Mini-invasive treatment in solitary nonparasitic parenchymal organs in children

Authors

  • O. D. Fofanov Ivano-Frankivsk National Medical University, Ukraine, Ukraine
  • V. O. Fofanov Ivano-Frankivsk National Medical University, Ukraine, Ukraine
  • B. M. Ziniak CI «Ivano-Frankivsk Regional Children's Clinical Hospital», Ukraine, Ukraine
  • B. D. Babiak CI «Ivano-Frankivsk Regional Children's Clinical Hospital», Ukraine, Ukraine

DOI:

https://doi.org/10.15574/PS.2018.61.74

Keywords:

not parasitic cysts of parenchymal organs, puncture sclerosing treatment, children

Abstract

The purpose of the study is to investigate the clinical efficacy of puncture sclerosing treatment in solitary nonparasitic parenchymal organs (PO) cysts (kidneys, spleen, liver) in children.

Materials and methods. The basis of the work is the results of examination and treatment of 72 children with PO simple cysts from the age of 1 month to 17 years. Among them, the most numerous group (53 patients, 73.6%) were patients with cysts of the kidneys, 13 patients (18.1%) had spleen cysts, in 6 children (8.3%) were non parasitic liver cysts. 22 children underwent treatment with percutaneous puncture / catheterization of cysts with sclerosing by 96º ethyl alcohol, cooled down to -20º C under ultrasonographic navigation (14 patients with kidney cysts, 6 children with cysts of the spleen and 2 children with liver cysts).

Results. Evaluation of treatment results was performed immediately after treatment, after 6 months and 1 year. We did not receive any unsatisfactory results. A satisfactory result was obtained in 14 children (63.6%), among them 8 patients with cysts of the kidneys, 4 – with cysts of the spleen, 2 – with cysts of the liver. A good result of treatment was noted in 8 (36.4%) children (6 – kidney cysts, 2 – spleen cysts). We noted the best treatment effect in simple cysts with a diameter of 5-7 cm. We did not observe relapse of cysts or serious complications (bleeding, suppurations, peritonitis) with the use of puncture sclerosing treatment. When difficult localization of the splenic cyst, the laparoscopic assistance is effective. Important in achieving a positive effect in the puncture sclerosing treatment of PO simple cysts is to ensure necrosis of the epithelial lining of the cyst without damaging the surrounding tissues.

References

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Issue

No. 4(61) (2018): Paediatric Surgery. Ukraine

Section

Original articles. Abdominal surgery

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