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On the basis of the accumulated clinical material to show the possibility of a ligature-free method of laparoscopic appendectomy in children.

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To identify the relationship between fluid overload in children who received infusion therapy in the postoperative period at surgical intensive care unit ICU , the development of acute kidney injury AKI , and the length of ICU stay.

A retrospective cohort observational study was conducted. Our study includes 75 newborns with malformations of the gastrointestinal tract, diaphragmatic hernias, gastroschisis, necrotizing enterocolitis and sacrococcygeal teratomas treated after surgery in the ICU.

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The largest number of torsions was found in patients aged 8 to 12 years. In the first 12 hours from the onset of the disease, most patients, namely 9 patients who were worried about nausea, vomiting, fever, pain on the side of the lesion, came to the emergency room.

On examination, 5 patients showed a positive symptom of peritoneal irritation, in 2 it was doubtful, and in 6 negative. During the diagnosis, it was revealed that the right appendage is affected more often than the left.

The possibility of preserving obviously unviable uterine appendages on the basis of ultrasound and intraoperative data is described, as well as further tactics of conservative management of girls with torsions are presented.

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The incidence is approximately 1 in 10 live births with the small intestinal duplication in most cases. Malformations with a long duplication part are considered technically complex.

A successfully treated clinical case of the subtotal small intestinal duplication in a child is presented in the article.

The proximal part of the intestinal duplication and its mucous membrane of the distal part with the common wall were completely removed. Histological examination found ectopia of the gastric mucosa and pancreatic tissue.

Surgical treatment of this malformation is aimed at the complete removal of the duplication part due to possible ectopia of the gastric mucosa or pancreatic tissue.

If the resection of an entire part of the intestinal duplication is technically impossible, the mucous membrane can be removed. Presentation of clinical cases of rare combination of omphalocele with pylorostenosis in the postoperative period and additional liver lobe.

In patients with malformations of the anterior abdominal wall in the postoperative period, when regurgitation syndrome appears, it is necessary to make a differential diagnosis between the functional and organic causes of obstruction.

When confirming the organic nature of the obstruction, surgical intervention is indicated. It is necessary to be able to timely and objectively assess the risks and expediency of the approach when choosing surgical tactics in each individual case.

To demonstrate an interesting and rare case in the clinical practice of testicular feminization syndrome in a child, as an accidental finding when performing a planned surgical intervention.

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