Medical and Health Science Journal

  Previous Article | Back to Volume | Next Article
  Abstract | References | Citation | Download | Preview | Statistics
Volume 4
Issue 4
Online publication date 2010-12-10
Title Diagnostic significance of ultrasonic sonography in children with appendicular peritonitis
Author Shukhrat Yusupov
Abstract

The aim of the research is to study the possibilities of ultrasound sonography in children with generalized purulent appendicular peritonitis (GPAP) complicated with paralysis of the intestine (PI). This should help to assess motor activity of the intestine, as well as development of pathological process in a peritoneal cavity.

93 patients (children from 2 to 15 years) with appendicular peritonitis were tested. All patients were divided into 2 groups. The first group comprised of 45 patients with appendicular peritonitis with a complicated cut (1st- 2d stage) of intestines. The second group is 48 infants with GPAP and complicated PI (the main group).

The following echo graphical indexes were assessed: presence of liquid in peritoneal cavity and its localization, presence of intestinal peristalsis, diameter and thickness of intestines, accumulation of fluid and air in the intestinal lumen, and nature of chyme movement in intestines. Comparing preoperative indicators of ultrasound sonography with the results of intraoperative revision of the abdominal cavity revealed that in 91.2% cases sonographic data were similar to the intraoperative ones. Ultrasound sonography in post operational period allows recognizing not only pros of clinic evidence; it also contributes to early recognition of postoperative intra-abdominal complications (abscess of the abdominal cavity, commissural complications).

Citation
References
Bachev, I., 1980. “Using phonoenterography with quantitive evaluation of phonograms in surgical practice,” Pirogov’s N.I. Surgery [Jurnal “Hirurgija” im. N. I. Pirogova],  in Russian, Vol.7, pp.56-9

Bushmelev, V., Zapletaev, R., 1997. “Evaluation of local haemodynamics of anterior abdomen wall changes at children with acute purulent processes in abdomen cavity” [Ocenka izmeneniy lokaljnoy gemodinamiki peredney brjushnoy stenki pri ostrыh gnoynыh processah v brjushnoy polosti u detey], in Russian,  Collection of conference dedicated to 25th Anniversary of Republic Pediatric Clinical Hospital, Bashkortostan, Ufa, p.176

Buyanov, V., Maskin, S., Doroshev, I., 1999. “Ultrasound diagnostic of intestine obstruction,” Surgery Bulletin [Vestnik hirurgii], in Russian, Vol.4, pp.109-11

Dronov, A., Poddubniy, I., 1999. Laparoscopic operations at children with intestinal obstruction [Laparoskopicheskie operacii pri kishechnoy neprohodimosti u detey], in Russian, Мoscow

Isaev, G., Guseynov, S., Ragimova, A., Alieva, E., 2000. “Temporary ileostoma in general postoperative purulent peritonitis treatment,” Surgery [Hirurgiya], in Russian, Vol.1, pp.25-27

Konovalov, A., 1996. “Pathogenetic basis of prophylaxis, early diagnostics and spare methods of surgical treatment of postoperative intraabdominal complications of acute appendicitis at children” [Patogeneti-cheskoe obosnovanie profilaktiki, ranney diagnostiki i shtadjashtih metodov hirurgicheskogo lechenija posleoperacionnыh vnutribrjushnыh oslozhneniy ostrogo appendicita u detey], Synopsis of dissertation

Maynugin, V., Berenyak, I., Shirokov, V., Pritiko, A., Koltzov, V., 1988. “Phonoenterography at children’s age,” Medical Technique [Medicinskaja tehnika], in Russian, Vol.1, pp.51-56

Mihalskiy, V., 1997. “Questions of early postoperative treatment of patients, operated with syndrome of acute intestinal obstruction” [Voprosы vedenija rannego posleoperacionnogo perioda u boljnыh, operirovannыh s sindromom ostroy kishechnoy neprohodimosti], in Russian, Synopsis of dissertation

Pacceli, F., Doglietto, G., Alfieri, S. et al., 1996. “Prognosis in intraabdominal infections: Multivariate analysis on 604 patients,” Arch. Surg., Vol.131, No6, pp.641-45

Timerbulatov, V., Verzakova, I., Kalanov, R., Kunafin, M., Kakaulina, L., 2000. “Ultrasound examination at patients with peritonitis,” Surgery [Hirurgiya], Vol.1, pp.22-24

Vas, S., 1994. “Treatment of peritonitis,” Perit-Dial-Int., Vol.14, pp.49-55

Keywords Infantile appendicular peritonitis, ultrasound sonography, diagnostic
DOI http://dx.doi.org/10.15208/mhsj.2010.62
Pages 68-71
Download Full PDF Download
  Previous Article | Back to Volume | Next Article
Share
Search in articles
Statistics
Journal Published articles
MHSJ 940
Journal Hits
MHSJ 2210885
Journal Downloads
MHSJ 16946
Total users online -