The choice of optimal treatment methods for invaginal intestinal obstruction in children
Annotatsiya
Aim. To study the effectiveness of a differentiated approach to the use of various treatment methods ofinvagination intestinal obstruction (IIO) in children.Material and methods. The experience of treatment of 75 patients with various variants of invaginalintestinal obstruction (IIO) in children was studied in the period of 2019-2021 years. In 12 (16,0%) patients, successful conservative desinvagination was performed. Surgical interventions were performed in63 (84,0%) cases, 17 (27,0%) patients underwent laparoscopic desinvagination.Results. Laparoscopic desinvagination was performed in 8 (12,7%) patients, in 9 (14,3%) patients had toresort to conversion. In 55 (73,3%) patients (including 9 after conversion), the operation was performedby laparotomic (right pararectal) access. In 52 patients desinvagination of the intestine was performed,in 3-right-sided hemicolectomy with partial resection of the small intestine with the imposition iliotransverse anastomosis. One 6-month-old child with multi-day IIO, complicated with peritonitis, died due tomultiple organ failure syndrome (MOFS).Conclusion. In the treatment of IIO in children, a differentiated approach to the use of various methodstreatment is necessary, taking into account the identified variants and terms of the pathology.