The choice of surgical tactics for calculous anuria in infants


DOI: https://dx.doi.org/10.18565/nephrology.2023.3.52-55

Nasirov A.A., Khotamov Kh.N., Baiakhmedov F.F., Khoshimov T.R.

1) Department of Faculty Pediatric Surgery, Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan; 2) Uronephrology Department of the Clinic of the Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan
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

About the Autors


Abdusattor A. Nasirov – Dr.Sci. (Med.), Associate Professor at the Department of Faculty Pediatric Surgery, Tashkent Pediatric Medical Institute. Address: 13 5-Khiva passage, Chilanzar district, Tashkent. e-mail: abdusattornosirov405@gmail.com. orcid.org/0000-0002-2816-9655
Khusniddin N. Khotamov – Cand.Sci.(Med.), Associate Professor at the Department of Faculty Pediatric Surgery, Tashkent Pediatric Medical Institute. Address: 23 Tarakkiyet st., Iykota MFY, Bektemir district, Tashkent. e-mail: husni69@mail.ru. xusniddinxotamov@gmail.com orcid.org/ 0000-0002-1072-8922
Fatkhulla F. Baiakhmedov – Senior Lecturer at the Department of Faculty Pediatric Surgery, Tashkent Pediatric Medical Institute. Address: 3 Erkinlik 1 tor kucha Navruz MFY, Kibray district, Tashkent region. e-mail: fatxulla2004@mail.ru orcid.org/0000-0002-0803-3670
Tulkin R. Khoshimov – Head of the Uronephrology Department, Clinic of the Tashkent Pediatric Medical Institute. Address: 81 Shohidontep st., Shaykhantokhur district, Tashkent


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