Introduction. Primary acquired cryptorchidism is the absence of a testicle into the scrotum in a boy with a descended testicle previously documented. In our country, the fact that such pathology exists is denied. However, this disease is recognised by many foreign urological associations of urologists.Objective. To analyse the accumulated research material and show different state-of-the-art on some aspects of the problem of primary acquired cryptorchidism based on a review of the modern medical literature.Materials & methods. Literature review was conducted in domestic and foreign databases: FEMB (Federal Electronic Medical Library), eLIBRARY, PubMed from 1987 to 2023. Keywords were used for the search: primary acquired cryptorchidism, ascending testicle, acquired undescended testicle. One-thousand-fifteen literature sources were reviewed, 49 works were included in the review.Results. The nomenclature, definition and epidemiological data of primary acquired cryptorchidism are reviewed. The main views on the aetiology of the process are named and risk factors are listed. The clinical symptoms and signs, diagnosis and treatment methods are revealed. Treatment results are shown and follow-up guidelines are given.Conclusions. It is necessary to conduct further scientific and practical research to inform doctors in our country about the existence of this pathology.

The aim of the study was to evaluate the effectiveness of compression therapy with a prolonged plaster of Contractubex in the formation of skin scarring in children after surgery.MATERIAL AND METHODS:In a prospective open-label randomized trial, 109 patients aged 5.3±2.1 years after surgery: boys - 73, girls - 36. Patients were divided into 2 groups: in the main group (54 children) the application of the prolonged plaster Contractubex was performed; in the control group (55 patients) - dynamic observation. The scar deformation was assessed according to the Vancouver scale for 10, 30 and 90 postoperative days.RESULTS:94.4% patients had good compliance; in 2 (3.7%) - satisfactory; in 1 (1.9%) - unsatisfactory compliance. In our study, the formation of hypertrophic scars in the main group was significantly less frequent than in the control group (1 and 8 patients, respectively, χ2=4.241, p=0.042).CONCLUSION:Thus, the use of the prolonged plaster Contractubex in the near and distant period a good cosmetic and functional result in the formation of a postoperative scar was provided.

AIM:To investigate the complications of intestinal stoma in children and to develop measures for decrease of their incidence.MATERIAL AND METHODS:The study included 152 children with congenital and acquired gastrointestinal pathology requiring surgical treatment with the imposition of intestinal stoma. Atresia of intestinal tube was observed in 28 (18.4%) children, meconium ileus - in 10 (6.6%) cases, Hirschsprung's disease - in 11 (7.2%)cases, anorectal malformations - in 39 (25.7%) cases, multiple malformations - in 11 (7.2%) patients, necrotic enterocolitis - in 56 (36.8%) patients, other reasons - in 7 (4.6%) cases. The average age of patients was 12,3±7,2 days. There were 93 (61.2%) boys and 59 (38.8%) girls. Ileostomy, ileocolostomy and colostomy were made in 37 (24.3%), 46 (30.3%) and 69 (45.4%) cases respectively. Time of intestinal stoma function was 18-217 days.RESULTS:Early complications were dehiscence in the area of stoma in 4 (2.6%) children, evagination in 7 (4.6%) patients, marginal necrosis of stoma in 2 (1.3%) cases, retraction of stomy into abdominal cavity in 1 (0.6%) child and abdominal skin maceration in 8 (5.2%) patients. Remote complications included dermatitis around stomy in 35 (23.1%) children, stenosis of stoma in 9 (5.9%) cases, evagination of stoma in 12 (7.9%) patients. Also, 5 patients were unable to use the colostomy bag due to vicious overlaying of intestinal stoma. Using the colostomy bags «Coloplast» and skin care products around the stoma significantly reduced (p<0.01) the number of complications at inpatient stage of treatment.CONCLUSION:Successful function of stoma depends on not only technical aspects but also obligatory care performance with timely correction of complications.

Background. Newborns often develop purulent septic complications soon after surgical treatment of inherent gastrointestinal pathology. The aim: to define the prognosis significance of catelicidine (LL-37) as the marker of inflammatory complications during the post-operation period in neonates with gastrointestinal pathologies. Patients and methods. 21 newborns with inherent intestinal obstruction were included into the study. Each child received surgical correction of the defect. The children were divided into 2 groups: group 1 (n = 10) — newborns with purulent inflammatory complications after the operation (anastomosis failure — 2, peritonitis with ileus — 3, sepsis and pneumonia — 5); group 2 (n = 11) — children with no post-surgery complications. Healthy newborns formed the reference group (n = 20). The level of catelicidine LL-37 in the blood plasma was determined in all the children at delivery (BCM Diagnostics). Patients in groups 1 and 2 had their catelicidine LL-37 concentration measured on the 1,3,7 and 14th day after surgery.Results. A statistically significant (p < 0,05) difference in catelicidine was revealed only on the first day. While investigating the difference in LL-37 levels in the blood serum between children from the reference group and children from groups 1 and 2, statistically significant differences were found on all days. Conclusion. Determining the catelicidine level is an effective way of predicting post-surgery complications in the correction of developmental gastrointestinal defects.

Background. Newborns often develop purulent septic complications soon after surgical treatment of inherent gastrointestinal pathology. The aim: to define the prognosis significance of catelicidine (LL-37) as the marker of inflammatory complications during the post-operation period in neonates with gastrointestinal pathologies. Patients and methods. 21 newborns with inherent intestinal obstruction were included into the study. Each child received surgical correction of the defect. The children were divided into 2 groups: group 1 (n = 10) — newborns with purulent inflammatory complications after the operation (anastomosis failure — 2, peritonitis with uleus — 3, sepsis and pneumonia — 5); group 2 (n = 11) — children with no post-surgery complications. Healthy newborns formed the reference group (n = 20). The level of catelicidine LL-37 in the blood plasma was determined in all the children at delivery (BCM Diagnostics). Patients in groups 1 and 2 had their catelicidine LL-37 concentration measured on the 1,3,7 and 14th day after surgery. Results. A statistically significant (p

An optimized therapeutic rehabilitation program involved 393 patients with fractured long bones (humeral, radial/ulnar, femoral, crural) admitted to the Orthopedic Department of the Stavropol Regional Children's Clinical Hospital and the Rehabilitation Centre for Handicapped Children and Adolescents. Rehabilitation was performed in three consecutive stages, viz. immobilization, functional recovery and training. The proposed approach ensured rather fast functional recovery of the affected extremity even in cases with compound fractures. The rehabilitation program included polyenzyme therapy with wobenzym during 3-4 weeks after injury or surgical repositioning of bone fragments. Pain and oedema syndromes resolved twice as fast as after traditional treatment. The use of this program permitted to avoid development of contracture and disturbances of locomotary activity; moreover, it improved the quality of life in children with fractures of long tubular bones.