospital surgical unit in the Morozov Children’s Clinical Hospital. The pediatric short stay surgical unit, being a structural subdivision of a multidisciplinary hospital, provides medical care for children in the following profiles: “Pediatric surgery”, “Pediatric urology and andrology”, “Traumatology and orthopedics”, “Ophthalmology”, “Otorhinolaryngology”, “Maxillofacial surgery” and “Gynecology”. Results. From February 2017 till May 2019, 7128 surgical interventions were performed in this unit; 1371 of them were laparoscopic ones for inguinal hernias, varicocele, non-palpable testicular syndrome. In the hospital, a unique anesthetic algorithm for laparoscopic surgeries with a double luminal laryngeal mask and without muscular relaxants and narcotic analgesics was developed. The length of stay of patients in this unit is 6-8 hours, in the average. During the abovementioned 3-year period, only one patient was transferred to a 24-hour hospital. There were no surgical complications. Conclusion. The short-stay surgical unit in the Morozov Children’s Clinical Hospital has radically improved the availability of medical care for children; in addition, more surgical beds for hi-tech medical care are free and available now. Laparoscopic surgeries can be performed in this unit, instead of being performed in the round-clock surgical departments, due to the algorithm of safe anesthesia for planned surgical interventions which had been developed in the short-stay hospital surgical unit.

Introduction. One-day surgery in pediatrics is the most preferred form of elective surgical care for children. However, today issues of laparoscopic surgical interventions in children in a one-day hospital unit remain debatable, since these interventions often require tracheal intubation which increases risks of anesthetic complications at early postoperative period.Material and methods. From 2017 to 2021, 2401 laparoscopic interventions were performed on patients with varicocele, inguinal hernia and non-palpable testicular syndrome in the short-stay department of Morozovskaya Children’s City Clinical Hospital. Average age of patients was 7 years (range 1–18 years). 910 laparoscopic herniorrhaphies, 1412 laparoscopic testicular vein ligations and 79 diagnostic laparoscopies were performed. The department has developed a unique algorithm of anesthesia for laparoscopic surgeries in children in a short-stay unit.Results. There were no anesthesia-related complications or other intraoperative complications. Restoration of independent motor activity in patients is registered in 1.5–2 hours after surgery. Average length of stay in the department is 7.1 hours (6–8 hours).Conclusion. Thus, currently, modern high-tech laparoscopic surgeries are carried out in short-stay surgical departments, while previously they were performed only in round-clock surgical departments. The researchers could achieve such successful results because of an original algorithm of safe anesthesia which has been developed in the department. This anesthetic support is highly effective for laparoscopic interventions in children with elective surgical pathologies in a short-stay hospital.

Firearms craniocerebral wounds of peacetime are the one of urgent problems of modern neurosurgery. There are no clear statistics, the approved classification of gunshot wounds to the head, algorithm of the treatment and tactics of managing children patients. The greatest number of cases of injuries is caused by modern pneumatic and gas guns, which, by their capacity, are not inferior to firearms. The purpose of this study is to summarize the accumulated experience in countries where there is a legalization of weapons and there was registered a high percentage of its spread among the civilian population, as well as the use of prognostic scales for choosing the tactics of treating patients with gunshot wounds to the head.

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