[Vacuum-therapy for complicated anterior abdominal wall wounds and intestinal fistulas in children].

Aim: To present results of VAC application in children with complicated wounds of anterior abdominal wall combined with intestinal and/or biliary fistulas.

Material And Methods: For the last 7 years 8 patients aged from 1.5 months to 15 years with infected postoperative wounds of anterior abdominal wall complicated by intestinal fistulas (6), biliary and intestinal fistulas (1) and biliary fistula (1) have been treated at the surgical department №2 of Russian Children's Clinical Hospital.

[Training curves for endosurgical interventions in neonates and infants].

Aim: To demonstrate training curves for endosurgical interventions in neonates and infants.

Material And Methods: It was analyzed duration of thoracoscopic reconstruction of esophageal atresia (31 patients) and laparoscopic Nissen fundoplication (61 patients) performed for the period from January 2005 to December 2012. Graphs and tables reflecting correlation between duration and number of operations were framed.

[Thoracoscopic lung resection in children].

The spectrum of pulmonary surgical pathology in newborns and infants is mainly presented by congenital diseases. Surgery is the main radical method of treatment of children with congenital lung diseases. By this time in the N.

[Sliding traсheal plasty in children under extracorporeal membrane oxygenation (first experience in Russia)].

Aim: To improve the results of surgical treatment of children with extended tracheal stenosis.

Material And Methods: Since 2013 slidingtraсheal plasty under extracorporeal membrane oxygenation was performed in 4 children aged 1 year 2 months - 4.5 years with extended tracheal stenosis in Children's City Clinical Hospital №13.

[Endosurgical treatment of the bile duct lesions in children].

Unlabelled: Question of feasibility of laparoscopic Kasai procedure and laparoscopic hepaticojejunostomy for biliary atresia (the BA) and choledochal cysts (the CC) in children has been a subject of discussion for a long time and still remains unsolved.

Aim: To improve the results of surgery for biliary tract malformations (the BTM) in children using laparoscopic technique.

Materials And Methods: The are 55 patients with BA and CC, who were performed endosurgical operations, and 37 patients, who were performed traditional open surgical procedures.

[The accessibility of high-tech medical care of newborns with surgical pathology in conditions of Far North].

The actual stage of development of public health rendering of specialized medical care is based on principles of generality, accessibility, addressness, qualitativeness, and effectiveness. However, the problem of rendering specialized medical care to population is one of most critical targets in district centers and requires immediate solution. The main mean of resolving this problem is re-hospitalization of patient in more large-scale medical institutions.

[Use of venovenous extracorporeal membrane oxygenation in 14 months old child with acute respiratory distress syndrome and pneumonia].

Unlabelled: Extracorporeal life support (ECLS) is used in pediatric patients with ARDS in recent 20 years with survival rate from 50 to 67% Venovenous ECLS was used in 1 year 2 months old patient with ARDS and pneumonia developed in postoperative period after gastral esophagoplasty. Purposes of ECLS use were stabilization child's condition and normalization of gas composition of blood with relative lungs repose. Indications for ECLS were increasing respiratory failure, hypoxemia, low respiratory index (PaO2/FiO2 ratio 47.

[The choice of surgical access in the treatment of lung hydatidosis in children].

Thoracoscopic and traditional access for the treatment of lung hydatidosis in children was compared. 56 children, who composed the 1st (control) group, were operated on with the open access. The 2nd (main) group, consisted of 22 patients, operated on thoracoscopically.

[Thoracoscopic thymectomy in children by myasthenia gravis].

The authors' experience of surgical treatment of myasthenia gravis in children was analyzed. 32 patients were operated on, mean age was 13±3 (5-21 years); girls were 26, boys were 6 (19%). Disease severity was IIB-IVB by the MGFA classification, all patients were on anticholinesterase and pednisolone therapy.

[Early results of thoracoscopic treatment of inborn and acquired lung diseases in children].

Thoracoscopic and traditional methods of treatment of the inborn and acquired lung diseases in children were comparatively analyzed. The main group, operated on thoracoscopically, consisted of 30 patients. The control group, operated on thoracotomically, consisted of the same number of children.

[The magnetic foreign bodies of the gastrointestinal tract in children].

The authors own the experience of treatment of 23 children with magnetic foreign bodies (MFB) of the gastrointestinal tract. They share the possibilities of diagnostics and surgical treatment of children on the vivid clinical examples. By MFB in the stomach, which do not leave the gastrointestinal tract naturally, the use of fibroesophagoduodenoscopy is recommended.

[Treatment of bronchiectasis in children].

The thoracoscopic and traditional thoracotomic surgical access for bronchiectesis treatment in children were compared. The first (thoracoscopic) group included 18 children. The control (thoracotomic) group included 26 patients.

[The endoscopic operations by solid thoracic tumors in children].

20 patients were operated thoracoscopically on the cause of the solid tumors of the pleural cavity. Patients were aged from 1 day of life to 17 years. Minimal size of the tumor was 3.

[The surgical correction of vascular tracheal rings in children].

The aortic arch and its branches anomalia compound 1-3.8% of all vessel inborn diseases. The treatment of such anomalia as tracheal vessel ring aims the liquidation of esophageal and tracheal compression.

[The treatment of chemical burns of the esophagus in children].

The article covers the 22-year experience of treatment of chemical burns of the esophagus in 4252 children. The cicatrical stricture (the III degree burn) of the esophagus had 5.9% of patients.

[Thoracoplasty by pectus carinatum in children].

91 children were operated on pectus carinatum. Patients were aged 9-15 years. Thoracoplasty by Ravich was performed in 32 children (the first group) and 59 patients were operated using the method of thoracoplasty, modified by the authors.

[Thoracoscopic treatment of esophageal atresia in infants].

Atresia of esophagus result in absolute lethality without surgical treatment. Posterolateral thoracotomy is a traditional access during such operations, however thoracoscopic methods esophageal atresia has come into practice. Since 2008 all infants (n=22) in our clinic with esophageal atresia have been operated on thoracoscopically.

[Perspectives of Sugiura operation by portal hypertension in children].

23 children, aged 3-17 years, have undergone the Sugiura operation since 1989. 18 children had extrahepatic portal hypertension, 3 - the inborn liver fibrosis, 2 - liver cirrhosis. The procedure has been complemented by endoscopic sclerotherapy since 2001.

[Laparoscopic reconstructive surgery by biliary tract malformations in children].

Treatment results of 18 children operated on various biliary tract malformations were analyzed. Laparoscopic portoenteroanastomosis by Kasai was performed in 10 patients with biliary atresia aged from 10 days to 3,5 months. Average weight of the operated children was 3640 +/- 124 g.