Criteria for Choosing the Treatment and Diagnosis of Chest Joint Injuries in Pediatric Practice

Tilyakov  A.B.; Tilyakov  X.A.; Safarov  Z.F.; Karieva  Sh.A.

Tilyakov A.B. Tashkent Pediatric Medical Institute
Tilyakov X.A. associate professor Samarkand State Medical University
Safarov Z.F. Associate professor, Tashkent Pediatric Medical Institute
Karieva Sh.A. Tashkent Pediatric Medical Institute

Keywords: videothoracoscopy, combined chest injury, shock index, pediatric surgery, children

Abstract

63 children with chest injuries of varying severity and localization were admitted to the Center for Pediatric Surgery of SamMU for the period 1996-2022. There were 39 children with combined chest injury. Thoracotomy was performed on 8 children, 22 underwent video thoracoscopic surgical interventions. The age ranged from 3 to 15 years. A retrospective analysis of the treatment of 39 children with combined injuries was carried out. The patients were divided into 4 groups according to the severity of shock according to the Algover classification. As a result of a retrospective analysis of the use of various surgical approaches, the severity of the existing injuries and the possibility of their elimination, it was shown that the Algover shock index allows fairly objectively predicting the possibility of performing therapeutic VTS in children with combined chest injury and is directly correlated with the probability of BBTRISS survival, which correlate with the degree of shock and existing injuries in the patient.

References

1. Arkhipov D.M. Videothoracoscopy in the diagnosis and treatment of chest wounds: dissertation. ...kand.med.nauk. Moscow, 1999
2. Davlyatov S.B. Therapeutic tactics in open and closed injuries of thoracic cavity organs in children. Reanimatological and surgical aspects". Ekaterinburg.-2008.- P.88-89.
3. Zhestkov K.G. Mini-invasive operations at complicated closed chest trauma / Barsky B.V.// Materials of the International Conference "New technologies in military-field surgery and surgery of peacetime injuries". - SPb. 2006. - С. 75-76.
4. Isakov Y.F. Thoracoscopic and video-assisted operations on the thoracic organs in children / Stepanov E.A., Razumovskiy A.Y. // Surgery. - 2003. - №3. - С.22 - 25.
5. Safarov Zafar Faizullaevich, Hakimov Jasur Pulatovich, Akhmatalieva Mayram Akhmatalievna, Alimov Akhror Abdurasulovich Diagnostic significance of the Algover index for early detection of shock in children // Problems of Science. 2019. №5 (138).
6. Tilyakov A.B., Tilyakov H.A. Nazarov S.P. Application of minimally invasive technologies in the treatment of the musculoskeletal system in victims with polytrauma // Journal of Biomedicine and Practice Volume7, Number#2 P.335-345.
7. Allgower M. Dtsch Med Wschr. / S. Burri, A. Schock index// 1967.- 92: 43: P.1947-1950.
8. Baker S.P. The Injury Severity Score: a method for describing patients with multiple injuries and evaluating emergency care. O`Neil, W. Haddon, W.B. Long // J Trauma.- 1974.-Vol. 14.-Р. 187-196.
9. Boyd C.R.. Evaluating Trauma Care: The TRISS Method Trauma Score and the Severity Score./ M.A. Tolson, W.S. Copes.// J Trauma.-1987.-No. 27.-P. 370-378.
10. Champion H.R.. A Revision of the Trauma Score./ W.J. Sasso, W.S. Copes// J Trauma.- 1989.- № 29.-P. 623-629.