[Radioisotopic diagnosis of Meckel's diverticulum in children]. / O radioizotopnoi diagnostike divertikula Mekkelia u detei.

The serial scintiphotography following intravenous injection of Tc99m-ertechnetate was used for examination of 50 children aged from 11 months to 14 years. The method is founded on the Tc99m-pertechnetate property of selective accumulation in the gastric mucous membrane and in Meckel's diverticulum when the latter contains the ectopic gastric mucous membrane. The inflamed diverticulum can accumulate the radionuclide, as well. Meckel's diverticulum was suspected in 7 children during examination; in 6 of them Meckel's diverticulum was found peroperatively, and in one case there was enterocyst of the ileum.

[Elephantiasis of the external genitalia in children]. / Slonovost' naruzhnykh polovykh organov u detei.

This study presents an experience with diagnosis and management of external genital elephantiasis in 18 children in the age range of 3 to 15 years. All patients underwent surgical treatment. The type and scope of surgery depended on the extent and severity of elephantiasis. A total of 21 operations were done. Long-term results were evaluated in these 13 patients at 1 to 22 years. The evaluation included physical appearance of the genitalia, scars, secondary deformities, penile and testicular size, the presence of erections and menstruation. Adults of mature ages were evaluated for fertility and reproductive status. Long-term results were good in all 13 patients. This analysis suggests that early radical surgical treatment of children with congenital elephantiasis of the external genitalia enables a normal anatomic and functional genital development and averts severe local and systemic disorders.

[Tactics of treating children with Meckel's diverticulum]. / Taktika lecheniia detei s divertikulom Mekkelia.

The results of the treatment of 102 children at the age of from 25 days to 14 years with the Meckel's diverticulum (uncomplicated--in 37, complicated--in 65) were analysed. Tactics of treatment depended on the state and age of the children, history of the disease, findings of roentgenocontrast and radionuclide study of the stomach and intestine, laparoscopy, macro- and microscopic picture, state of the abdominal cavity at the moment of operation. In most patients, the favourable results of treatment were achieved. The lethality was 3%.

[Intestinal invagination in children older than one year]. / Invaginatsiia kishechnika u detei v vozraste starshe odnogo goda.

The results of treatment of 51 children at the age over 1 year with intestinal invagination were analysed. Intestinal invagination in them is caused by the organic factors, the course is atypical, clinical signs--as in other acute abdominal diseases. For timely diagnosis of intestinal invagination, it is necessary to use the roentgenological, endoscopic methods of investigation and laparoscopy. Rational tactics permitted the authors to achieve the positive results of treatment in all the patients.