[Experience in diagnostic-therapeutic broncho-fibroscopy with children under combined general anesthesia]. / Dosvid provedennia likuval'no-diahnostychnykh bronkhofibroskopichnykh doslidzhen' u ditei pid kombinovanym zahal'nym zneboliuvanniam.

An alternative method of bronchoscopy conduction under combined general anesthesia without artificial pulmonary ventilation usage was elaborated and substantiated in the patients ageing from 3 mo to 15 yrs old. In 40 patients, using rigid bronchoscope, it was possible to look over down to the order I bronchi only. There was observed the striated body muscles fibrillation after injection of myorelaxants and in 13 (86.7%) of patients--excoriation of oral pharynx and trachea mucosa. While waking up of the patients characteristic bronchospastic disorder of respiration was noted. In 40 patients, while applying bronchofibroscopy, the examination of bronchi down to their order III was possible. Usage of the diagnostic method proposed had promoted reduction of possibility of iatrogenic complications occurrence.

[Foreign body of bladder in children]. / Inorodnoe telo mochevogo puzyria u detei.

The thirty-years experience of diagnosis and treatment of the bladder foreign body in children was summarized. There were treated 19 children with the bladder foreign bodies in the clinic. There were 12 (63.12%) girls and 7 (36.88%) boys, aged from 3 to 15 years old. Three mechanisms of penetration of foreign bodies into the bladder were delineated: by retrograde way via urethra; while gun-shot wounding, trauma or due to migration from surrounding tissues and organs; as the consequence of faults, committed during performance of operations or therapeutic-diagnostic procedures. In 14 patients the foreign bodies were removed transvesically and in 5--transurethrally. All the patients had recovered. Complications did not occur. Late results were studied up.

[Population prevalence of congenital hypertrophic pyloric stenosis in the Donetsk region of Ukraine]. / Populiatsionnaia rasprostranennost' vrozhdennogo gipertroficheskogo pilorostenoza u detei Donetskoi oblasti Ukrainy.

The population prevalence of congenital hypertrophic pyloric stenosis in Donetsk region in the course of 11 years (1989-1999) has been descriptively studied. Its frequency is 0.73:1000 or 1:1370 newborn infants annual with range of 0.54 to 1.01:1000. It is somewhat lower than that of more wide spread congenital diseases: labial cleft and hemochromatoses. Pyloric stenosis is detected in 42 of 43 populations of Donetsk region. There is a population nonuniformity of the case rate: from 0.19 to 1.9:1000 newborn infants, that the authors are inclined to explain by dissimilarity of a gene pool in the populations due to random migration of the population.

[Mediastinal tumors and tumor-like formations in children]. / Mediastinal'nye opukholi i opukholepodobnye obrazovaniia u detei.

Twenty-five years experience of diagnosis and results of treatment of 143 childs aged from 10 days to 15 years with sizable mediastinal formations was summarized. Benign tumor was revealed in 50 (34.96%) childs, malignant one--in 93 (65.04%). Groups of most important symptoms were suggested: generally somatic, compressive, neurological. Principal method of diagnosis of mediastinal tumor in children--the survey roentgenography of thoracic organs in two projection. Immediate and late follow-up results of operative intervention were estimated, diagnostic mistakes were analyzed.

[Surgical diseases of the stomach in children]. / Khirurgicheskie zabolevaniia u detei.

The experience of diagnosis and surgical treatment of gastric diseases in 56 children was summarized. In 33 (58.93%) of the patients was revealed the gastric tumor or tumor-like formation (lymphosarcoma, polyp, cyst and duplication, carcinoma, inflammatory pseudotumor, fibromatosis, lymphangioma), including the malignant one in 15 (26.79%). For the traumatic injury of the organ 5 patients were operated on, including 2--for the gunshot wound. The gastric ulcer disease complications (perforation, bleeding) were diagnosed in 7 patients, and in additional 5 the erosive gastritis was the cause of the gastric bleeding. The gastric volvulus in 2 children, cicatricial stenosis in 3 and foreign body in 2 were diagnosed also. The timely diagnosis have promoted the treatment result improvement.

[Characteristics of kidney function before and after surgical treatment of obstructive pyelonephritis in children]. / Kharakterystyka funktsiï nyrok do ta pislia operatyvnoho likuvannia obstruktyvnoho piielonefrytu u ditei.

Using the clearance method in children with obstructive pyelonephritis were investigated the changes of the renal excretory and ion-regulating functions before and after the operation. After performance of the operation the renal function had worsened.

[Kidney tumors in children: successes, problems and prospects]. / Opukholi pochek u detei: uspekhi, problemy i perspektivy.

There was examined 81 children with various renal tumors. Malignant renal tumor was revealed in 74 (91.36%), the benign one--in 7 (8.64%) of patients. All the children were operated on, and 4 of them--in emergency. Polychemotherapy, telegammatherapy were used in the treatment of malignant tumors. Of 26 children with I-II stage of the disease 20 (76.92%) are still alive, of them 50%--more than 5 years. Of 38 children, hospitalized with the III stage of the disease, 15 (39.47%) are alive, and of 10 children with the disease stage IV--one.

[Risk factors determining the outcome of a diffuse peritonitis of appendicular genesis in children]. / Faktory riska, opredeliaiushchie iskhod rasprostranennogo peritonita appendikuliarnogo geneza u detei.

The peculiarities of pre-, intra- and early postoperative period course in 108 children, operated on for diffuse and general peritonitis of appendicitis origin, are studied. Most significant 34 prognostic factors for the disease outcome are choosed. The leading factors are the disease course duration, general condition of the patient while hospitalization, the vegetative disorders presence, the intestinal paresis degree, the biochemical inductors of stress contents, the peritoneal exudate character, the kind and composition of microorganisms in it, the character of an early postoperative period course.

[Common biliary duct cyst in children]. / Kista obshego zhelchnoho protoka u devochek.

Eight children with the cyst of choledochus, ageing from 1 month to 15 years, were treated for the period of 20 years in clinic. Cystoduodenostomy is the method of choice for the treatment. All the patients have recovered.

[Clinical course, diagnosis and treatment of ovarian tumors and cysts in children]. / Klinika, diagnostika i lechenie opukholi i kisty iaichnika u detei.

The experience of diagnosis and treatment of the ovarial tumor and cyst in 68 girls was summarized. Children were admitted to the hospital with an acute abdomen signs and in a planned order as well. All the patients were operated on. Children with benign ovarial tumor and cyst are alive. Four patients with malignancy have died.

[Surgical treatment of lymphadenopathy in children]. / Khirurgicheskoe lechenie limfoadenopatii u detei.

Clinical observations of 1365 children with the lymph nodes affection were summarized. The diagnosis verification was conducted using the broad arsenal of general clinical and special methods of investigation. In complicated situations the histochemical and immunogenetic methods were applied for the diagnosis. The structure and dynamics of children's morbidity with lymphadenopathies (LAP) was studied up, the age, sexual and seasonal peculiarities were systematized, the analysis of primary localizations and clinico-morphological comparisons was conducted. The basic thesises of the standardized approach were elaborated on the ground of the diagnostical and tactical mistakes results analysis.