In anorectal anomalies, combined malformations of the urogenital system are often observed [1,5,7]. This can be explained by the close relationship between the embryonic development of these organs and systems. It is no coincidence that a lot of attention in the literature of the last decade is paid to urological problems of anorectal anomalies [ 12,15,20]. However, the true frequency has not yet been established and the structure of pathological conditions of urogenital system in anorectal anomalies has not been fully studied, the consequences of their delayed diagnosis have not been analyzed, treatment and tactical and operative technical aspects have not been developed and the organizational side of the issue needs improvement

Objective: To study the reproductive function of women in the long-term period after surgical treatment of diffuse appendicular peritonitis (DAP) in childhood. Methods: From the 163 operated girls fertility function was studied in 115 in the long-term period, including 62 patients in the control group and 53 in the main group. In the main group, intra-operative abdominal ozone therapy was used to prevent adhesive process; introduction of ozone-oxygen mixture through micro-irrigator and ultra-phonophoresis or electrophoresis on the anterior abdominal wall in the early postoperative period. Results: It has been established that the history of DAP in childhood was not reliably affected the cyclicality of the menstrual cycle in a long-term period, although there was a decrease in the frequency of this indicator to the main group to 15.1% compared to the control group – 27.4% (p>0.05). In relation for painful menstruation, the difference between groups was statistically significant (18.9% vs. 38.7%, p<0.05). In addition, in the control group more than twice as often cases of ectopic pregnancies, miscarriages and premature births were registered (48.4% vs. 22.6%, p<0.05) and infertility was more common (29.0% vs. 13.2%, р<0.05). Of the 25 women with infertility who suffered from DAP in childhood, 23 were underwent hysterosalpingography. At the same time, against the background of the normal hormonal status tubal-peritoneal form of infertility was diagnosed associated with the adhesive process in the small pelvis. At 11 (47.8%) observations occlusion of fallopian tubes occurred, and in 10 of them the process was right-handed Conclusion: Improving the comprehensive treatment of children with DAP has significantly reduced its negative impact on the reproductive system of girls. Keywords: Appendicular peritonitis, complications, girls, reproductive function, intra-operative ozone therapy, tubal infertility.

the work is based on an analysis of the results of hernioplasty in 128 patients with postoperative, recurrent and primary ventral hernias.All operations were performed in the surgical departments of the clinic of the first and second clinics of Samarkand State Medical Institute in the period from 2007 to 2016.With ultrasound of the abdominal wall, it has been established that with increasing BMI, patients have an increase in the thickness of subcutaneous fat.In these patients, the fascial interlayers in the fatty tissue were less ordered.Thus, application techniques herniotomy -alloplasty supplemented dermatolipectomy makes it possible to reduce the number of general and local complications and relapses satisfy aesthetic needs of patients.

Biopsies of removed spina bifida and regional tissue in 21 children (before the age of 1 year) who were operated on meningoradiculocele and 18 biopsies in combination with congenital intradural malformations were exposed to morphological study. Retrospective analysis of histological features of the various forms of spina bifida identified an objective assessment of expediency of different methods of surgical treatment according to the form of malformation. The results showed that skin covering the area of all forms of spina bifida is characterized by distinct polymorphism. At the same time the specific changes of epidermis were not found in the various forms of spina bifida. The often result of operations, which were conducted outside of a specialized agency, is aggravation of the disintegration and demyelization processes caused by secondary arachnoid, soft and dura mater adhesions, greater involvement of the spinal cord pathways and roots in the adhesions, severe disorders of local hemodynamics.

Biopsies of removed spina bifida and regional tissue in 21 children (before the age of 1 year) who were operated on meningoradiculocele and 18 biopsies in combination with congenital intradural malformations were exposed to morphological study. Retrospective analysis of histological features of the various forms of spina bifida identified an objective assessment of expediency of different methods of surgical treatment according to the form of malformation. The results showed that skin covering the area of all forms of spina bifida is characterized by distinct polymorphism. At the same time the specific changes of epidermis were not found in the various forms of spina bifida. The often result of operations, which were conducted outside of a specialized agency, is aggravation of the disintegration and demyelization processes caused by secondary arachnoid, soft and dura mater adhesions, greater involvement of the spinal cord pathways and roots in the adhesions, severe disorders of local hemodynamics.

