Long-term results of complex treatment of children with postoperative intra-abdominal infiltrates

M. Melnychenko, V. Antonyuk, L. Eliy

Abstract


Introduction. Based on the results of our own clinical studies, we have developed a program for comprehensive diagnosis and treatment of postoperative intra-abdominal infiltration in children with appendicular peritonitis by using a diagnostic algorithm and complex saving measures in a hospital setting and at the stage of ambulatory-polyclinic treatment. Aim: To study the remote results of children's treatment with postoperative intra-abdominal infiltrates. Material and methods. With the help of quasi-monitoring, we have received information about the state of 109 children one year after inpatient treatment. Complex treatment of children was carried out according to the program we have developed. Results. Combined use of therapeutic and physical factors in the complex treatment of children with PII, using the developed program in conditions of inpatient and outpatient treatment favorably affected the restoration of impaired functions of the child's body in general and specifically of the abdominal organs, providing a higher effect compared to patients receiving limited complex treatment Conclusions. Disappearance of palpated "tumor", ultrasound signs of intra-abdominal infiltration and the occurrence of adhesive intestinal obstruction can be considered as the main clinical response throughout the treatment process. Final analysis of the late period results of integrated treatment indicated a probable increase in the number of MG patients with an overall assessment of the outcome of the treatment as "good" (95.1% of children versus 72.1% in the CG) and a decrease in the "unsatisfactory" outcome of treatment in 2 times among children of MG (2.4%) against children of the CG (4.4%). Primary laparoscopic intervention in children (CS 2, MS 2) contributed to the favorable course of the disease, and after ambulatory-polyclinic treatment resulted in the absence of "unsatisfactory" results.

Keywords


long-term results, complex treatment, children, postoperative intra-abdominal infiltrates

Full Text:

PDF

References


Karaseva OV, Roshal LM, Bryantsev AV i drugie Lecheniye appendicularnogo peritonita u detej. Detstkaya khirurgiya 2007; 3: 23-27. [In Russian].

Patent No.103392, UA MPC (2015.01) A61N 1/00, A61Р 31/00, A61Р 29/00. Method of treatment of abdominal cavity postoperative infiltrates in children with appendicular peritonitis / Melnichenko M, Antonyuk V. - No. u 201506720; published Dec 10, 2015, Bul. No. 23. – 4 p.

Patent No. 104554, UA MPC (2016.01) A61N 1/00, A61F 2/00. A method of restorative treatment of children with postoperative intra-abdominal infiltrate at the outpatient / polyclinic stage / Melnichenko M, Antonyuk V. - No. u 201506738; published Feb 10, 2016, Bul. No. 3. - 4 p.

Ribal'chenko VF, Rusak PS Gostriy omentit u dіtey: klasifіkatsіya ta vibіr khіrurgіchnoї taktiki. Shpital'na khіrurgіya. 2014; 1: 88. [In Ukrainian].

Rusak P.S. Do pytannya laparoskopichnoyi sanatsiyi cherevnoyi porozhnyny pry perytonitakh apendykulyarnoho pokhodzhennya u ditey. Khirurhiya dytyachoho viku. 201; No. 2: 48–53. [In Ukrainian].

Sultanguzhin A.F, Gumerov AA Prognozirovaniye i rannyaya diagnostika posleoperatsionnykh vnutribryushnykh oslozhneniy u detey. Meditsinskiy vestnik Bashkortostana 2010; Vol. 5, № 5: 61–65. [In Russian].

O.V. Karaseva [i dr.] Khirurgicheskaya taktika pri ostrom torichnom omentite u detey. Detskaya khirurgiya 2011; No. 3: 8–12. [In Russian].

Shurkalin BK, Faller AP Diagnostika i lecheniye posleoperatsionnogo

peritonita i vnutribryushnykh abstsessov Vestnik Rossiyskoy Akademii meditsinskikh nauk 2010; No.1: 8-12. [In Russian].

Henry M.C. Risk factors for the development of abdominal abscess

following operation for perforated appendicitis in children: a multicenter casecontrol References study / M.C. Henry, A. Walker, B.L. Silverman [et al.] // Archives of surgery. – 2007. – Vol. 142. – P. 236–241.

Holcomb III GW, St. Peter SD. 2012. Current management of complicated appendicitis in children. European Journal of Pediatric Surgery. 22(3): 207-12. doi: 10.1055/s-0032-1320016. Epub 2012 Jul 5.

Iqbal C.W. The Minimally Invasive Approach to Appendectomy: Is Less Better? / C.W. Iqbal, D.J. Ostlie // European Journal of Pediatric Surgery. – 2012. – Vol. 22 (1). – P. 201–206.

