Articolul precedent |
Articolul urmator |
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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. |
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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 | |||||||
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Pag. 613-613 | |||||||
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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. |
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Cuvinte-cheie Hirschsprung disease, temporary colostomy, surgery, maladia Hirschsprung, colostomie temporară, intervenție |
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