Kilda, Antanas

Aim: To evaluate how changes the sternovertebral distance and deformation of the chest wall after Nuss procedure. Methods : The straight and lateral x-rays of the chest wall were performed before Nuss procedure. The same x-rays were performed 1 month, 6 months and 1year after operation. Finally, the same x-rays were performed one month after bar removing. The sternovertebral (SV) distance and transverse distance were measured on the x-rays. Haller index was calculated according these measurements. Comparing of the measures was performed by using SPSS 10.0 for Windows. The Wilcoxon Signed Ranks Test was used to calculate difference between measurements. The difference was considered statistically significant if p<0,05. Results: The 62 children were operated due to funnel chest. The mean of SV distance before operation was 79,1±16,2 mm, one month after operation SV distance increased by 18,4±12,6 mm p=0,0001. The SV had increased by 30,0±12,8 mm 6 month after operation. Difference between first and second measurements was statistically significant p=0,04. After 1 year SV distance difference was 26,4±8,1 mm and after bar removing 24,9±15,7 mm. SV distance decreased after bar removing, but it is not statistically significant p=0,674. The transverse distance decreased statistically significant from 273,5±27,3 mm till 257,0±25,2 mm p=0,01in first month after operation, ant increased till 267,0±23,4 mm in one year after operation. After bar removing transverse distance remain unchanged 267,5±26,0 mm p=0,063.Generaly transverse distance decrease by 24,9±15,7 mm, but it isn’t statistically significant difference p=0,944. Conclusions:: 1. SV distance increase statistically significant after Nuss procedure. 2. The most significant increasing of the SV distance occurred between 6 and 12 months after operation. 3. The chest transversal distance decrease statistically significant in the first month after operation and afterward slightly increase. 4. The transv.

Aim: to present unusual clinical case of ectopia of the stomach mucosa. Patient Boy age of 9 month has arrived to Kaunas Medical University Hospital with abdominal pain, high temperature and diarrhea. Local tenderness in the left side of abdomen and slight peritoneal irritation were found on physical examination. The dilatation an thickening of the intestinal loops in the left side of the abdomen were found on ultrasound examination. The leucocytosis, elevated CRP, blood admixtures in the stool were found after performing laboratory tests. Preliminary diagnosis of enterocolitis was established. Cefuroxim and infusions were prescribed for treatment. The condition of the patient was not going better. Ultrasound investigation was performed on second day. The collections of free muddy fluid was found in the abdominal cavity. The diagnostic laparoscopy was performed due to unclear diagnosis and poor condition of the child. The local thickenings of ileum and perforation hole were found. Due to these findings the laparatomy was performed. The inflamated ileum about 20 cm with perforation in the middle of this segment was resected. The whitish thickening of the intestinal mucosa was found in the distal part of the remained intestine. The longitudinal incision on the intestine was performed because of the lymphoma suspicion. The additional resection of the 20 cm of the ileum was performed till macroscopically unchanged intestinal mucosa was found. The primary intestinal anastomosis end to end was performed. The recovering period was without complications. The full oral feeding was permitted on fourth day after operation. The ectopic stomach mucosa in the 40 cm of ileum was found on the histological examination. The child develops normally in the follow-up.

Mūsų tyrimo tikslas - nustatyti žmogaus rekombinantinio augimo hormono (ržAH) poveikį pilnasluoksnio odos defekto gijimui eksperimento sąlygomis. Tam tikslui sudarytos dvi grupės (n=5) eksperimentinių gyvuliukų - žiurkių, kurioms mechaniškai skalpeliu, paravertebraliai sukeliami odos defektai iki fascijos. Viena grupė gavo injekcijas placebo, kita - ržAH 0,2 mg/kg/48 val. A/B "Biofa", Vilnius. Žaizdos gijimą vertinome kaip jos ploto kitimo laike funkciją. Kas 48 val. žaizdos buvo perrišamos ir fotografuojamos. Jų fotoimidžas apdorojamas, panaudojant kompiuterizuotą programą "ImageTool". Žaizdos gijimas taip pat stebėtas vizualiai, įvertinant granuliacinio audinio spalvą ir žaizdos kraštų epitelizacijos intensyvumą. Abiejų grupių gauti rezultatai palyginti, įvertinti statistiškai ir pavaizduoti grafiškai.