A. Yu. Razumovskiy's research while affiliated with Pirogov Russian National Research Medical University and other places

Publications (37)

Article
BACKGROUND: Hereditary pancreatitis is an autosomal dominant disease with high gene penetration (80%), manifested with signs of chronic and recurrent pancreatitis. This pathology is rarely met in children. In the world literature, the idea of surgical approach in treating hereditary pancreatitis is evidently supported because it helps to eliminate...
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Introduction. The open Ladd surgery is a standard treatment of intestinal malrotation. After implementing laparoscopic techniques into clinical practice, the number of reports on successful treatment of this defect with minimally invasive laparoscopic techniques is growing. However, publications on such correction of the defect in newborns are rath...
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The Symposium of Pediatric Surgeons of Russia, Intestinal Anastomoses in Children, was conducted in Volgograd on April 26, 2023, with around 180 doctors in attendance. Thirty papers were presented and discussed, and 41 articles were published in the proceedings of the symposium. According to the results of a systemic analysis of a questionnaire pol...
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Introduction. Over the past 10 years, the number of severe and fatal cases of burns in the esophagus caused by button batteries in children has increased significantly. The tactics of managing children with complications after such burns has not been defined worldwide yet; few clinical cases are described in Russian sources. Material and methods. T...
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BACKGROUND: In recent years, there has been marked a tendency to a sharp increase in the number of children with complaints of pectus carinatum. The literature describes only a few cases report of a combination of keeled chest deformity with a more serious pathology of the spine - Scheuermann-Mau disease.AIMS: The aim of the work is to study the fr...
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BACKGROUND: The right-sided congenital diaphragmatic hernia is the rare pathology. Results of diagnostics, prognosis and treatment usally published as a collection of cases. AIM: Comparition of treatment results of congenital diaphragmatic hernia with the liver as its content in dependancy of the side. MATERIALS AND METHODS: We present a retrospect...
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Hereditary pancreatitis in children remains a challenging problem in clinical genetics, gastroenterology, and surgery. Genetic causes account for more than 50% of all cases of acute recurrent pancreatitis and 75% of chronic pancreatitis in children. The development of chronic pancreatitis is commonly caused by mutations in the CFTR, PRSS1, SPINK1,...
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Introduction. The authors present their experience in the practical application of thoracoplasty technique in asymmetric keeled deformity of the chest in children. Material and methods. 21 children with asymmetric keeled deformity of the chest were operated on with a new technique for thoracoplasty developed by the authors. A corrective plate was i...
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BACKGROUND: Duodenal atresia is one of the most common malformations of the intestine in newborns. Both open surgical interventions and the laparoscopic method eliminate duodenal obstruction. AIM: This study conducts a comparative analysis of the results of treating newborns by these methods. MATERIALS AND METHODS: This paper summarizes the experie...
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Introduction. Congenital bronchopulmonary vascular malformations manifest a wide range of disorders in the three main components of the lungs: respiratory tract and lung parenchyma, arteries and veins. Malformations of all the main components of lung tissues, namely, arterial blood supply, venous outflow and respiratory tract - may be variants of a...
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Objective: To determine the optimal treatment of patients with complications of esophageal electrochemical burns by batteries. Material and methods: There were 75 children with esophageal electrochemical burns by batteries between 2010 and 2019. All children underwent X-ray of the cervical spine, chest and abdomen, esophagoscopy with removal of...
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Introduction. Chilaiditi syndrome—hepatodiaphragmatic interposition—is a rare condition in which bowel loops are compressed in the space between the liver and the dome of the diaphragm, which can lead to the development of a wide range of complications. In the available literature data on the clinical manifestations of this condition in children wi...
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Introduction. Funnel-shaped deformity of the chest (CFD) is the most common anomaly, which accounts for about 90% of all congenital malformations of the chest. At the same time, complaints about the cosmetic defect of postoperative scars are characteristic of children of all age groups, but at the age of over 14 years they become prevalent, causing...
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Introduction. The article presents the analysis of surgical treatment of children with choledochal malformations (CM) with mini-laparotomy and laparoscopy techniques. Purpose. The aim of the study is to improve outcomes of surgical treatment of choledochal malformations in children. Material and methods. For the last ten years (January 2010 - May 2...
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Introduction. Currently, there is ongoing discussion regarding the method of biliary tract reconstruction in children with choledochal malformations (CM). Purpose. To make a comparative analysis of the techniques applied in bile duct reconstruction in children with CM. Material and methods. For 10 years we have admitted 99 patients with CM. 84 chil...
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Purpose. To analyze literature data and to find out optimal techniques for surgical correction of asymmetrical chest wall deformity in children. Material and methods. The researchers studied data on surgical treatment of children with asymmetrical chest wall deformity who had thoracoplasty performed with well-known techniques developed by Bairov, T...
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Objective: To evaluate an effectiveness of minilaparotomy in the treatment of choledochal malformation (CM) in children. Material and methods: The study included children with CM who underwent surgery from January 2010 to May 2020. All patients were divided into 3 groups depending on surgical approach: minilaparotomy (ML), laparoscopy (LS) and l...
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Objective: To compare various methods of bile duct reconstruction in children with choledochal malformation (CM). Material and methods: There were 99 children with CM over 10-year period. Mini-laparotomy (ML), laparoscopy (LS) and laparotomy (LT) were used. We performed radical CM resection and bile duct reconstruction using Roux-en-Y hepaticoje...
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Introduction. Surgical treatment of intestinal atresia with distal tracheoesophageal fistula involves resection of fistula and intestinal primary anastomosis. However, premature children often have complications associated with delayed anastomosis. Thus, an optimal surgical approach is not determined. Purpose. Analyzing treatment results in newborn...
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The objective. To analyze early and long-term results of surgical treatment of biliary atresia in children. 120 patients with biliary atresia underwent Kasai procedure from 2000 to 2018. The follow-up course varied from 6 months to 15 years. The authors assessed the survival rate of children with native liver and the survival rate without indicatio...
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Aim: To compare early and long-term results of different surgical interventions in children with biliary atresia. Material and methods: Retrospective analysis included medical records of children with biliary atresia who were treated at the Filatov Munitsipal Children's Hospital and National Medical Research Center for Obstetrics, Gynecology and...
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The article presents peculiarities of Crohn’s disease (CD) treatment in childhood and pubertal age, data on the frequency of postoperative relapse, algorithm of medical tactics for complicated disease course. It demonstrates variants of surgical treatment of acute and chronic CD complications. It presents the experience of treating perianal CD in c...
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The review of literature deals with the current classification of the biliary atresia, presents the authors’ opinion considering a technique of theKasaiprocedure, and displays modern modifications of portoenteroanastomosis estimating their effectiveness. PubMed database and Google Scholar search system were used to search for primary terms. Surviva...
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Introduction. Duplications of the digestive tract (DDT) are a rare congenital pathology. They have a close anatomical connection with any part of the gastrointestinal tract, are lined with a mucosa and have a fair developed layer of smooth muscles. The DDT prevalence rate amounts of 1:4,500 newborns. According to the literature, in most cases, DDT...
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The article presents the features of Crohn’s disease in childhood and adolescence, the modern classification of the disease, indications for surgical treatment and algorithm of the therapeutic tactics in the complicated course of the disease. The variants of surgical treatment of chronic complications of Crohn’s disease are demonstrated. Surgery fo...
Article
Compression stenosis of the celiac trunk (CSCT) is a syndrome based on the celiac trunk stenosis of varying degree, sometimes in combination with that of the superior mesenteric artery, caused by the compression of this vessel by the medial arched ligament of the diaphragm, as well as its internal legs and the neurofibrotic tissue of the celiac ple...
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The article presents characteristics of Crohn's disease (CD) in childhood and adolescence, data on epidemiology and modern classification of the disease, difficulties in diagnostics and comparison of various diagnostic methods, indications for surgical treatment. Surgical intervention in severe CD can not only help to reduce acute complications of...
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The article describes a clinical case of long diagnostic search in a first-year infant with regurgitation and vomiting syndrome. As is shown, early determination of indications to surgical treatment contributes to elimination of symptoms of disease and full recovery of the motility of the gastrointestinal tract and prevents development of complicat...
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Neonatal surgery of congenital malformations is often associated with reoperations that increase risk of infection. Search of objective criteria for predicting postoperative sepsis using the latest biomarkers is an extremely urgent task, since the development of the optimal diagnostic algorithm not only increases the probability of a favorable outc...
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Aim: To present an overall experience of endoscopic operations in children with neurogenic tumors in two medical institutions. Material and methods: Thoracoscopic excision of tumors was performed in 19 children aged 1 month-7.5 years (mean 1.5 years) in two clinics for the period 2010-2014. In 9 children (47.3%) age did not exceed 1 year. In our...

