Complications of the surgical treatment in children with inguinal hernia with the applying of the open and mini-invasive methods

Pereyaslov, A.A.; Dvorakevych, A. O.

doi:10.15574/ps.2016.52-53.34

Cited by 3 publications

(3 citation statements)

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“…Щорічно виявляють близько 20 000 000 випадків уперше в и я вле н и х па х в и н н и х г ри ж с е р ед д і те й [12,13,15,31,[35][36][37]. За висновками науковців, частота виникнення пахвинних гриж у дітей досягає 70-85%, взявши до уваги загальну кількість гриж передньої черевної стінки у віці до 18 років [2,11,[15][16][17][18]25,27,28,30,32,34,35,41].…”

Section: оригінальні дослідження урологія та гінекологіяunclassified

A comparative analysis of the scrotal skin surface thermal reaction in surgical treatment of patients with vaginal peritoneal process pathology using different techniques

Havryliuk,

Konoplitskyi

2023

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The vaginal peritoneal process pathology constitutes a widespread problem in the pediatric population. Pathology of the vaginal peritoneal process is 6 times more common among boys. The observations point out a possible array of male complications (scrotal edema, postoperative hydrocele, iatrogenic testicular refraction) occurring on the background of violation of the integrity of soft tissues, blood and lymphatic vessels. The analysis of local body reactions (namely, the temperature of the surface of the scrotal skin) in response to the pathology as well as its treatment was continued in the current study. Purpose - to detect the dynamic change of the scrotum skin surface temperature study with a view to comparing different methods of treating pathology of the vaginal peritoneal process. Materials and methods. The study included 122 boys under the age of 18 who have been treated for pathology of the vaginal peritoneal process (inguinal hernia, hydrocele testis) at the pediatric surgery clinic of National Pirogov Memorial Medical University, Vinnytsya, Ukraine. A VEGA NC600 non-contact infrared thermometer was used to measure the scrotal skin surface remotely on the day of hospitalisation, on the first postoperative day and on the seventh postoperative day. Results. The general dynamics of scrotal skin surface temperature, both on the pathological and healthy sides, are as follows: a slight increase in scrotal skin temperature in response to surgery is observed on the first postoperative day, followed by a subsequent decrease to preoperative levels. Conclusions. The study of the dynamic temperature changes of the scrotum skin surface in the case of correction of the vaginal peritoneal process pathology using various methods demonstrated that one of the local reactions of the body to the surgery was a slight increase of the average data on the side of the surgical intervention on the first day, followed by a decrease in the preoperative average level. A similar temperature response was recorded on the healthy side. The research was adhered to the principles of the Declaration of Helsinki. The research protocol was agreed by the Local Ethics Committee of the mentioned institution. The patients' informed consent was obtained for the study. No conflict of interests was declared by the authors.

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Section: оригінальні дослідження урологія та гінекологіяunclassified

A comparative analysis of the scrotal skin surface thermal reaction in surgical treatment of patients with vaginal peritoneal process pathology using different techniques

Havryliuk,

Konoplitskyi

2023

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“…Вроджені вади розвитку, які проявляються порушенням облітерації вагінального відростка очеревини у вигляді пахвинних гриж, сполучних водянок оболонок яєчка, кіст елементів сім'яного канатика, посідають одне з провідних місць у статистиці дитячих захворювань [1,8,12,[16][17][18]. Відповідно до даних сучасних літературних джерел, ці захворювання та їхні ускладнення, які можуть виникнути під час їхнього лікування, можуть призвести до розвитку чоловічого безпліддя, що, своєю чергою, може вплинути на показники репродуктивного здоров'я нації [1,[2][3][4][5][6]9,15,20].…”

Section: оригінальні дослідження абдомінальна хірургіяunclassified

Morphological changes of the vaginal process wall of the peritoneum in the case of its obliteration disorders in children of different age groups

