Yerevan State Medical University after Mkhitar Heratsi “Sourb Astvatsamayr” Medical Centre “Arabkir” Joint Medical Centre Armenian Pediatric Association Russian Association of Pediatric Surgeons Eurasian Association of Pediatric Neurosurgeons National Society of Pediatric Surgery of the Republic of Moldova O r g a n i z e r s The New ArmeNiAN medicAl JourNAl, Vol.11 (2017), No 3 Supplement 6 - 8 S e p t e m b e r 2 0 1 8 Ye r e v a n A r m e n i a INTERNATIONAL CONFERENCE OF PEDIATTRIC SURGERY & NEUROSURGERY ORGANIZING COMMITTEE AND EDITORIAL BOARD coNfereNce PresideNTs AlexANdr rAzumovski - correspondent-member of Academy of Science of Russia, MD, PhD, university professor, president of Russian association of pediatric surgeons NikolAy dAllAkyAN - MD, PhD, associate professor, Chief specialist in pediatric surgery of Ministry of Health, Re- public of Armenia wlliAm khAchATryAN - MD, PhD, professor, vice-president of Eurasian association of pediatric neurosurgeons mikhAil TAlAbAev - MD, PhD, professor, president of Eurasian association of pediatric neurosurgeons, Chief spe- cialist in pediatric neurosurgery of Ministry of Health of the Republic of Belarus coordiNATors DaviD dAllAkyAN - MD, PhD, university lecturer (Armenia) Oleg GorbAchiov - MD, PhD, associate professor (Russia) Organizing committee secreTAries: Bataev Hasan - MD, PhD, (Russia), Roman Ignatiev - MD, PhD, head researcher (Russia), Stanislav Babuci - MD, PhD, (Moldova), Olga Gorbatyuk -MD, PhD, Professor (Ukraine), Ara Karapetyan -MD, (Aemenia), Artak Gevorgyan- MD, (Armenia), Narine Evinyan -MD, (Armenia), Ashot Kankanyan -MD, (Armenia), Hrach Vardanyan- MD, (Armenia), Anahit Shahinyan- MD, (Armenia), Eduard Asatryan- MD, (Armenia), Samvel Sargsyan- MD, (Armenia), Nara Lalazaryan-MD, (Armenia), Sos Petrosyan -MD, (Armenia), Anahit Hovsepyan -Resident, (Armenia) secreTAriAT Grigoryan M.H., Ghulyan K.A., Martirosyan L.S., Tevosyan N.N., Kocharyan N.A., Movsisyan M. R., Matinyan S.V. scieNTific commiTTee Pediatric Surgery Pediatric Neurosurgery Zorikto Mitupov (Moscow, Russia), Nikita Stepanenko (Moscow, Russia), Gevorg Tamamyan (Yerevan, Armenia), Yuri Sokolov (Moscow, Russia), Arman Harutyunyan (Yerevan, Armenia), Albert Lalazaryan (Yerevan Armenia) Ruben Fanarjyan (Yerevan, Armenia) Mamikon Egunyan (Yerevan, Armenia) Margar Martirosyan (Yerevan, Armenia) Arsen Alaverdyan (Yerevan, Armenia) Eduard Astryan (Yerevan, Armenia) Nara Lalazaryan (Yerevan, Armenia) Janna Semenova (Moscow, Russia) Sergey Gorelishev (Moscow, Russia) William Khachatryan (Saint- Petersburg, Russia) Mikhail Talabaev (Minsk, Belarus) 3 coNTeNTs of Abstracts of COnferenCe " iNTERNATIONAL CONFERENCE OF PEDIATTRIC SURGERY & NEUROSURGERY - 2018" welcome sPeech . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ThorAcic surGery scieNTific sessioN. . . . . . . . . . . . . . . . . AbdomiNAl surGery scieNTific sessioN. . .. . . . . . . . . . . . . . uroloGy scieNTific sessioN.. . . . . . . . . . . . . . . . . . . . . . . NeurosurGery scieNTific sessioN. . .. . . . . . . . . . . . . . . . . miscellANous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AuTor iNdex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 5 19 49 63 79 86 The New ArmeNiAN medicAl JourNAl, Vol.11 (2017), No 3 Supplement 6 - 8 S e p t e m b e r 2 0 1 8 INTERNATIONAL CONFERENCE OF PEDIATTRIC SURGERY & NEUROSURGERY Ye r e v a n A r m e n i a 22 ConferenCe AbstrACts 6 - 7 september, 2018 Keywords: INTERNATIONAL CONFERENCE ON PEDIATTRIC SURGERY & NEUROSURGERY AbdominAl surgery sCiens Basylaishvili Yu. V., Sihaev B. E., Shtyker S.Yu. Department of pediatric surgery Kharkiv National Medical University, Kharkiv, Ukraine colon injury, transanal pen- etration, children Corresponding author email: shtiker@yahoo.com TRANSANAL PENETRATING INJURIES TO THE COLON IN CHILDREN Traumatic injuries of the anorectal zone in children are rare. There are very few reports on this subject in the literature. Meanwhile, a pediatric surgeon can meet with wounds of the rectum penetrating into the abdomi- nal cavity, which are extremely severe. Among all abdominal organs rec- tal injuries account for 1 - 5%, increasing the frequency up to 6,6% in fractures of the pelvis