Results of sparing omentum resection in children with apendicular peritonitis

M. Melnychenko; V. Gudz; V. Antonyuk

doi:10.5281/zenodo.1322744

Results of sparing omentum resection in children with apendicular peritonitis

M. Melnychenko, V. Gudz, V. Antonyuk

Abstract

Introduction. Among treatment methods of omentitis in children are applied incisions on the altered omentum and its drainage, classical resection, conservative therapy, etc. These methods do not prevent the occurrence of complications at appendicular peritonitis. The choice of the most advanced method of treatment of this disease is currently being debated.
Purpose: To improve surgical treatment method of omentitis in children with appendicular peritonitis by sparing resection.
Material and methods. The novation group included 36 patients with appendicular peritonitis, in which resection of the destructive omentum was performed according to the developed method. The control group was formed by 78 children, who underwent the classical resection method of the large omentum.
Results. Among children of NG, who underwent the primary resection of the inflammatory omentum according to the developed technique, postoperative intra-abdominal infiltration arose at one child, but its course was favorable: the relief of pain syndrome, disappearance of palpated "tumor" and normalization of the total body temperature were in 2 -2.5 times faster compared to the control group, which did not require repeated surgical intervention and resulted in a decrease in the duration of inpatient treatment to 12.1 (2.3) days, respectively.
Conclusions. Lack of "unsatisfactory" result in children of the NG indicates the advantage of using the developed method of destructively altered epiploon resection and preventing the development of infiltrates of the abdominal cavity.By using a stepwise resection of a destructively modified large epiploon was possible to minimize blood loss and time of surgical intervention, remove the inflammation cell from the abdominal cavity and prevent the development of postoperative omentitis. Application of the proposed methodology of stepwise sparing resection of inflammatory altered omentum in children with appendicular peritonitis as a way to prevent the formation of omentitis in the postoperative period and its abscess formation, contributed to the implementation of the general pediatric surgery principle - saving attitude to the tissues, thus ensuring "good" direct result in 94,4% cases and no "unsatisfactory" results (p≤ 0.0001).

Keywords

children, omentum, resection, appendicular peritonitis

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References

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Dragomiretskaya, N., Izha, A., Kalinichenko, N., Szark-Eckardt, M., Klimczyk, M., Cieślicka, M., . . . Zukow, W. (2015). Use of antiviral therapy in patients with chronic hepatitis C. Open Medicine (Poland), 10(1), 209-215. 10.1515/med-2015-0032

Eksterowicz, J., & Napierała, M. (2008). Evaluation of the way of nutrition of the physical education students during summer sports camp. [Ocena sposobu zywienia studentek z kierunku wychowania fizycznego podczas letniego obozu sportowego.] Roczniki Państwowego Zakładu Higieny, 59(1), 75-82. Retrieved from www.scopus.com

Eksterowicz, J., Napierała, M., & Zukow, W. (2016). How the kenyan runner's body structure affects sports results. Human Movement, 17(1), 8-14. 10.1515/humo-2016-0002

Napierała, M., & Nowicki, G. (2004). Recreational activities of bydgoszcz youth at the age of pubescence. [Wypoczynek młodziezy bydgoskiej w wieku pokwitania.] Roczniki Panstwowego Zakladu Higieny, 55(3), 261-268. Retrieved from www.scopus.com

Novikov, N., Dolomatov, S., Zukow, W., Volyanskaya, A., Napierala, M., Hagner-Derengowska, M., . . . Skaliy, A. (2012). Pathogenetic mechanisms of posttraumatic fibrosis of the uterus of white rats. Central European Journal of Medicine, 7(4), 503-510. 10.2478/s11536-011-0168-0

Zukow, W., Kalisz, Z., Muszkieta, R., & Napierala, M. (2011). Acupuncture for rheumatoid arthritis: A randomized, sham-controlled clinical trial. Journal of Acupuncture and Tuina Science, 9(3), 168-172. 10.1007/s11726-011-0502-8

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Chukhraev, N., Vladimirov, A., Zukow, W., Chukhraiyeva, O., & Levkovskaya, V. (2017). Combined physiotherapy of anxiety and depression disorders in dorsopathy patients. Journal of Physical Education and Sport, 17(1), 414-417. 10.7752/jpes.2017.01061

Chukhraiev, N., Zukow, W., Chukhraieva, E., & Unichenko, A. (2017). Integrative approach to reduction of excess weight. Journal of Physical Education and Sport, 17(2), 563-567. 10.7752/jpes.2017.02085

Dolomatov, S., Sataieva, T., Pazovsky, G., & Zukow, W. (2017). Neuroendocrine effects of helminthiases (A review). Parazitologiya, 51(2), 97-103. Retrieved from www.scopus.com

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Dolomatov, S., Zukow, W., Dzierzanowski, M., Mieszkowski, J., Muszkieta, R., & Klimczyk, M. (2016). Role of nitrates in the adaptation of fish to hypoxic conditions. Water Resources, 43(1), 177-183. 10.1134/S0097807816120046

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Dolomatov, S. I., & Zhukov, V. A. (2008). Effect of exogenous thyroxin on renal ion-regulating and acid-secreting functions in white rats. Aviakosmicheskaya i Ekologicheskaya Meditsina, 42(1), 62-63. Retrieved from www.scopus.com

