Articolul precedent |
Articolul urmator |
428 2 |
Ultima descărcare din IBN: 2024-03-10 17:53 |
SM ISO690:2012 DRAGANEL, Andrei, BOIAN, Veaceslav, PRINCU, Iulia, UTCHINA, Olesea. Rolul colostomei în tratamentul maladiei Hirschsprung la copil. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 613. |
EXPORT metadate: Google Scholar Crossref CERIF DataCite Dublin Core |
Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | |||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | |||||||
|
|||||||
Pag. 613-613 | |||||||
|
|||||||
Descarcă PDF | |||||||
Rezumat | |||||||
Background. The only method of effective treatment of Hirschsprung Disease (HD) is surgery. The the election procedure and the optimal age for the application of the radical operation is in disscusion. At the same time, it influences the attitude towards temporary colostomy as a curative stage in HD. Objective of the study. The evaluation of the factors that require the use of temporary colostomy as a curative step in the treatment of HD in children. Material and Methods. In 1985-2019 were 395 children with HD. M/F ratio – 2:1. The localization of aganglionic zone: ultra-short – 9%; recto-sigmoid – 75%; long – 11%; ultra-long – 5%. All the children were examined by irigography, ano-rectal manometry and the colon biopsy. All the children underwent to the surgical treatment: by classic methods – 96% (n=397), minim-invasive – 4% (n=16). Results. The analysis of the rate of application of temporary colostomy in HD: 1985-2006 – 32.7% (n=87); 2007-2010 – 14.2% (n=5); 2011-2019 – 2.1% (n=2). Among the factors that influenced the limitation of the application of temporary colostomy: early diagnosis of HD; use of minimally invasive correction methods, which are easily tolerated by newborns and infants; widespread application during the preoperative preparation of the method of prolonged colon intubation. However, the application of temporary colostomy in MH is absolutely indicated in subtotal and total forms; in case of a negative evolution determined by the complications of the basic pathology and the concomitant diseases. Conclusion. According to the results of the study in conditions of a correct diagnostic and curative management in children with HD, temporary colostomy application can be minimized in favor of individually adapted primary radical surgery. |
|||||||
Cuvinte-cheie Hirschsprung disease, temporary colostomy, surgery, maladia Hirschsprung, colostomie temporară, intervenție |
|||||||
|
DataCite XML Export
<?xml version='1.0' encoding='utf-8'?> <resource xmlns:xsi='http://www.w3.org/2001/XMLSchema-instance' xmlns='http://datacite.org/schema/kernel-3' xsi:schemaLocation='http://datacite.org/schema/kernel-3 http://schema.datacite.org/meta/kernel-3/metadata.xsd'> <creators> <creator> <creatorName>Draganel, A.</creatorName> <affiliation>IMSP Institutul Mamei şi Copiluluii, Moldova, Republica</affiliation> </creator> <creator> <creatorName>Boian, V.G.</creatorName> <affiliation>IMSP Institutul Mamei şi Copiluluii, Moldova, Republica</affiliation> </creator> <creator> <creatorName>Princu, I.</creatorName> <affiliation>Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“, Moldova, Republica</affiliation> </creator> <creator> <creatorName>Utchina, O.</creatorName> <affiliation>Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“, Moldova, Republica</affiliation> </creator> </creators> <titles> <title xml:lang='ro,en'>Rolul colostomei în tratamentul maladiei Hirschsprung la copil</title> </titles> <publisher>Instrumentul Bibliometric National</publisher> <publicationYear>2020</publicationYear> <relatedIdentifier relatedIdentifierType='ISBN' relationType='IsPartOf'></relatedIdentifier> <subjects> <subject>Hirschsprung disease</subject> <subject>temporary colostomy</subject> <subject>surgery</subject> <subject>maladia Hirschsprung</subject> <subject>colostomie temporară</subject> <subject>intervenție</subject> </subjects> <dates> <date dateType='Issued'>2020</date> </dates> <resourceType resourceTypeGeneral='Text'>Conference Paper</resourceType> <descriptions> <description xml:lang='en' descriptionType='Abstract'><p>Background. The only method of effective treatment of Hirschsprung Disease (HD) is surgery. The the election procedure and the optimal age for the application of the radical operation is in disscusion. At the same time, it influences the attitude towards temporary colostomy as a curative stage in HD. Objective of the study. The evaluation of the factors that require the use of temporary colostomy as a curative step in the treatment of HD in children. Material and Methods. In 1985-2019 were 395 children with HD. M/F ratio – 2:1. The localization of aganglionic zone: ultra-short – 9%; recto-sigmoid – 75%; long – 11%; ultra-long – 5%. All the children were examined by irigography, ano-rectal manometry and the colon biopsy. All the children underwent to the surgical treatment: by classic methods – 96% (n=397), minim-invasive – 4% (n=16). Results. The analysis of the rate of application of temporary colostomy in HD: 1985-2006 – 32.7% (n=87); 2007-2010 – 14.2% (n=5); 2011-2019 – 2.1% (n=2). Among the factors that influenced the limitation of the application of temporary colostomy: early diagnosis of HD; use of minimally invasive correction methods, which are easily tolerated by newborns and infants; widespread application during the preoperative preparation of the method of prolonged colon intubation. However, the application of temporary colostomy in MH is absolutely indicated in subtotal and total forms; in case of a negative evolution determined by the complications of the basic pathology and the concomitant diseases. Conclusion. According to the results of the study in conditions of a correct diagnostic and curative management in children with HD, temporary colostomy application can be minimized in favor of individually adapted primary radical surgery.</p></description> <description xml:lang='en' descriptionType='Abstract'><p>Introducere. Unica metodă de tratament eficient a maladiei Hirschsprung (MH) este intervenția chirurgicală. Rămâne în discuție procedeul de elecție și vârsta optimă pentru operația radicală. Totodată, aceasta influențează atitudinea față de colostomia temporară ca etapa curativa în MH. Scopul lucrării. Evaluarea factorilor ce impun utilizarea colostomei temporare ca etapă curativă în cadrul tratamentului MH la copil. Material și Metode. Între anii 1985-2019 au fost diagnosticați și tratați 395 copii cu MH. Raport băieţi/fete – 2:1. Localizarea zonei ganglionare: ultrascurtă 9%; rectosigmoidală 75%; lungă 11% şi ultralungă 5%. Toţi copii au fost examinaţi prin irigografie, manometrie anorectală şi biopsie colonică. Au fost supuşi intervenţiei chirurgicale: metode clasice– 96% (n=379) și minim invazive– 4% (n=16). Rezultate. Analiza ratei aplicării colostomei temporare în MH denotă: perioada 1985-2006 – 32,7% (n=87); 2007-2010 – 14,2% (n=5); 2011-2019 – 2,1% (n=2). Printre factorii ce neau permis limitarea aplicării colostomei temporare, menționăm: diagnosticul precoce al MH; utilizarea metodelor minim invazive de corecție, care sunt ușor tolerate de nou-născuți și sugari; aplicarea pe larg în perioada pregătirii preoperatorii a metodei de intubare prolongate a colonului. Totuși, aplicarea colostomei temporare în MH este absolut indicată în formele extinse (subtotale, totale) şi în caz de o evoluție negativă, determinată de complicațiile patologiei de bază și de afecțiunile concomitente. Concluzii. Conform rezultatelor studiului, în condițiile unui management diagnostico-curativ corect, la copiii cu MH aplicarea colostomei temporare poate fi minimalizată în favoarea tratamentului chirurgical radical, primar, individual adaptat.</p></description> </descriptions> <formats> <format>application/pdf</format> </formats> </resource>