ТНЕ NEED ТО IMPROVE RECONSТRUCТIVE PLASТIC SURGERY IN CHILDREN WПН TOTAL AND SUBTOTAL EPISPADIUS.

Abstract

То date, 1L3% or newЬoms are Ьоm wEth vaлous developmental anomalles, and more than '10% of 11\em are due !О diSornerS and anomaties о( the genitourinary system (1,3,5, etc.). the nom,, complicated Ьу unnary ina>n\lnence, ls 8.0%. Comprel>enslve treatment or Ьladder matrorma!ions com plicated Ьу urfnary lncontlne,,ce ln ildгen has long attracl1!d the attenlion or p,ac:IIC:tng surgeons and Is stlll on the agenda as one о( the most u~ proelems or pediatrlc surgery (2,5, etc.). Jn partlcular, the results of surgical lleёl'lme t or cases or IDUII and suЬtota l eplspadlas ln comЬination with Ыadder exstrophy аге unsatlsfactory. Acl:ording to the leadlng spedaliStS о( Russian cllnlcs, lndudJng N. Е. Sit\Юlenko ana V. . Derzhavin, ln 1978, complete and complete uтinary 1e!dllion alter SQl,lrocterop1&1y perГ rmed acoording !О v. . l:JerZhavin, 1n cases о/ contacling the dinlc with !ntal and sub!Dtal epiSpa(lias ln 45% of cases аоо 28-32% о( cases or partlal selzures. StatIS11cs show that 2 out о( 10 patjents who underwenl sp/llntteroplasty aa:ortflng to V. . Derzhavln lw:I по Ьenerit at all, and 1 out о1 10 had onty а partlaJ goal. Exlensive studles conduCU!d in our repuЬtic on these operatlons hllve shown that there are goo(I and saьsfactory results о( these operations - onl), 60.0% An tl1ese n<rкators sШI have thelr proЫems ln this regard, shows that she has not round а solution.