Citations

... Хирургическое лечение при болезни Крона не является методом полного излечения, выполняется при осложненном или рефрактерном к терапии течении заболевания, при задержке физического развития ребенка, однако оно несет ряд положительных эффектов для пациента: значимое повышение качества жизни, нормализация темпов физического развития и раннюю социализация ребенка [6][7][8][9]. Современные хирургические вмешательства при БК нацелены на проведение малоинвазивных экономных резекций, органосохраняющих операций, чтобы обеспечить быструю реабилитацию ребенка и избежать формирования синдрома короткой кишки при протяженных резекциях [9][10]. ...
... Синдром Хойераала -Хрейдассона (англ. Hoyeraal-Hreidarsson syndrome) -Х-сцепленный рецессивно наследуемый тип первичного иммунодефицита с мутациями RTEL1 или DKC1, стомы и лигатурное дренирование свищей, что обеспечивает безопасность проводимой терапии, снижая риск септических осложнений [28]. ...
... In this study, we assessed the effectiveness of Kasai surgery by post-operative resolution of BA symptoms, age-related complications, and survival rates. According to the published evidence, the effectiveness of Kasai surgery generally varies in the range of 50-95% [10][11][12][13][14][15][16]. In some studies, the effectiveness is assessed by a decrease in bilirubin levels to 2 mg/dL (34.2 µmol/L), which renders the effectiveness of 40% on average [15]. ...
... In the postoperative period, all patients received multimodal analgesia, infusion therapy with partial parenteral nutrition, ursodeoxycholic acid, antibacterial and symptomatic therapies, and glucocorticoid therapy in accordance with established guidelines [9]. In order to prevent cholangitis post-operatively, prophylaxis with trimethoprim-sulfamethoxazole was administered on a long-term basis. ...