Analysis of Trends in Hypospadias Treatment from 1991 to 2010

Vaida Valentinaitė, Kastytis Gricius, Vytautas Bilius, Albertas Puzinas, Gilvydas Verkauskas Abstract Objective: to compare the choice of operative technique and the rate of reoperations after the first hypospadias repair at our department during the last two decades. Materials and methods: medical records of all patients operated for hypospadias during the period of 1991 – 2010…

Reconstruction of Hydrometrocolpos in the First Month of Life: A Report of Two Cases and Review of the Literature

Vytis Kazlauskas, Gilvydas Verkauskas Abstract The report consists of 2 consecutive cases of neonatal hydrometrocolpos, when drainage was ineffective. One of them, born of 37 weeks gestational age, had associated Johansson-Blizzard syndromic sequence. Another, born of 33 weeks gestational age, had no other anomalies. Both girls had persistent urogenital sinus. A percutaneous drainage was chosen…

Parental Competence of Persons with Mental Disorders

Liuda Istigečeva, Dainius Pūras, Aušrelė Matukevičiūtė Abstract Parenting is a natural ability of adult persons. The intuitive understanding of child’s needs and ability to ensure that his or her needs are met, alongside with adequate holistic development of a child defines parental competence, while its realization defines the expression of these competences. Special situation occurs, when people with mental…

Dog Bites in Children

Ingrida Sapagovaitė, Ramūnas Raugalas, Julija Kociūtė Abstract Bites of animals are serious public health‘s issue, especially significant for children at their age. The purpose of an article is to review and analyze 4 years (2008-2011) Children‘s Hospital, Affiliate of Vilnius University Hospital Santariskiu Clinics data about the bites of animals, it‘s epidemiology, seasonality, the age…

The Spontaneus Prenatal Closure of Arterial Ductus: Case Reports

Ramunė Vankevičienė, Nijolė Drazdienė Abstract Fetal ductus arteriosus is the small and very important vessel for fetal hemodynamic. Non-steroidal anti-inflammatory drugs are known to have a constrictive effect on the fetal ductus. The constriction of ductus arteriosus in utero may be clinically important with respect to fetal hemodynamic compromise and the potential for neonatal cardiac…

Intrathoracic Kidney

Kęstutis Trainavičius, Eglė Stašienė Abstract Congenital thoracic ectopic kidney is a rare developmental anomaly, with the thorax being the rarest and higher location of ectopic kidneys. This anomaly is usually asymptomatic and discovered incidentally on routine chest radiography. At least 200 cases of thoracic kidney have been described, with the vast majority of mases documented…

Renal Replacement Therapy and Blood Purification in Children with Acute Organ Failure (Review from 1985-2011)

Valerijus Karmanovas Abstract Objective: To rewiev our experience in renal replacement therapy and blood purification during 19885-2011 years in children with organ failure Methods: charchoal hemoperfusion, plasmapheresis, plasmafiltration, continuous veno- venous hemofiltration- hemodiafiltration, peritoneal hemodialysis, coupled plasmafiltration-adsorbtion. Results: On the whole during that period were performed 1524 procedures: hemocarboperfusion (HSP), plasmafiltration or plasmaferesis (PF), continous…

Wandering Spleen

Kęstutis Trainavičius, Egidijus Jatkauskas, Aidas Ivanauskas, Antanas Meška Abstract Congenital malformations of the spleen are rare. Because of the risk of pedicle torsion and splenic ischemia, severe consequences may occur if not diagnosed and treated in time. Once the diagnosis of wandering spleen is made, splenopexy is the treatment of choice. We report 3 cases…

Lost Blood Renewal With Autologous Blood During Children Spinal SurgeryLost Blood Renewal With Autologous Blood During Children Spinal Surgery

Iona Dockienė, Nijolė Savičienė, Vita Zupkauskienė, Vidūnas Daugelavičius, Rokas Daugelavičius Abstract About 70 spine surgeries are done for children with congenital, idiopathic or paralytic scoliosis in Vilnius Children’s hospital every year. There were significant blood loss and allogeneic blood transfusions (up to 70%) to correct anemia during this type of surgeries and postoperatively. Different techniques…

Antibiotic Prescribing for Children and Neonates Hospitalized in Children’s Hospital, Affiliate of Vilnius University Hospital Santariskiu Clinics

Vytautas Usonis, Vilija Gurkšnienė Abstract The irrational prescribing and usage of antimicrobial agents increase antimicrobial resistance and reduces the effectiveness of the treatment of some infections. Both in Lithuania and Europe standardized and comparable data on pediatric and neonatal antibiotic prescribing is lacking. The aim of this study was to determine antibiotic prescribing prevalence for…

Fetal Alcohol Syndrome (Fas)

Olga Kalinauskienė, Arūnas Liubšys Abstract Clinical case and review of the literature of Fetal Alcohol Syndrome (FAS) are presented. Occurrence of FAS, influence of maternal alcohol to fetal development and organogenesis, mechanisms of fetal and neonatal damage, leading congenital anomalies related with FAS, clinical diagnosis of FAS, treatment and intervention strategies, follow up and outcomes…

Nasopharyngeal Hairy Polyp: Literature Review and a Case Report

Rasa Martinkienė, Eglė Gradauskienė, Violeta Vaivockaitė Abstract Congenital nasopharyngeal masses are rare anomalies in children. Hairy polyps or dermoids represents the most primitive form of teratoma arising from two germinal layers, the ectoderm and mesoderm. Hairy polyps are rare benign lesions with limited growth, occur predominantly in females. They are the most common congenital tumour…