Rуbalchenko I. Surgical treatment of newborn babies with the syndrome of increased scrotum

This paper summarizes the treatment of 366 infants with the syndrome of increased scrotum, which were treated in the department of newborn surgery at the NDSL "OKHMATDYT" from 1992 to 2014. The material has two groups: under study (I) - 251, and the comparison group (II) - 115 patients. The research has separated out: acute impairment of blood flow in 54 (14.76 %) (testicular torsion and testicular vascular impaired blood flow); subacute impaired blood flow in 72 (19.67 %) (traumatic and inflammatory conditions of scrotum and strangulated hernia); chronic circulatory disorders in 240 (65.57 %) (inguinal-scrotal hernia and liquid formations of scrotum). There was developed scoring for the scrotum organs state: 1-3 points - compensative disturbances in the testicle; 3-5 points for subcompensative; 5-6 points - decompensated. The research has established 5.61±0.14 for acute, 3.42±0.28 for subacute and for chronic state - 1.41±0.12 points. Ultrasound and DS FTC: 5.96±0.14; 4.38±0.58 and 1.15±0.32 points. All patients were operated on. The revision of scrotumal access was performed in 54 (14.7 %) patients, with inguinal in 301 (82.3 %), laparoscopy in 11 (3.0 %). The simultaneous bilateral correction was performed in 39 (10.66 %) patients. The strangulated bowel resection was made in 8 (2.2 %). A new method of treatment for inguinoscrotal hernia was implemented in 29 (7.9 %) patients. The developed measures allowed decrease the postoperative complications by 19.3 %. So, in making diagnosis, the early surgical correction is very expedient before the emergence of hypoxic changes in the testis and incarcerated intestine.