卷 7, 编号 1 (2017)

Appeal to readers.

The article analyzes the procedure of rendering essential surgical care to children in hospitals for adults in Karelia. Almost 60% children suffering from surgical diseases that require urgent surgery are operated by general surgeons at central regional hospitals. A vast number of tactical and technical mistakes are made due to insufficient knowledge of peculiarities seen in children. Regulation of regional medical and prophylactic institutions was done in the region 15 years ago depending on their possibilities to render urgent surgical care to children at different ages and in different conditions. This enabled significant improvement of treatment results for these patients. 

The article presents the data obtained during a clinical observation of the recurrent reconstructive posterosagittal rectoplasty in situ performed in an 11-year old adolescent with stenosis of colorectal anastomosis following the V. Duhamel’s procedure for rectosigmoid form of Hirschprung’s disease. The patient was observed for two and a half years, had one course of anastomotic bougienage and sigmostoma closed. The obtained result was estimated clinically using irrigography, sonography, magnetic resonance imaging, anorectal manometry, colonoscopy and confocal microscopy. The result was found satisfactory, the child has a good life quality.