Havryliuk,

Konoplitskyi

2023

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According to statistical data, diseases associated with defects of the vaginal process of the peritoneum (such as inguinal hernia, conjunctive hydrocele of the testicles, cyst of the elements of the spermatic cord) continue to occupy a significant place among the pathologies detected in the children’s population. According to literary sources, such diseases and possible complications that may arise during their treatment can contribute to the development of male infertility, which, in turn, can negatively affect the reproductive health indicators of the nation. Purpose - the study of morphological changes in the wall of the vaginal process of the peritoneum with its non-obliteration to reveal the histological features of its structure depending on the age of children. Materials and methods. The study included children whose age did not exceed 7 years and who had disorders of obliteration of the vaginal process of the peritoneum in the form of inguinal hernias, hydrocele of the testicles and cysts of the elements of the spermatic cord. In the course of an operative treatment, a fragment of the wall of the vaginal process of the peritoneum was removed from such patients for the purpose of further studying its histological structure. Results. In the histological samples, muscle, fibrous and fatty elements were found in different amounts and ratios. The presence of degenerative pathohistological changes contributing to the formation of hernial defects of the inguinal canal was revealed. Also, with age, a progressive development of the processes of atrophy of muscle fibers with their vacant replacement mainly by adipose tissue was observed. Conclusions. Analyzing the conducted morphological studies of the wall of the non-obliterated vaginal process of the peritoneum in children, it should be noted that there is a direct relationship between the number of fatty elements in the tissue of the vaginal process and the age of the patient and also an inverse relationship between the number of muscle elements in the tissue of the vaginal process and the age of the child. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors.

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“…За даними деяких науковців, частота пахвинних гриж у дітей сягає 70-85% серед усіх гриж передньої черевної стінки серед дитячого населення та до 40-50% усіх оперативних втручань [2,12,[16][17][18][19]24,26,27,29,31,33,34,41].…”

Section: вступunclassified

Mathematical modeling of the frequency of pathology of the processus vaginalis of the peritoneum in the children’s population depending on age and gender

Havryliuk,

Konoplitskyi

2023

MPU

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The pathology of the processus vaginalis of the peritoneum (inguinal hernia, hydrocele testis) is quite widespread among the pediatric population, both in our country and throughout the whole world. More than 99% of inguinal hernias in children are oblique, right-sided localization is more than 3 times more common than left-sided. High interest of scientists in the study of the pathology of the processus vaginalis of the peritoneum is caused by data on the appearance of infertility as a complication of inguinal hernias and dropsy of the testicles. In the structure of the causes of this situation, 30% belongs to the male factor, and this percentage has a constant tendency to increase. This became the reason for an additional study of the mathematical component of the prevalence of the pathology of the processus vaginalis of the peritoneum among the children’s population. Purpose - to create a mathematical model of the prevalence of pathology of the processus vaginalis of the peritoneum depending on age and gender among the children’s population. Materials and methods. 205 patients under the age of 18 who underwent surgical correction of the pathology of non-obliterated processus vaginalis of the peritoneum (inguinal hernia, hydrocele testis) took part in the conducted scientific study. For mathematical modeling, software built into Microsoft Excel was used (Trend line, polynomial regression equation of the 4th degree). Results. In the course of mathematical modeling, characteristic features were identified: they occur both in the female part of the pediatric population and in the male, similar fluctuations are noted in the general pediatric population, namely periods of increase in the frequency of pathology of the vaginal peritoneum, which alternate with periods of its decline. a rapid increase in the frequency of pathology of the vaginal peritoneum, and, accordingly, their surgical correction, in children under 3-4 years of age, followed by a decrease in frequency by the age of 11-13 years. The following slight increase in the frequency of diagnosis of pathology of the vaginal peritoneum and its surgical treatment was detected by the age of 15-16 years, followed by a gradual decrease in the frequency by the age of 18 years Conclusions. Therefore, there are two mathematically confirmed peaks of growth in the frequency of detection of the pathology of the processus vaginalis of the peritoneum, which fall on the age of verticalization of the child and the age of “specialized” loads. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors.

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Complications of the surgical treatment in children with inguinal hernia with the applying of the open and mini-invasive methods

Cited by 3 publications

References 0 publications

A comparative analysis of the scrotal skin surface thermal reaction in surgical treatment of patients with vaginal peritoneal process pathology using different techniques

A comparative analysis of the scrotal skin surface thermal reaction in surgical treatment of patients with vaginal peritoneal process pathology using different techniques

Morphological changes of the vaginal process wall of the peritoneum in the case of its obliteration disorders in children of different age groups

Mathematical modeling of the frequency of pathology of the processus vaginalis of the peritoneum in the children’s population depending on age and gender

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