Deep and extensive pediatric burns: retrospective evaluation of scheme of patients at the Department of Children's Developmental Defects Surgery and Traumatology SUM.

<b> Introduction:</b> Burns are one of the most common injuries among children. Despite the scale of the problem, there is no generally accepted algorithm for dealing with burn wounds in children in Poland. </br></br> <b>Aim:</b> The aim of our study was to evaluate our treatment scheme as well as the long-term effects of burn treatment in our department.

Pleural empyema in children - benefits of primary thoracoscopic treatment.

Introduction: Pleural empyema is the condition of the pleural cavity when initially sterile pleural effusion has become infected. In the majority of cases, it is of parapneumonic origin. Parapneumonic effusions and pleural empyemata usually continuously progress in severity.

The role of laparoscopy in paediatric and adolescent gynaecology.

Paediatric and adolescent gynaecology is a narrow field of medicine dealing with the diagnosis of and treatment of gynaecological diseases from the neonatal period to sexual maturity. The current trend in surgical gynaecology in the paediatric population is to minimise the degree of invasiveness of diagnostic and therapeutic procedures. This contributes to reducing the number of complications and the risk of infertility.

Introducing enhanced recovery after surgery protocol in pediatric surgery.

Background: Enhanced recovery after surgery (ERAS) is a holistic perioperative care protocol created to improve treatment outcomes. Implementation of new rules radically changed the perioperative care of adult patients. The protocol refers to the preoperative, intraoperative and postoperative periods.

Evaluation of the usefulness of laparoscopy in the diagnosis and treatment of adnexal pathologies in the pediatric population.

Introduction: The current trend in adnexal surgery in children is to minimize the invasiveness of diagnostic and therapeutic procedures, reduce the number of complications and reduce the risk of infertility.

Aim: Evaluation of the usefulness and effectiveness of laparoscopy in diagnostics and treatment of pathological lesions of adnexa in the pediatric population and evaluation of the correlation of imaging with the intraoperative diagnosis during laparoscopy.

Material And Methods: The study included 89 patients aged 0-18 years (mean: 12.

Adenomyomatosis of the gallbladder in an adolescent, a very rare condition.

Adenomyomatosis of the gallbladder is an acquired, degenerative disease characterized by epithelial proliferation with hypertrophy of the muscularis layer with forming of sinus tracts, termed Rokitansky-Aschoff sinuses. Adenomyomatosis is diagnosed mainly by ultrasonography. The pathogenesis, pathology, and indications for surgery in this condition are not well understood.

Evaluation of liver-type fatty acid binding protein (L-FABP) and interleukin 6 in children with renal cysts.

Background: Renal cysts, according to their etiology, can be divided into genetic and acquired cysts. This is of great importance in patients with cystic kidney disease with a possible poor prognosis to identify markers of early kidney damage.

Objectives: The objective of this study was to evaluate the concentration of serum and urine liver-type fatty acid binding protein (L-FABP) and interleukin 6 (IL-6) in children with kidney cysts.

How often does urinary incontinence really affect primary school children?

Objective: Introduction: Urinary incontinence should be treated as a pathology in patients who are at least 5 years old, a few percent of patients continue to suffer from this disorderin adolescence. It can be qualified as day-time incontinence (DUI) and nocturnal-incontinence (enuresis-NE). The aim: To assess the incidence of micturition disorders in children aged 7 to 10, to analyze accompanying symptoms and compare the results with previous studies.

Pediatric achalasia. Single-center study of interventional treatment.

Introduction: Esophageal achalasia is a rare entity in children. However, young age is a factor of failure of conservative treatment, emphasizing the role of surgery. In our institution laparoscopic Heller's cardiomyotomy is the chosen procedure for surgical treatment.

Thoracoscopic resection of a bronchogenic cyst in a 17-year-old girl.

Bronchogenic cysts comprise approximately 6% of mediastinal tumors in children. The treatment consists in surgical resection of the cyst. The authors present the case of a 17-year-old girl who was accidentally diagnosed with a mediastinal cyst.

Laparoscopy in elective and emergency management of ovarian pathology in children and adolescents.