Vahdad MR, Troebs RB, Nissen M Laparoscopic appendectomy for perforated appendicitis in children has complication rates comparable with those of open appendectomy. Pediatric Surgery. 2013; 48(3): 555–61. DOI: 10.1016/j.jpedsurg.2012.07.066




DOI: http://dx.doi.org/10.5281/zenodo.1303398

Refbacks

  • There are currently no refbacks.




Copyright (c) 2017 © The Author (s) 2017

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Journal of Education, Health and Sport formerly Journal of Health Sciences

Declaration on the original version.

Editors indicates that the main version of the magazine is to issue a "electronic".

The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.

1223 Journal of Education, Health and Sport eISSN 2391-8306 7

ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

Archives 2011 - 2014

PBN 2011 - 2014

https://pbn.nauka.gov.pl/sedno-webapp/search?search&searchCategory=WORK&filter.inJournal=36616

POL-index 2011 - 2014

https://pbn.nauka.gov.pl/polindex-webapp/browse/journal/journal-32a319c5-a850-4f44-ba70-1418a6087655

BASE 2011 - 2014

https://www.base-search.net/Search/Results?lookfor=Journal+of+Health+Sciences+%28Radom%29&type=all&oaboost=1&ling=1&name=&thes=&refid=dcrespl&newsearch=1

http://elibrary.ru/contents.asp?titleid=37467

http://journal.rsw.edu.pl/index.php/JHS/issue/archive

Indexed in Bases, Bazy indeksacyjne: ERIH Plus, Worldcat, PBN/POL-Index, ICI Journals Master List, Directory of Open Access Journals (DOAJ), ZBD, Ulrich's periodicals, Google Scholar, Polska Bibliografia Lekarska

US NLM = 101679844

101679844 - NLM Catalog Result - NCBI

https://www.ncbi.nlm.nih.gov/nlmcatalog/101679844

Find a library that holds this journal: http://worldcat.org/issn/23918306

Journal Language(s): English 

PBN Poland

https://pbn.nauka.gov.pl/sedno-webapp/journals/49068

POL-index

https://pbn.nauka.gov.pl/polindex-webapp/browse/journal/journal-c39c8169-88d2-45db-9e7f-d948ce9981c4

BASE

https://www.base-search.net/Search/Results?join=AND&bool0[]=AND&lookfor0[]=2391-8306&type0[]=all&page=11&l=pl&oaboost=1&refid=dcpagepl

Redaction, Publisher and Editorial Office

Instytut Kultury Fizycznej Uniwersytet Kazimierza Wielkiego w Bydgoszczy, Institute of Physical Education Kazimierz Wielki University in Bydgoszcz, Poland 85-091 Bydgoszcz ul. Sportowa 2  www.ukw.edu.pl Copyright by Instytut Kultury Fizycznej UKW w Bydgoszczy http://ojs.ukw.edu.pl/index.php/johs  Open Access ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

The journal has been approved for inclusion in ERIH PLUS.

The ERIH PLUS listing of the journal is available at https://dbh.nsd.uib.no/publiseringskanaler/erihplus/periodical/info?id=485984

SIC Science citation index (calculated on the basis of TCI and Page Rank) 0

Russian Impact factor 0.16

Indexed in Index Copernicus Journals Master List.

http://journals.indexcopernicus.com/Journal+of+Education+Health+and+Sport,p24782242,3.html

ICV 2018 = 95.95 ICV 2017 = 91.30 ICV 2016 = 84.69 ICV 2015 = 93.34 ICV 2014 = 89.51 Standardized Value: 8.27 ICV 2013: 7.32 ICV 2012: 6.41 ICV 20115.48

The InfoBase Index IBI Factor for the year 2015 is 3.56 in InfoBase Index.com.

Website: www.infobaseindex.com

Universal Impact Factor 1.78 for year 2012. (http://www.uifactor.org/AppliedJournals.aspx)

Indexed in Polish Scholarly Bibliography (PBN) (PBN Polska Bibliografia Naukowa) (https://pbn.nauka.gov.pl/journals/36616)

is a portal of the Polish Ministry of Science and Higher Education, collecting information on publications of Polish scientists and on Polish and foreign scholarly journals. Polish Scholarly Bibliograhpy is a part of POL-on - System of Information on Higher Education. It is operated by the Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw.

Indexed in Russian Sciences Index Российский индекс научного цитирования (РИНЦ) http://elibrary.ru/contents.asp?titleid=37467

Indexed in Arianta Polish scientific and professional electronic journals Aneta Drabek i Arkadiusz Pulikowski

(http://www1.bg.us.edu.pl/bazy/czasopisma/czasop_full.asp?id=3595)