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OUR SURGEONS PERFORMED A UNIQUE OPERATION ON A TWO-YEAR-OLD PATIENT WITH A DOUBLE AORTIC ARCH

For the first time in Belarus, thoracoscopic dissection of the aortic ring was performed in a patient with a congenital malformation — double aortic arch. A two-year-old baby was admitted with symptoms of compression of the trachea and esophagus. The usual method of surgical correction of the defect would be dissection of the non-dominant aortic arch using thoracotomy access. Its use increases the duration of hospitalization and leads to irreversible deformation of the chest.
Using 3D modeling, it was decided to perform a mini-invasive thoracoscopic correction of the defect. The optimal way of conducting an endoscopic suturing device through a centimeter incision was calculated, eliminating damage to adjacent vital structures.
The operation was successful. The baby attends kindergarten, there are no signs of compression of the trachea and esophagus.

Taken from the website www.ont.by/videos

 

In Minsk, Santa Claus was noticed on the roof of the RNPC of pediatric surgery.

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Found out what it was RNPC of Pediatric Surgery is a building on Independence Avenue, 64A. On Monday, December 23, climbers were preparing equipment and pulling ropes on its roof in the morning.

– It’s foggy like in London, – the guys laughed, putting on Santa Claus fur coats and attaching beards.

At noon, they began to descend to the windows of the RNPC on different floors.

This outing is a festive, New Year’s Eve, in the summer climbers have washed windows in superhero costumes more than once.

Batman and Spider-Man are washing windows. Who is hiding under the mask?
Pediatric endoscopy in Belarus — at the European level

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The International scientific and practical conference “School of Pediatric Endoscopy”, held in Minsk, brought together both experienced and novice specialists in pediatric endoscopy from near and far abroad.

The experts were Professor of Pediatric Gastroenterology, head of the endoscopic group of ESP, Mike Thomson (Great Britain), Head of the diagnostic department of the RNPC of Pediatric Surgery, chief freelance specialist in pediatric Endoscopy of the Ministry of Health Kirill Marakhovsky, Head of the Department of Endoscopic Research of the NMIC of Children’s Health of the Ministry of Health of Russia Professor Maxim Lokhmatov, Associate Professor of the Department of Pediatric Gastroenterology and Dietetics of the Warsaw Medical University Martin Banasyuk.

Taken from the website www.МедВестник.by

At the "school" desks... with an endoscope

 The international scientific and practical conference “School of Pediatric Endoscopy” is being held in Minsk. The 3-day program includes a discussion of a number of topical issues of diagnostic and interventional endoscopy in childhood. Clinical cases are also being considered. One of the operations, which took place at the RNPC of Pediatric Surgery, was broadcast online.

Among the experts there is the well—known pediatric gastroenterologist and interventional endoscopist Mike Thomson (Great Britain). The conference is attended by specialists from Belarus, Poland, Russia, Ukraine, Azerbaijan, and Kazakhstan.

A master class on endoscopic hemostasis using ligation and clipping techniques for gastrointestinal bleeding is conducted by Mike Thomson (right), Professor of pediatric gastroenterology, head of the ESPGHAN Endoscopic group (Great Britain).

Taken from the website www.МедВестник.by

Appendicitis in infants — diagnosis with mom

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The RNPC of Pediatric Surgery operated on a one-and-a-half-month-old baby with appendicitis. This is the first recorded case of a child at such an early age in the last 50 years.

— Appendicitis as an independent pathology in children of the first months of life is an extremely rare phenomenon, — comments Alexander Svirsky, head of the Department of Pediatric surgery at the center. — There are less than a thousand such cases described in the world literature. Most often, the vermiform process becomes inflamed against the background of necrotic enterocolitis, intestinal malformations. According to statistics, these are usually destructive forms complicated by peritonitis.

