nogrЭкспериментальная и клиническая гастроэнтерологияExperimental and Clinical Gastroenterology1682-8658«Global Media Technologies»10.31146/1682-8658-ecg-215-7-76-80nogr-2529Research ArticleХИРУРГИЧЕСКАЯ ГАСТРОЭНТЕРОЛОГИЯSURGICAL GASTROENTEROLOGYОсобенности реабилитации детей после операций по поводу болезни ГиршпрунгаFeatures of rehabilitation of children after surgery for Hirschsprung’s diseasehttps://orcid.org/0000-0001-7259-028XЮсуповШ. А.YusupovSh. .noemail@neicon.ruhttps://orcid.org/0000-0003-1338-6873АтакуловД. О.AtakulovJ. O.noemail@neicon.ruhttps://orcid.org/0000-0002-3628-9825ШамсиевА. М.ShamsiyevA. M.noemail@neicon.ruhttps://orcid.org/0000-0003-4394-4194РахимовА. К.RakhimovA. K.noemail@neicon.ruФозилжонзодаМ. .FoziljonzodaM. .noemail@neicon.ruСамаркандский государственный медицинский университетРоссияSamarkand State Medical UniversityRussian Federation202307032024077680Copyright © Юсупов Ш.А., Атакулов Д.О., Шамсиев А.М., Рахимов А.К., Фозилжонзода М..., 20242024Юсупов Ш.А., Атакулов Д.О., Шамсиев А.М., Рахимов А.К., Фозилжонзода М...Yusupov S..., Atakulov J.O., Shamsiyev A.M., Rakhimov A.K., Foziljonzoda M...Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.nogr.org/jour/article/view/2529

В настоящее время оценка эффективности хирургического лечения пороков развития толстой кишки, в частности болезни Гиршпрунга, приобретает все большее значение. По данным разных авторов, примерно у 25-30% пациентов, несмотря на технически безупречную операцию, выявляются остаточные функциональные нарушения, в основном эпизодические запоры и недержание кала. В связи с этим возникает задача объективизации сущности и характера функциональных отклонений и разработки восстановительных терапевтических мероприятий. Цель данной работы: Целью данной работы является оценка эффективности разработанных методов реабилитации при болезни Гиршпрунга у детей. Материалы и методы. В период с 2007 по 2022 год 54 пациента с болезнью Гиршпрунга были прооперированы по методике Сове-Ленюшкина. В зависимости от объема восстановительного лечения пациенты были разделены на две группы. В 1-ю группу вошли 19 пациентов, прооперированных с 2007 по 2015 год, во 2-ю группу вошли 35 детей, прооперированных с 2016 по 2022 год.

Currently, the evaluation of the effectiveness of surgical treatment for malformations of the colon, in particular, Hirschsprung’s disease, is becoming increasingly important. According to various authors, in approximately 25-30% of patients, despite a technically flawless operation, residual functional disorders are detected, mainly episodic constipation and fecal incontinence. In this regard, the task of objectifying the essence and nature of functional deviations and the development of restorative therapeutic measures arises. The aim of this work: The purpose of this work is to evaluate the effectiveness of the developed methods of rehabilitation of Hirschsprung’s disease in children. Materials and methods. In the period from 2007 to 2022, 54 patients with Hirschsprung’s disease were operated on using the Sauve-Lyonyushkin technique. Depending on the amount of rehabilitation treatment, patients were divided into two groups. Group 1 consisted of 19 patients operated on from 2007 to 2015, group 2 included 35 children operated on from 2016 to 2022.

