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Podkamenev V.V.

Kafedra detskoĭ khirurgii Irkutskogo gosudarstvennogo meditsinskogo universiteta, Ivano-Matreninskaia detskaia klinicheskaia bol'nitsa, Irkutsk

Iurkov P.S.

Kafedra detskoĭ khirurgii Irkutskogo gosudarstvennogo meditsinskogo universiteta, Ivano-Matreninskaia detskaia klinicheskaia bol'nitsa, Irkutsk

Mikhailov N.I.

Ivano-Matreninskaya Children’s Clinical Hospital, Irkutsk, Russia

Ivanov V.O.

Kafedra detskoĭ khirurgii Irkutskogo gosudarstvennogo meditsinskogo universiteta, Ivano-Matreninskaia detskaia klinicheskaia bol'nitsa, Irkutsk

Nigamad'ianov N.R.

Kafedra detskoĭ khirurgii Irkutskogo gosudarstvennogo meditsinskogo universiteta, Ivano-Matreninskaia detskaia klinicheskaia bol'nitsa, Irkutsk

Treatment of closed spleen injuries with intraabdominal bleeding in children

Authors:

Podkamenev V.V., Iurkov P.S., Mikhailov N.I., Ivanov V.O., Nigamad'ianov N.R.

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Journal: Pirogov Russian Journal of Surgery. 2010;(4): 47‑50

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Table of contents

TREATMENT OF CLOSED SPLEEN INJURIES WITH INTRAABDOMINAL BLEEDING IN CHILDREN
TREATMENT OF CLOSED SPLEEN INJURIES WITH INTRAABDOMINAL BLEEDING IN CHILDREN

To cite this article:

Podkamenev VV, Iurkov PS, Mikhailov NI, Ivanov VO, Nigamad'ianov NR. Treatment of closed spleen injuries with intraabdominal bleeding in children. Pirogov Russian Journal of Surgery. 2010;(4):47‑50. (In Russ.)

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

The aim of the study was to substantiate the conservative treatment of closed spleen injuries in children. Laparoscopic method was used in 42 patients and conservative protocol was observed in 36 cases. Laparoscopy allowed to avoid a major surgical operation in 29 (69%) patients. Splenectomy was performed in 12 (28,6%) patients. Splenectomy was performed once due to continuent bleeding in group of conservatively treated patients. Long-term follow-up results demonstrated absence of clinical signs of adhesive obstruction and spleen pseudoaneurisms, free blood dissolution from the abdominal cavity during 1-6 months after treatment.

Keywords:

spleen injury
children
conservative treatment

Authors:

Podkamenev V.V.

Kafedra detskoĭ khirurgii Irkutskogo gosudarstvennogo meditsinskogo universiteta, Ivano-Matreninskaia detskaia klinicheskaia bol'nitsa, Irkutsk

Iurkov P.S.

Kafedra detskoĭ khirurgii Irkutskogo gosudarstvennogo meditsinskogo universiteta, Ivano-Matreninskaia detskaia klinicheskaia bol'nitsa, Irkutsk

Mikhailov N.I.

Ivano-Matreninskaya Children’s Clinical Hospital, Irkutsk, Russia

Ivanov V.O.

Kafedra detskoĭ khirurgii Irkutskogo gosudarstvennogo meditsinskogo universiteta, Ivano-Matreninskaia detskaia klinicheskaia bol'nitsa, Irkutsk

Nigamad'ianov N.R.

Kafedra detskoĭ khirurgii Irkutskogo gosudarstvennogo meditsinskogo universiteta, Ivano-Matreninskaia detskaia klinicheskaia bol'nitsa, Irkutsk

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References:

  1. Belyaeva O.A., Rozinov V.M. Vozmozhnosti ekhografii v detskoi khirurgii. V kn.: I.V. Dvoryakovskii. Ekhografiya vnutrennikh organov u detei. M 1994; 44.
  2. Efremenko A.D., Kholostova V.V., Savenko A.Yu. Khirurgicheskaya taktika pri abdominal'noi travme u detei. Detskaya khir 2004; 4: 9-11.
  3. Shapkin V.V., Pilipenko A.P., Shapkina A.N. i dr. Lechebnaya taktika pri zakrytoi travme selezenki u detei. Det khir 2004; 1: 27-31.
  4. Shapkin Yu.G., Kirichuk V.F., Maslyakov V.V. Fiziologicheskoe obosnovanie vybora taktiki pri travmaticheskikh povrezhdeniyakh selezenki u detei. Det khir 2006; 3: 17-20.
  5. Shapkin Yu.G., Maslyakov V.V. Znachenie selezenki v immunnom statuse organizma. Det khir 2007; 5: 4-41.
  6. Buntain W.L. Management of pediatric trauma. St. ed. W.B. Saunderscompany 1995; 788.
  7. Morse M.A., Garcia V.F. Selective nonoperative management of pediatric blunt splenic trauma. Journal of Pediatric Surgery 1994; 29: 1: 23-27.
  8. Nerlich V., Maghsud M., Heini P.F. et al. Algoritmy rannego lecheniya perelomov taza. Margo Anterior 1997; 3: 7.
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