Postoperative Rehabilitation of Children Who Underwent a Surgery on the Colon and Anorectal Area

Тараканов, В. А.; STROKOVSKY, A. E.; Старченко, В. М.; Надгериев, В. М.; LUNJAKA, A. N.; Колесников, Е. Г.; Терещенко, О. А.; VARDOSANIDZE, V. Sh.

doi:10.25207/1608-6228-2018-25-4-85-89

Cited by 3 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In bacteriological cultures of biological media of patients with severe purulent-septic diseases, opportunistic microflora and fungi of the genus Candida, which are recognized as pathological agents and are not symbionts of the human body, are increasingly detected [3].…”

Section: Introductionmentioning

confidence: 99%

Ethio-Pathogenesis of Pound Destroyment in Children

K.Z.,

R.I.

2024

tajmspr

View full text Add to dashboard Cite

Infectious diseases are one of the most serious problems because they are the most widespread and the leading cause of death. Although significant advances have been made over the past decades in addressing this problem, this statement is still true today. Sepsis is the leading cause of death in critical care patients. It develops in 750000 people each year and more than 210000 of them die. Progress in the study of the pathophysiology and genetic basis of the individual response to sepsis has changed the common understanding of this syndrome, and some therapeutic interventions used in recent years have demonstrated efficacy; however, the problem of intensive care is still quite acute and requires further research.

show abstract

Section: Introductionmentioning

confidence: 99%

Ethio-Pathogenesis of Pound Destroyment in Children

K.Z.,

R.I.

2024

tajmspr

View full text Add to dashboard Cite

show abstract

“Bowel Management” program for children with congenital malformations and neurogenic bowel after surgery

Pimenova

Сергеевна²,

Алексеевич³

et al. 2021

Russian Journal of Pediatric Surgery, Anesthesia and Intensive

View full text Add to dashboard Cite

BACKGROUND: After the surgical treatment of children for anorectal malformations, spinal pathology, and Hirschsprungs disease, their quality of life is significantly reduced due to fecal incontinence. For patients with persistent defecation disorders, the Bowel Management program is offered. AIM: This study analyzes the Bowel Management program implemented in the clinic. MATERIALS AND METHODS: A prospective analysis of the program used in children after surgical correction of malformations was conducted. The program comprised the following components: lectures for patients/parents, hospitalization, irrigography with water-soluble contrast, teaching patients/parents about cleansing enemas, keeping a bowel movement diary, plain abdominal X-ray, changing the recipe for enema solution, monitoring the effectiveness, and correcting recommendations. RESULTS: A total of 66 children from 1.5 to 17 years old were treated. Three groups were identified: (I) anorectal malformations (n = 26), (II) spinal pathology (n = 30), and (III) Hirschsprungs disease (n = 10). The results were considered satisfactory if the bowel cleansing procedure was painless for the child and did not cause stress reactions; the parents were satisfied with the result of the prescribed program if after the enema a sufficient amount of stool was removed within 45 minutes, there were no episodes of defecation during the day. With the help of the Rome IV revision criteria, fecal incontinence was noted in all cases against the background of stool retention. In 11 (16.7%), there was no fecal incontinence even in cases of prolonged stool retention. A correlation was found between high lesions (in the lumbar spine) in spinal hernias with the absence of fecal incontinence with prolonged stool retention compared with the low sacral localization of the hernia. In group I, 91.7% had spinal cord fixation. In group II, 86.7% had it, and none were present in group III. The effectiveness of the program was 83.3%. CONCLUSION: The Bowel Management is easy to use and effective in 83% of patients. It can be recommended for the rehabilitation of children with defecation disorders, fecal incontinence after surgical correction of congenital malformations (anorectal malformations, spinal pathology and Hirschsprung's disease).

show abstract

Physiotherapy in the Сomplex Rehabilitation of Children with Anorectal Malformations: Systematic Review

Shugina

Микитченко

Mokrushina

et al. 2021

Bulletin of Rehabilitation Medicine

View full text Add to dashboard Cite

Medical rehabilitation is an integral part of the treatment for surgical patients. Regarding pediatric patients with anorectal malformations, the success of the result of surgical treatment is mainly a correctly selected rehabilitation program, including methods of individual physiotherapy. Disturbances of intestinal transit, such as chronic constipation and anal incontinence, according to the world literature, occur in the study group in up to 30% of cases. According to the social significance of constipation and anal incontinence, the psychological aspects, the disabling component, children with anorectal malformations need early and long-term rehabilitation, adapted to their needs. At the moment, there are regulatory documents describing the principles of medical rehabilitation of children, its main characteristics, however, there are no protocols for the use of physiotherapy methods regarding the manifestations of colon transit disorders. Aim. Analysis of modern literature data on physiotherapeutic methods of rehabilitation of children with anorectal malformations. Material and methods. After determining the research criteria, a basic literature review using Web of Science, PubMed, electronic library was conducted, as a result 186 articles were selected that met the search criteria. After the initial assessment, 10 full-text articles were accepted for the analysis. Results. We have assessed the opportunity and mechanisms of the therapeutic action of sacral stimulation and tibial neuromodulation, the effect of various types of currents and a high-intensity magnetic field on the muscles of the complex, studied the possibility and results of using biofeedback therapy in children with colon transit disorders after operations on the anorectal body area in 421 children in 10 studies. Conclusion. Based on the results of scientific research, a range of physiotherapy methods have been established that are effective in relation to rehabilitation measures in children with anorectal malformations.

show abstract

Postoperative Rehabilitation of Children Who Underwent a Surgery on the Colon and Anorectal Area

Cited by 3 publications

References 0 publications

Ethio-Pathogenesis of Pound Destroyment in Children

Ethio-Pathogenesis of Pound Destroyment in Children

“Bowel Management” program for children with congenital malformations and neurogenic bowel after surgery

Physiotherapy in the Сomplex Rehabilitation of Children with Anorectal Malformations: Systematic Review

Contact Info

Product

Resources

About