The results of surgical treatment of 178 patients with chronic recurrent osteomyelitis of the tube bones have been analyzed. The results of clinical - laboratory investigations including immunologic and morphological examinations have been presented and also the role of computer tomography in the diagnostic of intraosteal pathology has been proved. Patients were divided into 2 groups, the first one has got traditional surgical treatment and the second one has got surgical treatment due to elaborated method. The proposed tactic of surgical treatment consists in careful exfoliation of the periosteum from the bone, longitudinal osteotomy, sequesternecroectomy with full restoration of the structure of the bone-marrow canal along the whole length, lavage and ultrasound cavitation with antiseptic solution. The performed surgical tactic secured the most radical sanation of the osteomyelitic foci and improved the treatment results of this severe pathology.

The article discussed preliminary results of endoscopic correction of vesicoureteral reflux in children using polyacrylate polyalcohol copolymer (Vantris). Injections of polyacrylate polyalcohol copolymer were distributed to 33 patients of the urology department of the Filatov Pediatric Hospital between 2009 and 2014. There were 18 boys and 15 girls of average age of 3.5 years (between 3 months and 16 years). Fourteen patients had bilateral reflux (42.4%) and nineteen patients had unilateral reflux (57.6%). There were 47 injected ureters. Eighteen patients had IV grade reflux (38.9%), 22 patients had III grade reflux (46.2%), and seven patients had II grade reflux (14.9%). Injected volume per unit was 0,76 ± 0,43 ml. Follow up median was 20 months. Reflux was eliminated in 38 renal units (76.7%), decreased to grade I-II in 9 (19.1%) and persisted in 1 (2.2%). One patient experienced uretral obstruction (2.2%). It was treated with Cohen transtrigonal ureteric reimplantation surgery. Overall success level was 95.6%.

Свищи в половую систему у девочек при нормально сформированном анусе (Н-фистулы, тубулярное или терминальное удвоение алиментарного тракта) на сегодняшний день представляют одну из сложных проблем из-за высокой частоты осложнений. Начиная с 1994 г. в Самаркандском филиале детской хирургии под наблюдением находились 232 ребенка с недержанием кала различной этиологии. Из них 28 девочек с недержанием кала из-за наличия свищей в половую систему при нормально сформированном анусе были оперированы. Все дети прошли комплексное обследование, включающее рентгенографию (ирригография, синемадефекография, латеральная баллонная проктогрофистулография и др.), УЗИ органов брюшной полости и забрюшинного пространства, функциональные методы исследования сфинктерного аппарата (анальная манометрия, исследование ректоанального ингибиторного рефлекса), фиброколоноилеоскопию с реографией, общеклинические анализы крови, мочи, кала, нейрогистохимические и гистоморфологические методы исследования. Анализ полученных данных позволил предположить, что передняя аноректопластика с экстирпацией свища и низведением передней стенки прямой кишки наиболее патогенетически обоснованна, ее применение дает наилучшие клинические результаты.

Genital fistulas in girls with a completely developed anus (H-type fistulas, tubular duplication, terminal duplication of the alimentary tract) is one of the most complicated problems today due to the high frequency of complications. Since 1994 232 children with fecal incontinence of different etiology have been observed in Samarkand department of pediatric surgery. Out of them 28 girls with a completely developed anus and fecal incontinence due to genital fistulas were operated. All the children underwent a complex examination including X-ray examination (irrigography, cine defecography, lateral proctogrofistulography, etc.), abdominal and retroperitoneal ultrasound examination, functional methods of sphincter examination (anorectal manometry, rectoanal inhibitory reflex examination), fibrocolonoscopy and rheography, general blood, urine and feces analysis, neurohistochemical and histomorphological methods of examination. Analysis of the obtained data showed that anterior anorectal plasty with fistular extirpation and pull-through of the anterior wall of the rectum is, in our opinion, the most pathogenetically substantiated intervention that can obtain the best clinical results.

To improve the results of surgical treatment we have examined 114 children with acute hematogenous hip osteomyelitis. According to the type of conducted surgical interventions, we have differentiated between three clinical groups. In the remote perspective, good results were obtained in 57,8% of patients of the second group considerably exceeding the result of 33,4% in the first group and 45% in the third group. The method of draining osteoperforations of the acetabular roof results in outcome improvement, twofold decrease in the number of complications and exclusion of transition to the chronic state.

To improve the results of surgical treatment we have examined 114 children with acute hematogenous hip osteomyelitis. According to the type of conducted surgical interventions, we have differentiated between three clinical groups. In the remote perspective, good results were obtained in 57,8% of patients of the second group considerably exceeding the result of 33,4% in the first group and 45% in the third group. The method of draining osteoperforations of the acetabular roof results in outcome improvement, twofold decrease in the number of complications and exclusion of transition to the chronic state.