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.

Цель: определить морфологические особенности кровоснабжения пупочной области у новорожденных. Материа-лы и методы: материалом для исследования послужили биоптаты пупочной области, иссеченные у трупов 6 детей 1-го месяца жизни, умерших от причин, не связанных с заболеваниями сердечно-сосудистой системы. Сосудистый ком-понент пупочной области исследован с помощью следующих методов: классической гистологии, иммуногистохимии и морфометрии. Результаты: выявлен ряд особенностей расположения различных по функциям сосудов, отмечено интенсивное их ветвление, анастомозирование с помощью шунтов и, продолжающееся новообразование. Определены объемы, занимаемые элементами кровеносного сосудистого русла в верхнем и нижнем отделах пупочной области. За-ключение: результаты гистологического исследования свидетельствуют о преобладании магистральных сосудистых групп в нижнем отделе пупочной области. Относительные объемы, занимаемые всеми сосудами кровеносного русла, также статистически значимы выше в нижних отделах околопупочной области. Присутствие сосудистого компонента пупочной области несколько выше, но статистически не достоверно в левом нижнем отделе по сравнению с правым. Полученные данные могут учитываться в детской хирургии для поиска наиболее оптимальных способов разреза тка-ней пупочной области с целью доступа в брюшную полость.Ключевые слова: пупочная область, кровоснабжение, морфология, новорожденный. Rostov State Medical University, Rostov-on-Don, RussiaObjective: the study revealed a number of peculiarities in the location of blood vessels performing diff erent functions, their intensive branching and anastomosis were noted as well as ongoing neoformation. Materials and Methods: we used classic histological, immunohistochemical, and morphometric methods to examine the vascular component of the umbilical region in 1-month-old infants. We identifi ed the volume occupied by the blood circulation system in the upper and lower segments of the umbilical region. Results: the results of histological examination demonstrate prevalence of great vessel branches in the lower segment of the umbilical region. Relative volumes of all the blood vessels are also statistically signifi cantly higher in the lower segments of the paraumbilical region. Th e presence of vascular components in the umbilical region is slightly higher (though not reliably statistically) in the lower left segment compared to the right segment. Conclusions: collected data can be taken into account in pediatric surgery to search for optimal section methods for the umbilical region in order to access the abdominal cavity.

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.

The authors describe a case when a recurrence of a true splenic cyst developed after non-radical excision of its membranes. During the second surgery, a combined surgical technique was applied for membranes destruction: diathermocoagulation, argon laser irradiation and taking a strand of the greater omentum closer to the surfaces of treated cyst membranes. Half a year later, there was no recurrence revealed at the follow-up examination. It indicates that the cyst was radically removed.

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