Simultaneous Laparoscopic Hernioplasty in Urgent Pediatric Surgery
https://doi.org/10.23934/2223-9022-2024-13-3-534-539
Abstract
One of the variants of clinical manifestation of Meckel’s diverticulum in pediatric patients is intestinal intussusception. In this case, the surgical intervention option may be laparoscopic disinvagination and resection of the diverticulum (if the clinic is equipped accordingly) or video-assisted surgery.
This article presents a clinical observation of the diagnosis and simultaneous treatment of Meckel’s diverticulitis complicated by small-colonic intussusception and necrosis of the ileum, secondary appendicitis in combination with bilateral inguinal hernia in a 5-year-old girl. The described observation demonstrates the features of the intraoperative picture and surgical treatment, and describes in detail the effective treatment tactics and the course of surgical intervention.
The described variant of simultaneous treatment of surgical diseases does not affect the course of the surgical period, and also made it possible to avoid repeated intervention (hernioplasty), reduced the anesthetic load (general anesthesia) and neutralized possible surgical stress.
Keywords
Supporting agencies: The work was carried out within the framework of the Priority-2030 project of the Federal State Budgetary Educational Institution of Higher Education Southwestern State University
About the Authors
V. P. Gavrilyuk
Kursk State Medical University
Russian Federation
Russian Federation
Vasily P. Gavrilyuk, Doctor of Medical Sciences, Associate Professor, Head of the Department of Pediatric Surgery and Pediatrics, Institute of Continuous Education
K. Marx Str. 3, Kursk, 305041
E. V. Donskaya
Kursk Regional Children’s Clinical Hospital
Russian Federation
Russian Federation
Elena V. Donskaya, Head of the Surgical Department No. 1
Khutorskaya Str. 43-a, Kursk, 305029
D. A. Severinov
Kursk State Medical University; South-West State University
Russian Federation
Russian Federation
Dmitry A. Severinov, Candidate of Medical Sciences, Associate Professor, Department of Pediatric Surgery and Pediatrics
K. Marx Str. 3, Kursk, 305041
Pyatidesyatiletiya Oktyabrya Str. 3, Kursk, 305040
Yu. A. Zubkova
Kursk State Medical University
Russian Federation
Russian Federation
Yulia A. Zubkova, Resident, Department of Pediatric Surgery and Pediatrics, Institute of Continuous Education
K. Marx Str. 3, Kursk, 305041
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Review
For citations:
Gavrilyuk V.P., Donskaya E.V., Severinov D.A., Zubkova Yu.A. Simultaneous Laparoscopic Hernioplasty in Urgent Pediatric Surgery. Russian Sklifosovsky Journal "Emergency Medical Care". 2024;13(3):534-539. (In Russ.) https://doi.org/10.23934/2223-9022-2024-13-3-534-539
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