RESUMO
The article covers the 22-year experience of treatment of chemical burns of the esophagus in 4252 children. The cicatrical stricture (the III degree burn) of the esophagus had 5.9% of patients. 82% of all patients were aged 1-3 years. The endoscopic signs of esophageal burns, developed in clinic, allow the thorough differentiation of burn stages, which has certain influence on treatment strategy. Treatment strategies, depending on the stage of esophageal burn and chemical agent, were described. Methods and terms of gullet bougienage were analyzed.
Assuntos
Queimaduras Químicas/terapia , Esôfago/lesões , Pré-Escolar , Feminino , Humanos , Lactente , MasculinoRESUMO
20 patients were operated thoracoscopically on the cause of the solid tumors of the pleural cavity. Patients were aged from 1 day of life to 17 years. Minimal size of the tumor was 3.1×3.5×4.0 sm; maximal 10×10×20 sm. The control group was created of 22 children with thoracic tumors, operated via thoracotomy. The postoperative period and outcomes were statistically better among patients, treated thoracoscopically.
Assuntos
Neoplasias Torácicas/cirurgia , Toracoscopia/métodos , Toracotomia/métodos , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Avaliação de Processos e Resultados em Cuidados de Saúde , Período Pós-Operatório , Recuperação de Função Fisiológica , Toracoscopia/reabilitação , Toracotomia/reabilitação , Resultado do TratamentoRESUMO
Results of surgical treatment were comparatively analyzed in children with congenital lobar emphysema operated using traditional technique (1 group, 10 patients) and operated using thoracoscopic technique (2 group, 10 patients). In the first group average time of operation amounted 68 +/- 5,8 min., average time of plural drainage--3,3 days, average time of postoperative hospitalization--13,6 days and in the second group--62 +/- 15,6 min., 1,3 days and 7,4 days respectively. In the second group postoperative complications were not observed. In postoperative period one patient from the first group developed pneumothorax eliminated on the 5-th day after operation. Results of investigation indicate the advantages of thoracoscopic technique in treatment of children with lobar emphysema compared with traditional methods of treatment. Application of thoracoscopic technique in children with lobar emphysema is a serious alternative to traditional method due to slight postoperative period, lesser amount of complications and good cosmetic and functional results.