Taken from the website www.МедВестник.by

The target is an omphalocele. 10 days for liquidation

000022_599445_bigSpecialists of the RNPC of Pediatric Surgery have improved the technique of eliminating large embryonic hernias (omphalocele) and performed 3 operations with its help.
On average, 1-2 children with omphalocele are born in Belarus per year. The defect develops in the prenatal period: the anterior abdominal wall does not close, the intestines, part of the liver and other internal organs protrude from the abdominal cavity, the hernial sac is covered with embryonic membranes. The abdominal cavity of a newborn is very small. This is the whole difficulty of treatment: how to restore the correct anatomical structure of the cavity if there is not enough space? The intra—abdominal pressure will increase significantly – the internal organs will be compressed.

Taken from the website www.МедВестник.by

A big heart for a little man

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Samir recently turned one month old, but all this time he has been in the intensive care unit of the RNPC of Pediatric Surgery. Next to mom and dad, he is prevented from being by the most severe congenital malformation — hypoplasia syndrome of the left heart. Cardiac surgeons have only gone half the way: they performed two operations. There’s the same amount ahead.

The parents found out about the baby’s diagnosis at the 12th week of pregnancy. The specialists of the RNPC “Mother and Child” immediately joined in. Samir was born at the center, then the boy was immediately transferred to cardiac surgery. +
— With such a diagnosis, it is necessary to operate within the first month, because in fact the child has only half of the heart, — says Dmitry Leskovsky, head of the Department of Anesthesiology and intensive care, intensive care, extracorporeal circulation of the RNPC of Pediatric Surgery (pictured). — The boy was born weighing 2,500 g, and received supportive care before the start of surgical treatment.

Taken from the website www.МедВестник.by

Solved the vascular puzzle

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For smiling Maxim and his mother Elena, Valentine’s Day became a truly festive one: they were discharged from the RNPC of Pediatric Surgery. The child is cheerful and cheerful, as if he was not ill. Only the bandage and slight nausea remind of the operation.

A five-year-old boy will be remembered by doctors for a long time: such a patient happens only once in a lifetime. Correction of diaphragmatic hernia and abnormal vascular arterial network in the area of the left lung, esophageal orifice of the diaphragm, stomach, liver has become a real puzzle. Pediatricians and radiologists of the primary level began to solve the problem, surgeons finished it.

Taken from the website www.МедВестник.by

Operation "Life"

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Specialists of the RNPC of Pediatric Surgery operated on a patient with a rare neuromuscular pathology of the esophagus – achalasia. The schoolgirl underwent laparoscopic esophagocardiomyotomy.

— Achalasia, in principle, is infrequent, especially in children: in our center we fix a similar diagnosis approximately once every 2 years. However, in 2015, 2 such patients were observed,” explained Alexander Makhlin, head of the operating team, Deputy director of the RNPC. — There is a spasm of the cardia, and, as a result, an obstruction develops. Swallowing disorders, an unpleasant sensation of a lump in the throat, nausea worsen over several years. The food is only semi—liquid, washed down with water.

Taken from the website www.МедВестник.by

A team approach to Ehlers — Danlo

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A 13-year-old patient had a mitral valve prosthesis at the same time and a funnel-shaped deformity of the chest was eliminated.

A week after the intervention, Vika sees the first changes: there is no cosmetic defect anymore, it has become easier to breathe and move. The confidence of the girl and her parents is added by the support of the attending physician, cardiac surgeon Mikhail Shved (pictured), and all employees of the cardiac surgery department No. 2 of the Russian National Center for Pediatric Surgery. They have known the patient for more than 7 years.

Taken from the website www.МедВестник.by

Ilyushin's happiness

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One and a half months old Ilyusha is finally at home. Mom can hardly hold back tears: “I can’t take a step away: I want to see him all the time, be near him.”

The child is welcome, long-awaited. The pregnancy was easy. Marina, a doctor herself, followed all the instructions of obstetricians and gynecologists, regularly went for an ultrasound. I learned the terrible news after giving birth in the intensive care unit (due to the weakness of labor, doctors had to urgently perform a cesarean section).

“Your son has a complex pathology: congenital diaphragmatic hernia, surgery is required.”

Taken from the website www.МедВестник.by

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