болезнь Гиршпрунгареабилитациягиперкинеззапорпорок развитиясфинктерHirschsprung’s diseaserehabilitationhyperkineticconstipationmalformationsphincterReferencesAtakulov D.O., Zo’lnikov Z.I., Asadov Ia. Prichiny neudovletvorite’lnykh rezu’ltatov khirurgicheskogo lechenia bolezni Girshprunga u deteĭ [Causes of unfavorable results of the surgical treatment of Hirschsprung disease in children]. Khirurgiia (Mosk). 1989 Nov;(11):29-32.Russian. PMID: 2615261.Atakulov D.O., Zo’lnikov Z.I., Asadov Ia. Prichiny neudovletvorite’lnykh rezu’ltatov khirurgicheskogo lechenia bolezni Girshprunga u deteĭ [Causes of unfavorable results of the surgical treatment of Hirschsprung disease in children]. Khirurgiia (Mosk). 1989 Nov;(11):29-32.Russian. PMID: 2615261.Ionov A.L., Shcherbakova O. V. Postoperative complications colorectal surgery for children.Russian Bulletin of Pediatric Surgery. Anesthesiology and Resuscitation. 2013; 4:50-9. (in Russ.)Ionov A.L., Shcherbakova O. V. Postoperative complications colorectal surgery for children.Russian Bulletin of Pediatric Surgery. Anesthesiology and Resuscitation. 2013; 4:50-9. (in Russ.)Khamraev A. Zh., Atakulov Zh. O. Atakulov Bolalar colorectal surgery. Tashkent. 2014, pp. 135-176. (in Russ.)Khamraev A. Zh., Atakulov Zh. O. Atakulov Bolalar colorectal surgery. Tashkent. 2014, pp. 135-176. (in Russ.)Shamsiev A.M., Atakulov D. O., Boimuradov N. S., Togaev I. U. Surgical treatment of hirschprung disease in children. Pediatric surgery. 2021: 78-78. (in Russ.)Shamsiev A.M., Atakulov D. O., Boimuradov N. S., Togaev I. U. Surgical treatment of hirschprung disease in children. Pediatric surgery. 2021: 78-78. (in Russ.)Shamsiev A.M., Atakulov D. O., Shamsiev Zh.A., Yusupov Sh. A. The results of surgical treatment of Hirschsprung’s disease in children. Proceedings of the Russian Symposium of Pediatric Surgeons with international participation “Hirschsprung’s disease and neurointestinal dysplasia in children”, 19 April 2018, Moscow, 58 P. (in Russ.)Shamsiev A.M., Atakulov D. O., Shamsiev Zh.A., Yusupov Sh. A. The results of surgical treatment of Hirschsprung’s disease in children. Proceedings of the Russian Symposium of Pediatric Surgeons with international participation “Hirschsprung’s disease and neurointestinal dysplasia in children”, 19 April 2018, Moscow, 58 P. (in Russ.)Yusupov Sh.A., Suvonkulov UT, Yusupov Sh. Sh., Sataev VU Prediction and prevention of postoperative intra-abdominal adhesive complications in children. Experimental and Clinical Gastroenterology. 2021;185(1): 127-132. doi: 10.31146/1682-8658-ecg-185-1-127-132.Yusupov Sh.A., Suvonkulov UT, Yusupov Sh. Sh., Sataev VU Prediction and prevention of postoperative intra-abdominal adhesive complications in children. Experimental and Clinical Gastroenterology. 2021;185(1): 127-132. doi: 10.31146/1682-8658-ecg-185-1-127-132.Shamsieva L., Atakulov J. Diagnosis and surgical treatment of Hirschsprung’s disease in children. The science And education today. pp. 48-49. (in Russ.)Shamsieva L., Atakulov J. Diagnosis and surgical treatment of Hirschsprung’s disease in children. The science And education today. pp. 48-49. (in Russ.)Yusupov Sh., Shamsiev J., Davranov BL, Makhmatkulov Kh Our experience in the treatment of hirschsprung’s disease in children academician. 2022 May: 1296-1298. (in Russ.)Yusupov Sh., Shamsiev J., Davranov BL, Makhmatkulov Kh Our experience in the treatment of hirschsprung’s disease in children academician. 2022 May: 1296-1298. (in Russ.)Divarci E., Ergun O. General complications after surgery for anorectal malformations. Pediatric surgery international. 2020. 36(4), 431-445. doi: 10.1007/s00383-020-04629-9.Divarci E., Ergun O. General complications after surgery for anorectal malformations. Pediatric surgery international. 2020. 36(4), 431-445. doi: 10.1007/s00383-020-04629-9.Trajanovska M., Taylor R. Long Term Outcome After Catto -Smith Surgery for Anorectal Malformation, Fecal Incontinence. causes, and Outcome, 2014. doi: 10.5772/57072.Trajanovska M., Taylor R. Long Term Outcome After Catto -Smith Surgery for Anorectal Malformation, Fecal Incontinence. causes, and Outcome, 2014. doi: 10.5772/57072.Tiwari A., Naik D. C., Khanwalkar P. G., Sutrakar S. K. Histological study of neonatal bowel in anorectal malformations.Int J Anat Res. 2014;2:318-24.Tiwari A., Naik D. C., Khanwalkar P. G., Sutrakar S. K. Histological study of neonatal bowel in anorectal malformations.Int J Anat Res. 2014;2:318-24.

The authors declare that there are no conflicts of interest present.