The results of the treatment of 126 children with colonoptosis aged 7 to 14 are presented. As many as 45 children were operated. The operation was performed using the method of creating ligaments from peritoneal grafts and fixation of hepatic and splenic angles of the colon to them. The isolated colonopexia was performed in 7 patients (15,6%). In 38 patients (84,4%) colonopexia was supplemented by simultaneous operations: nephropexy, gastropexy, duodenopexy, cecopexy, appendectomy. The remote results at the period from 6 months to 5 years are followed in 40 patients. In 95% of the observations the results of the operations are considered to be good.
Among patients with tuberculous coxitis, the most severe contingent are those in whom, as a result of the transferred process, significant destruction of the joint elements occurred. Before the advent of antibacterial drugs, these patients did not receive sufficient help. Antibacterial drugs made it possible to start surgical treatment. The operation consisted in a radical removal of tuberculous foci and the creation of a supportable limb.
The issues of diagnostics and treatment of acute appendicitis are systematically covered in the periodical press, but insufficient attention is paid to the tactics of non-destructive (catarrhal) form of appendicitis, the causes of rather frequent removal of morphologically unchanged processes in patients with the clinical picture of acute appendicitis and measures to reduce the number of needless appendectomies.
Some authors consider appendectomy mandatory in all cases of pain syndrome in the right iliac region. Thus, according to S.D. Lebedev, appendectomy is performed in 84.4% of patients admitted with suspected appendicitis. The unchanged appendectomies, which, in the author's opinion, contribute to the reduction of appendicitis morbidity.
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