68 — 9 (47) 2022 — Akilov H.A., Shukurov B.S., Nizomov Sh.A., METHOD FOR IMPROVING SURGICAL TREATMENT RESULTS IN CHILDREN WITH URINARY STRICTURES

METHOD FOR IMPROVING SURGICAL TREATMENT RESULTS IN CHILDREN WITH URINARY STRICTURES

Akilov H.A., Center for the Development of Professional Qualifications of Medical Workers.Tashkent

Shukurov B.S., Center for the Development of Professional Qualifications of Medical Workers.Tashkent

Nizomov Sh.A., Center for the Development of Professional Qualifications of Medical Workers.Tashkent

Resume

The material is based on the results of analysis and treatment of 55 patients with post-traumatic urethral strictures. All patients before admission to the clinic had previously been operated on in other medical institutions.

In this category of patients, repeated surgical interventions present certain difficulties and difficulties due to pronounced cicatricial changes in the wall of the urethra and its surrounding tissues. The success of the surgical intervention largely depends on the level of the selected proximal end of the urethra, which makes it possible to achieve its alignment in any area and depth of the perineal wound, as well as on a correctly applied anastomosis.

Efficient drainage and lavage of the anastomotic area using a draining catheter prevents its infection and has a beneficial effect on tissue healing processes.

Good results were noted in 98.2% of observations, and only one patient had an unsatisfactory result; subsequently, these patients underwent restoration of the urethra from the skin of the scrotum.

Keywords: method for improving results, surgical treatment, urinary tract stricture in children

First page

413

Last page

416

For citation: Akilov H.A., Shukurov B.S., Nizomov Sh.A., METHOD FOR IMPROVING SURGICAL TREATMENT RESULTS IN CHILDREN WITH URINARY STRICTURES //New Day in Medicine 9 (47)2022 413-146 https://l.clck.bar/78cea

LIST OF REFERENCES:

  1. Ахмедов Ю.М., Ахтамов Д.А. и др. Результаты хирургической коррекции посттравматических стриктур уретры. // Доктор Ахборотномаси. 2017. №2. С. 24-28
  2. Нестеров С.Н, Ханалиев Б.В., Володичев В.Ви др. Хирургическое лечение пациентов со стриктурой уретры. // Вестник Национального медико-хирургического центра им. Н.И. Пирогова. 2016. Т. 11. №4. С. 84-89.
  3. Павлов В.Н., Казихинуров Р.А., Измайлов А.А., и др. Опыт лечения стриктур уретры при использовании различных видов уретропластик. // Медицинский вестник Башкортостана. 2017. Т. 12. №3(69). С. 60-62.
  4. Павлов В.Н., Казихинуров Р.А., Сафиуллин Р.И., и др. Выбор оптимального метода и способы улучшения результатов хирургического лечения у пациентов с посттравматическими, воспалительными стриктурами и облитерациями уретры. // Уральский медицинский журнал. 2017. №2 (146). С. 92-95.
  5. Щеплев П.А., Хворов В.В. Уретра: пошаговая хирургия. // АМИ “Медфорум”. – Москва. – 2018. – 24 с
  6. Arlen A.M., Powell C.R., Hoffman H.T., Kreder K.J. Buccal mucosal graft urethroplasty in the treatment of urethral strictures: experience using the two-surgeon technique. // Scientific World Journal. 2010. -Vol. 8.-P. 74-79.
  7. Banks F.C., Griffin S.J., Steinbrecher H.A., Malone P.S. Aetiology and treatment of symptomatic idiopathic urethral strictures in children. // J. Pediatr. Urol. 2009. – Vol. 5(3). – P. 215-218.
  8. Coccolin F. et al. Kidney and uro-trauma: WSES-AAST uidelines // World Journal of Emergency Surgery. Italy. 2019. №14.- P. 54

file

download