Introduction: Ovaries are one of the most common locations of tumor masses in children. Some of them require surgery due to the risk of malignancy or necrosis. This organ seems to be ideal for the laparoscopic approach.

Alternations in genes expression of pathway signaling in esophageal tissue with atresia: results of expression microarray profiling.

Esophageal atresia (EA) is a congenital defect of the esophagus involving the interruption of the esophagus with or without connection to the trachea (tracheoesophageal fistula [TEF]). EA/TEF may occur as an isolated anomaly, may be part of a complex of congenital defects (syndromic), or may develop within the context of a known syndrome or association. The molecular mechanisms underlying the development of EA are poorly understood.

Epidural and opioid analgesia following the Nuss procedure.

Background: Parents have the right to decide on behalf of their children and deny consent to regional anaesthesia. The investigators decided to investigate quality of postoperative analgesia in adolescents undergoing epidural and opioid analgesia following the Nuss procedure. material/methods: The study subjects were 61 adolescents aged 11-18 years who underwent pectus excavatum repair with the Nuss procedure.

[Congenital sternal cleft: a case report].

Sternal cleft is a very rare congenital defect of sternum, reported only in limited number of publications. Surgical treatment in neonatal period is preferred. The case of child with congenital sternal cleft operated in 17 month of life with successful outcome of repair was reported.

Foreign body aspiration in children: diagnostic and therapeutic role of bronchoscopy.

Purpose: Assessment of bronchoscopy usefulness for diagnosis and treatment in children suspected of foreign body aspiration.

Material And Method: There were 27 boys and 18 girls in the age from 15 month to 14 years (average 5.5 years).

Laparoscopic splenectomy in children--a multicenter experience.

Purpose: Splenectomy is frequently required in children for various hematologic pathologic findings. Because of progress in minimally invasive techniques, laparoscopic splenectomy (LS) has become feasible. The objective of this report is to present a multicenter experience of 159 laparoscopic splenectomies.

Chemical, corrosion and topographical analysis of stainless steel implants after different implantation periods.

The aim of this work is to examine the corrosion properties, chemical composition, and material-implant interaction after different periods of implantation of plates used to correct funnel chest. The implants are made of 316L stainless steel. Examinations are carried out on three implants: new (nonimplanted) and two implanted for 29 and 35 months.

Laparoscopic appendectomy for simple and complicated appendicitis in children--safe or risky procedure.

Objectives: The aim of the study was to present our experience and to assess the advantages of laparoscopic appendectomy, particularly in children with perforated appendicitis.

Materials And Methods: Between 1999 and 2005, 505 laparoscopic appendectomies were performed. In children aged between 2 and 18 years, number, sex, age, histologic type of appendicitis, additional surgical procedures, number and type of complications, time of procedure, and hospitalization were analyzed.

Stabilization of forearm fractures in children using intramedullary Kirschner wires.

Background. Minimally invasive intramedullary stabilization is a widely accepted method for treating long bone fractures in children. Indications concerning age and type of fracture have increased in the last decade.

Difficulties and limitations in minimally invasive repair of pectus excavatum--6 years experiences with Nuss technique.

Objective: In 1998, Dr Donald Nuss proposed minimally invasive repair of pectus excavatum (MIRPE) which did not require the osteochondrous parts of the anterior chest wall to be resected. The paper aims at presenting the authors' own 6 years of experience in funnel chest repair with MIRPE technique. Also, many technical problems of this method are discussed.

The role of thoracoscopy in the treatment of pleural empyema in children.

Background: The treatment of empyema with pleural drainage is a widely accepted surgical procedure. Currently, thoracoscopy often is used to treat this disease in some thoracic surgery centers. This report aims to present the authors' experience with the treatment of pleural empyema and the benefits of thoracoscopy.

[Economical benefits of one-day surgery treatment in children: 10 year of experience].

The authors present economical benefits of one day surgery treatment in children on the ground of own 10 years experiences. Analysis was made on the basis of 5855 children treated in Department of Pediatric Surgery in Zabrze (Poland) from March 1987 to March 1997. During this time 50.