Choice of surgical tactics for calculous anuria in infants

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Abstract

Objective. The choice of tactics of surgical treatment depending on the duration and complication of calculous anuria i n infants.

Material and methods. We followed-up 53 children aged from 4 months to 3 years. The patients were divided into 2 groups: group 1 – 35 (66%) patients with anuria duration not more than 3 days, group 2 – 18 (33.9%) patients with anuria duration more than 3 days.

Results. The choice of surgical tactics for calculous anuria in infants depended on the severity of symptoms due to the presence of concomitant and background diseases, the duration of anuria.

Conclusion. Analysis of the restoration of homeostasis after deblocking showed that the normalization of clinical and biochemical parameters in patients with a longer period of anuria (more than 3 days) was much slower than in patients with a shorter period of anuria. At the same time, the dynamics of metabolic processes depended on the duration of anuria and the severity of the patients' condition. Preliminary nephrostomy and stabilization of the condition of patients contributed to a more rapid recovery of disorders caused by anuria than after radical removal of the stone.

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About the authors

Abdusattor A. Nasirov

Tashkent Pediatric Medical Institute

Email: abdusattornosirov405@gmail.com
ORCID iD: 0000-0002-2816-9655

Dr.Sci. (Med.), Associate Professor at the Department of Faculty Pediatric Surgery

Uzbekistan, 13 5-Khiva passage, Chilanzar district, Tashkent

Khusniddin N. Khotamov

Tashkent Pediatric Medical Institute

Email: husni69@mail.ru
ORCID iD: 0000-0002-1072-8922

Cand.Sci.(Med.), Associate Professor at the Department of Faculty Pediatric Surgery, Tashkent Pediatric Medical Institute

Uzbekistan, 23 Tarakkiyet st., Iykota MFY, Bektemir district, Tashkent

Fatkhullа F. Baiakhmedov

Tashkent Pediatric Medical Institute

Email: fatxulla2004@mail.ru
ORCID iD: 0000-0002-0803-3670

Senior Lecturer at the Department of Faculty Pediatric Surgery

Uzbekistan, 3 Erkinlik 1 tor kucha Navruz MFY, Kibray district, Tashkent region

Tulkin R. Khoshimov

Clinic of the Tashkent Pediatric Medical Institute

Author for correspondence.
Email: abdusattornosirov405@gmail.com

Head of the Uronephrology Department, Uronephrology Department

Uzbekistan, 81 Shohidontep st., Shaykhantokhur district, Tashkent

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Supplementary files

Supplementary Files
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2. Fig.1. Renal blood flow indicators (m/sec)

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3. Fig.2. Doppler indicators of renal hemodynamics after renal release

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