Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care
BACKGROUND: Peripheral nerve injuries are severe types of injury with potential life-long impairm... more BACKGROUND: Peripheral nerve injuries are severe types of injury with potential life-long impairment, which is crucial in the pediatric population. Considering the lack of literature on pediatric nerve lesions, we analyzed the results of treatment for children with injuries of the peripheral nerves of the upper extremities in the Department of Microsurgery of the N.F. Filatov Children's City Clinical Hospital. AIM: This study aimed to evaluate the results of treatment for children with injuries of the peripheral nerves of the upper limb and to establish the relationship between the recovery of the function of the upper limb and the time elapsed from the moment of injury to surgery. MATERIALS AND METHODS: From 2017 to 2021, 114 patients with injuries of the peripheral nerves of the upper limb were treated in the Department of Microsurgery. The following data were extracted from the case histories and at the follow-up appointment: age, gender, level of damage, type of surgical int...
Issues of Reconstructive and Plastic Surgery, 2022
Objective. Hand injuries in children are quite common. Most challenging within plastic and recons... more Objective. Hand injuries in children are quite common. Most challenging within plastic and reconstructive surgery/reconstructive microsurgery expertise were there traumatic hand defect and upper extremities open injuries sequels. There were wide variety of reconstruction techniques to deal with hand defects in general and with distal phalanx defects particularly. The core problem is how to make very choice of reconstructive method and technique from diversity of local, regional and distant flaps. Injuries of distal phalanges are the most common type of hand trauma in children. The problem of coverage of soft tissue defects of distal phalanges remains actual. A lot of methods of coverage of distal phalanges defects are developed. There is no generally accepted approach or an algorithm in the treatment of adults and children with such type of trauma.Material and methods. In the period from 2018 to 2021 at the Microsurgery Department of N.F. Filatov Moscow Clinical Hospital for Childre...
BACKGROUND : Injuries of distal phalanges are the most common type of hand trauma in children. Th... more BACKGROUND : Injuries of distal phalanges are the most common type of hand trauma in children. The problem of coverage of soft tissue defects of distal phalanges remains. Many methods of coverage of distal phalanges defects have been developed. There is no generally accepted approach or an algorithm in treatment of adults and children with such type of trauma. AIM: This study aimed to reveal the most universal method of coverage of distal phalanges defects in children using various reconstruction methods that are used at the Department of Reconstructive Microsurgery of Filatov State Children Hospital. MATERIALS AND METHODS : From 2019 to 2020, 70 children with defects of distal phalanges were treated. The coverage of defects was performed by using a flap ( n = 23), cross-finger flap ( n = 5), V-Y advancement flap ( n = 28), reverse-flow homodigital island flap ( n = 11), and full-thickness skin graft ( n = 3). Results of the defect coverage were evaluated by objective (difference be...
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care
Total deep facial burns represent one of the most complex clinical tasks for a surgeon. A child’s... more Total deep facial burns represent one of the most complex clinical tasks for a surgeon. A child’s quality of life and complexity of subsequent treatment stages depends on effective surgical tactics used during the acute period of a burn trauma. The article describes the use of full-thickness graft preliminarily stretched with an endoexpander when treating deep facial burns in a child with the total burns involving 60% of body surface and thermoinhalation lesion. The surgery was done on the 36th day of staying at the hospital in spite of the patient’s severe condition.
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care
BACKGROUND: Peripheral nerve injuries are severe types of injury with potential life-long impairm... more BACKGROUND: Peripheral nerve injuries are severe types of injury with potential life-long impairment, which is crucial in the pediatric population. Considering the lack of literature on pediatric nerve lesions, we analyzed the results of treatment for children with injuries of the peripheral nerves of the upper extremities in the Department of Microsurgery of the N.F. Filatov Children's City Clinical Hospital. AIM: This study aimed to evaluate the results of treatment for children with injuries of the peripheral nerves of the upper limb and to establish the relationship between the recovery of the function of the upper limb and the time elapsed from the moment of injury to surgery. MATERIALS AND METHODS: From 2017 to 2021, 114 patients with injuries of the peripheral nerves of the upper limb were treated in the Department of Microsurgery. The following data were extracted from the case histories and at the follow-up appointment: age, gender, level of damage, type of surgical int...
Issues of Reconstructive and Plastic Surgery, 2022
Objective. Hand injuries in children are quite common. Most challenging within plastic and recons... more Objective. Hand injuries in children are quite common. Most challenging within plastic and reconstructive surgery/reconstructive microsurgery expertise were there traumatic hand defect and upper extremities open injuries sequels. There were wide variety of reconstruction techniques to deal with hand defects in general and with distal phalanx defects particularly. The core problem is how to make very choice of reconstructive method and technique from diversity of local, regional and distant flaps. Injuries of distal phalanges are the most common type of hand trauma in children. The problem of coverage of soft tissue defects of distal phalanges remains actual. A lot of methods of coverage of distal phalanges defects are developed. There is no generally accepted approach or an algorithm in the treatment of adults and children with such type of trauma.Material and methods. In the period from 2018 to 2021 at the Microsurgery Department of N.F. Filatov Moscow Clinical Hospital for Childre...
BACKGROUND : Injuries of distal phalanges are the most common type of hand trauma in children. Th... more BACKGROUND : Injuries of distal phalanges are the most common type of hand trauma in children. The problem of coverage of soft tissue defects of distal phalanges remains. Many methods of coverage of distal phalanges defects have been developed. There is no generally accepted approach or an algorithm in treatment of adults and children with such type of trauma. AIM: This study aimed to reveal the most universal method of coverage of distal phalanges defects in children using various reconstruction methods that are used at the Department of Reconstructive Microsurgery of Filatov State Children Hospital. MATERIALS AND METHODS : From 2019 to 2020, 70 children with defects of distal phalanges were treated. The coverage of defects was performed by using a flap ( n = 23), cross-finger flap ( n = 5), V-Y advancement flap ( n = 28), reverse-flow homodigital island flap ( n = 11), and full-thickness skin graft ( n = 3). Results of the defect coverage were evaluated by objective (difference be...
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care
Total deep facial burns represent one of the most complex clinical tasks for a surgeon. A child’s... more Total deep facial burns represent one of the most complex clinical tasks for a surgeon. A child’s quality of life and complexity of subsequent treatment stages depends on effective surgical tactics used during the acute period of a burn trauma. The article describes the use of full-thickness graft preliminarily stretched with an endoexpander when treating deep facial burns in a child with the total burns involving 60% of body surface and thermoinhalation lesion. The surgery was done on the 36th day of staying at the hospital in spite of the patient’s severe condition.
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