Dolomatov, S. I., Zukow, W., Atmazhov, I. D., Muszkieta, R., & Skaliy, A. (2012). The use of hormones indicators in human saliva in diagnosing parodontitis in pregnant women. Indian Journal of Human Genetics, 18(3), 305-309. 10.4103/0971-6866.107982

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Dzierzanowski, M., Dzierzanowski, M., Maćkowiak, P., Słomko, W., Radzimińska, A., Kaźmierczak, U., . . . Zukow, W. (2013). The influence of active exercise in low positions on the functional condition of the lumbar-sacral segment in patients with discopathy. Advances in Clinical and Experimental Medicine, 22(3), 421-430. Retrieved from www.scopus.com

Dzierzanowski, M., Dzierzanowski, M., Wrzecion, K., Słomko, W., Radzimińska, A., Kaźmierczak, U., . . . Zukow, W. (2013). Discopathy of the lumbar-sacral segment and its influence on sexual dysfunction. Advances in Clinical and Experimental Medicine, 22(1), 93-100. Retrieved from www.scopus.com

Eksterowicz, J., Napierała, M., & Zukow, W. (2016). How the kenyan runner's body structure affects sports results. Human Movement, 17(1), 8-14. 10.1515/humo-2016-0002

Gorsha, O. V., Aplevich, V. M., & Zukow, W. (2017). Efficiency of kinesiotaping application in the complex rehabilitation of children with idiopathic scoliosis. Journal of Physical Education and Sport, 17(3), 1154-1157. 10.7752/jpes.2017.03177

Ivashchenko, O., Khudolii, O., Iermakov, S., Lochbaum, M., Cieślicka, M., Zukow, W., . . . Yermakova, T. (2017). Methodological approaches to pedagogical control of the functional and motor fitness of the girls from 7-9 grades. Journal of Physical Education and Sport, 17(1), 254-261. 10.7752/jpes.2017.01038

Ivashchenko, O., Khudolii, O., Iermakov, S., Lochbaum, M. R., Cieslicka, M., Zukow, W., . . . Yermakova, T. (2016). Intra-group factorial model as the basis of pedagogical control over motor and functional fitness dynamic of 14-16 years old girls. Journal of Physical Education and Sport, 16(4), 1190-1201. 10.7752/jpes.2016.04190

Kozina, Z., Sobko, I., Yermakova, T., Cieslicka, M., Zukow, W., Chia, M., . . . Korobeinik, V. (2016). Psycho-physiological characteristics of female basketball players with hearing problems as the basis for the technical tactic training methodic in world level teams. Journal of Physical Education and Sport, 16(4), 1348-1359. 10.7752/jpes.2016.04213

Kul'chyns'kyi, A. B., Kyjenko, V. M., Zukow, W., & Popovych, I. L. (2017). Causal neuro-immune relationships at patients with chronic pyelonephritis and cholecystitis. correlations between parameters EEG, HRV and white blood cell count. Open Medicine (Poland), 12(1), 201-213. 10.1515/med-2017-0030

Podrigalo, L., Iermakov, S., Rovnaya, O., Zukow, W., & Nosko, M. (2016). Peculiar features between the studied indicators of the dynamic and interconnections of mental workability of students. Journal of Physical Education and Sport, 16(4), 1211-1216. 10.7752/jpes.2016.04193

Sataieva, T., & Zukow, W. (2014). The respective effects of ethyl alcohol and grape polyphenols upon the morphological index of rat kidneys. Central European Journal of Medicine, 9(6), 866-869. 10.2478/s11536-013-0326-7

Babelyuk, Ye.V., Dubkova, G. I., Korolyshyn, T. A., Holubinka, S. M., Dobrovol’S’Kyi, Y. G., Zukow, W., . . . Popovych, I. L. (2017). Operator of kyokushin karate via kates increases synaptic efficacy in the rat hippocampus, decreases C3-θ-rhythm SPD and HRV vagal markers, increases virtual chakras energy in healthy humans as well as luminosity of distilled water in vitro. preliminary communication. Journal of Physical Education and Sport, 17(1), 383-393. 10.7752/jpes.2017.01057

Zadnipryany, I. V., Sataieva, T. P., Tretiakova, O. S., Kubyshkin, A. V., & Zukow, W. (2017). Grape polyphenols concentrate demonstrates cardioprotection in terms of hypoxic myocardial injury. Russian Open Medical Journal, 6(4)10.15275/rusomj.2017.0404

Zadnipryany, I. V., Tretiakova, O. S., Sataieva, T. P., & Zukow, W. (2017). Experimental review of cobalt induced cardiomyopathy. Russian Open Medical Journal, 6(1)10.15275/rusomj.2017.0103

Zubkova, O., Semenova, V., Samosiuk, I., Zukow, W., Vaslovich, V., & Samosiuk, N. (2014). Analysis of ultrastructural synaptic apparatus in parietal neurocortical and midbrain neurons in animals with experimental mild craniocerebral injury prior to and following magneto-laser therapy. Central European Journal of Medicine, 9(5), 714-721. 10.2478/s11536-013-0338-3

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