and to 19 % in gluteal region wounds. The rarest group of injuries to the colon is transanal wounds of the rectum, penetrat- ing into the abdominal cavity without the perineal wound. In our practice, 5 cases of above-mentioned injuries were observed, with 4 injuries to the anterior supra-ampullar zone of the rectum without involvement of the pelvic and abdominal organs, 1 case with a lesion to the anterior wall of the rectum, bladder and penetration of the damaging object into the abdominal cavity. The damaging agents in 3 cases were metal fittings at construction sites, when the moment of injury was not noticed by the victims and their parents. In one case, the damage was inflicted by a bicycle spoke. In 1 patient the fact of the rectal injury was detected during an operation on account of a pelvic abscess, when the appendix was not involved in the inflammatory process. Diagnosis of such injuries is extremely difficult, because in most cases children and their parents do not complain about the fact of a trauma. It is also characteristic the presence of a small wound in the ampullar or supra- ampullar rectum without external bleeding, damage to the perineal organs and lesions of the abdominal and retroperitoneal organs, which depends on the terms of the child’s admission to hospital after the trauma. A complex of diagnostic procedures was used: common clinical tests, survey radiographs of the abdomen, ultrasound, proctosigmoidoscopy, colonoscopy (in 4 cases), laparoscopy (1 case), cystography (1 case). All children underwent surgical treatment with reparation of all inju- ries, mandatory application of a divided colostomy (5 cases), cystostomy (1 case), irrigation and drainage of the abdominal cavity (5 cases). There were no lethal outcomes. Long-term results were traced in all children and considered good. 85 aBrahaMyan Ds aBraMOv KB Abramova A Airapetyan MI Afaunov MV aKselrOv Ma AkopianAS Akopyan M Alexandrov SV Alekseeva TM Alexandrov SV Alkhasov A Arakelyan SH Araqelyan SH Asatrtyan EA Aslanyan AA; Atakulov DO Ayryan EK Bajurea AS Babloyan SA Babloyan SA Babuci S Barova NK Barseghyan HA Basylaishvili Yu V Bataev SM Batrutdinov RT Berbeca A BOtaBaeva as BuaDze n BurgutOv MJ ChiMutin ge ChiMutin Kg DallaKyan Dn DallaKyan nO Davranov BL Daniyarov ES Davydov VV Demin NV Dmitriakov V Dzhavathanova R efreMenKOv a Emeljanova VA Eremia V Eremin DB Evdokimov VN feDOrOv aK Feoktistova E V Frangyan JV Galibin I Gevorgyan AL Geyikyan PA Gheras E Godovanets Yl GolubevaVI Gorbatyuk O Gudumac E Gurevich A Guzhova IV Нabalov M Hakobyan LL Hambartsumyan GP Hambaryan HH Harutyunyan AS Ibraeva AM Igamova SS Ignatyev RO Igamova SS Ivanov PA Izosimov AN JheluDKOva Og Kadyrov ZA Kagan AV Kagantsov IM Kalenteryan HZ; Kankanyan AK Karapetyan AR Karavaeva S A Kashin AS Khachatryan RG Khachatryan W A Khvorostov IN Kim AV Komina E Kornienko G Kotaria N Kotin A N Kotorashvili A Kozlov M Kovarsky SL Kreschenok D Kulikova N V Kulikova Z Kulish TA Kutubidze A Kuznetsova T N Lalazaryan AY Larionov SN Litovcenco AI Livshits MI Madosyan ShV Malchevskij VA Makhmudov ZM Mamatkhanov MR Manukyan S Margulis BA Martirosyan MM Menovshchikova L Mihalcean V Mitupov ZB MOlOtOv rs MOrOzOva sv MUtAlibov iА MulthOff g negru i neMilOva t K nePaliuC i niKOlaev BP niKOlaev s nOuriDJanyan gs PanKratOv iD PashChenKO Kyu PetrOviCi v PlesCO aa PODDuBny i PODratChyan MB POlyaKOv Pn POPOva e B raChKOv vye razuMOvsKy ayu rOzinOv vM saMOChernyCh Ka sargsyan sP satyvalDayev Mn shaqaryan Ma sCutaru vM shaMsiev aM shaMsiev Ja A u t o r s I n d e x Shcherbakova O Shevtsov MA Shramko VN Shtyker SYu Sihaev B E Skliarova T Skopetс AA Skryabin EG Sokolov Y Sottaeva Z Spataru RI Stepanenko NS Stepanov A Stepanyan SV Stepkin MA Stoyan M Strizhov DNa Struiunsky KA Svarich VA Svarich VG svazyan vv Svekatun V Tadevosyan AR Talakvadze L Tarakanov VA Timershin A Tastanbekova ZhU Titova E ; Tcmokaluk EN Ubilava IA Utkina T Vardanyan HP Vardanyan HV Vasilyev K Vivcharuk V Vivcharuk V P Volkodav O V Yusupov ShA Zabrodskaya Yu M Zadvernyuk N Zadvernyuk A S Zakharov AI Zharova NV ZuevaYY Zurbaev NT 6 - 8 S e p t e m b e r 2 0 1 8 Ye r e v a n , A r m e n i a INTERNATIONAL CONFERENCE OF PEDIATTRIC SURGERY & NEUROSURGERY