Number №1, 2020 - page 114-118

Clinical and morphological substantiation of active surgical tactics with urachal anomalies in children DOI: 10.29188/2222-8543-2020-12-1-114-118

For citation: Shchedrov D.N., Morozov E.V., Shormanov I.S., Kulikov S.V., Garova D.Yu., Chirkov I.A. Clinical and morphological substantiation of active surgical tactics with urachal anomalies in children. Experimental and clinical urology 2020;(1):114-118
Schedrov D.N., Morozov E.V., Shormanov I.S., Kulikov S.V., Garova D.Yu., Chirkov I.A.
Information about authors:
  • Shchedrov D.N. – Ph.D., Head of the Department of Pediatric Urology and Andrology, shedrov.dmitry@yandex.ru. ORCID 0000-0002-0676-0445
  • Shormanov I.S. – Dr. Sc., professor, head of the department of urology with nephrology, Federal State Budgetary Educational Institution of Higher School of Medicine, Ministry of Health of the Russian Federation, ORCID 0000-0002-2062-0421
  • Kulikov S.V. – Dr. Sc., associate professor of the Department of Pathological Anatomy of the Federal State Budgetary Educational Institution of Higher School of Medicine, Ministry of Health of the Russian Federation, ORCID 0000-0003-0384-1537
  • Morozov E.V. – pediatric surgeon of State budgetary institution of health of the Yaroslavl region «Regional clinical pediatric hospital»; ORCID 0000-0003-3451-5494
  • Garova D.Yu. – student of Federal State Budgetary Educational Institution of Higher School of Medicine, Ministry of Health of the Russian Federation, ORCID 0000-0003-4457-9694
  • Chirkov I.A. – student of Federal State Budgetary Educational Institution of Higher School of Medicine, Ministry of Health of the Russian Federation, ORCID 0000-0002-1636-5341
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Introduction. Issues of therapeutic tactics in case of urachal anomalies are currently extremely few in the literature, due to the rarity of the pathology and the inability to conduct a statistically reliable analysis of the available data. As a result, in practical medicine, the attitude to operational activity in pathological pathology among different specialists often turns out to be the opposite.

Purpose. To substantiate the management of pediatric patients with anomalies of urachus. Materials and methods. 75 patients with anomalies of urachus underthe age of 18 years, include: urachalcyst (n = 36), urachal sinus (n = 13), patent urachus (n = 23), urachal diverticulum (n = 3).

Results. The epidemiology of the types of urachal anomalies, the frequency ofcomplications depending on the forms of the anomaly and the patient's age are analyzed. The highest pathogenic microflora were analyzed for the pathology of urachus and the morphological picture of drugs obtained by operative action on patients operated on without purulent complications. There was a high risk of purulent complications in all forms of anomalies of urachus.Among acute inflammatory complications, there is a significant frequency of pathogenic heights, inwhich urinary uropathogens predominate – with a morphological preparation – 69.2%, with fistula integuments – 92.3%. The morphological picture in all the studied material shows signs of chronic inflammation.

Conclusion.The analysis ofsurgical treatment of 75 patientswith various anomalies of urachus, both complicated by acute gnome inflammation and those in the «cold» period, outside ofcomplications, is presented. The factors necessary for surgical intervention for any type of pathology of urachus, including the asymptomatic course in order to prevent the development of purulent complications, are analyzed.

Conflict of interest. The authors declare no conflict of interest.

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urachus, anomalies, indications for surgery, microflora culture, morphological examination

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