[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.

[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.

[Surgical treatment of thyroid diseases in children]. / Khirurgicheskoe lechenie zabolevanii shchitovidnoi zhelezy u detei.

The results treatment of 33 children at the age between 3 and 15 with surgical pathology of thyroid gland have been estimated. They have demonstrated that malignant neoplasma (cancer) is very rare in this group of patients 15.5%. The diseases of the thyroid gland may cause some difficulties in diagnosis and choosing the method of treatment. All sizeable formations of the neck that lie medial or paramedial have to be examined with ultrasound. The removal of dystopic thyroid gland usually causes hypothyrosis. It is difficult to differentiate adenomas and cysts from malignant tumours and that is why it is necessary to do a puncture biopsy and subsequent surgery.

[Choice of the method of surgical treatment of hydronephrosis due to congenital stenosis of the pyeloureteral segment]. / Vybor sposoba operativnogo lecheniia gidronefroza obuslovlennogo vrozhdennym suzheniem lokhanochno-mochetochnikovogo segmenta.

The results of treatment of 139 patients with congenital pyelo-ureteric segment (PUS) narrowing were analyzed. Plastic operation was conducted in 117 of them, PUS plasty with the flap application--in 22. The prognostic significance of sign's norm deviations of the PUS diameter and length ratio as a risk factor was studied to substantiate the numerical criterion--of operation method choice. In accordance with this prognostic significance the value of Student's criterion was calculated. When the value of ratio is no more than 0.3--the narrowed part resection with subsequent ureteropelviostomy is indicated, and when this value is 0.31 or more--the PUS plasty with the flap application.

[Correction of postoperative complications of water-electrolyte balance in children with acute pathology of the abdominal organs]. / Korrektsiia posleoperatsionnykh narushenii vodno-elektrolitnogo obmena u detei s ostroi patologiei organov briushnoi polosti.

In children with acute surgical pathology of the abdominal organs in intraintestinal administration of saline solutions, the normalization of the indices of homeostasis and restoration of motor activity of the intestine after the operation were more rapid than in use of parenteral treatment.

[Predicting the complications of hydronephrosis in children after surgical interventions on the pyelo-ureteral segment]. / Prognozirovanie oslozhnenii gidronefroza u detei posle operativnykh vmeshatel'stv na lokhanochno-mochetochnikovom segmente.

On the basis of mathematical analysis of the long-term results of operative treatment of 119 children with unilateral hydronephrosis caused by congenital obstruction of the pyelo-ureteral segment, the prognostically significant signs (risk factors) having unfavourable effect on the outcome of an operation were revealed. In retrospective analysis, the main types of the course of unilateral hydronephrosis in children were distinguished. In stable course, the conservative therapy is indicated, in non-stable--the intensive medicamentous therapy, or repeated corrective operation, in progressive--nephroureterectomy .

[Various clinico-immunologic and biochemical indicators in infants with suppurative septic diseases]. / Nekotorye kliniko-immunologicheskie i biokhimicheskie pokazateli pri gnoino-septicheskikh zabolevaniiakh u detei rannego grudnogo vozrasta.

The authors provide the results of studying some characteristics of immunity and lipid peroxidation (LPO) in babies (n-123) with pyoseptic diseases. The changes in the immune status and LPO seen in children with pyoseptic diseases reflect the gravity of the clinical status, being an objective criterion in the all-round assessment of the treatment efficacy and prediction of the pathological process. These changes also form the basis for institution of the pathogenetic correction and rehabilitation therapy.

[Clinico-immunological indices, lipid peroxidation and contents of middle mass molecules in young children with different course of suppurative diseases of the lungs and pleura]. / Kliniko-immunologicheskie pokazateli, perekisnoe okislenie lipidov i soderzhanie molekul srednei massy u detei rannego vozrasta s razlichnym techeniem gnoinykh zabolevanii legkikh i plevry.

The results of examination of 83 children with purulent diseases of the lungs and pleura at the age under 6 yrs are presented. The indices of activity of the immunity, intensity of the processes of peroxide oxidation of the lipids, and level of the middle mass molecules were studied. The correlative relationship between them depending on the severity of the course of the disease was revealed.

[Direct blood transfusion in the complex treatment of children with suppurative surgical infection]. / Priamye gemotransfuzii v kompleksnom lechenii detei s gnoinoi khirurgicheskoi infektsiei.

The authors have shown that direct transfusion of blood is of considerable significance for the improvement of results of treatment. The patient's state quickly improved, the course of treatment was more favourable, the appearance of chronic forms was considerably less and the percentage of invalidization of children became lower.