Pediatric surgery. Diagnostics

MRI (magnetic resonance imaging) of all the organs and systems (except for the heart). The diagnostic technique is safe for children and is based on the magnetic field effect. MRI is highly informative: a doctor receives a 3D image of organs, bone and soft tissues of a child in any plane in the result of the examination. MRI may be contrast-enhanced, if necessary.

MRI for the children under 6 years of age are performed with anesthesia; Dobrobut clinic chain uses modern methods of anesthesia and sedation.

MSCT (multispiral computed tomography) of all the organs and systems (except for the heart). The technique is one of the most modern and highly precise ways of visualization of structural changes in internal tissues and organs. MSCT allows receiving a layer-by-layer image of an area or an organ being diagnosed.

MSCT may be contrast-enhanced, if necessary. We can perform the examination in the state of medication sleep. Dobrobut clinic chain uses pediatric examination protocols that allow minimizing radiation exposure of a child’s body.

MRI and CT for the children under 6 years of age are performed with anesthesia; Dobrobut clinic chain uses modern methods of anesthesia and sedation.

Radiography is the most simple and fast diagnostic technique based on the use of X-rays. Sporadic use of radiography is not dangerous for child’s health, which is why this diagnostic technique is basic and actively used in pediatric surgery, orthopedics, traumatology and urology.

Contrast-enhanced roentgenoscopy is used in some cases, for example, to diagnose the condition of hollow organs such as stomach or esophagus. All the types of X-ray contrast examinations are performed at Dobrobut clinic chain.

Videogastroscopy (or FGDS): a modern method of diagnosis by imaging the mucous membranes of the esophagus, stomach and duodenum. The examination is performed using endoscopic techniques: a special probe is inserted into the patient's esophagus, supplemented by a camera. Also with the help of FGDS foreign objects are removed from the child's body (for example, in cases of involuntary swallowing of small objects - batteries, coins, etc.).

Videogastroscopy are fast ways to receive an accurate and the most efficient diagnosis. Diagnostics is performed in the state of medication sleep, as this is painless and secure for a little patient. These techniques help a specialist to perform not only a visual examination, but also a biopsy for sampling. The diagnostic techniques allow to remove neoformations and tumors.

Videocolonoscopy is the technique of colon examination according to the similar principle as VGDS. A doctor examines the state of blindgut, segmented intestine and rectum using a colonoscope, and the video probe allows to display the images of required areas on the monitor and zoom them manyfold. Videocolonoscopy is used not only for diagnostics, but also for treatment, removal of neoformations, biopsy.

Videocolonoscopy are fast ways to receive an accurate and the most efficient diagnosis. Diagnostics is performed in the state of medication sleep, as this is painless and secure for a little patient. These techniques help a specialist to perform not only a visual examination, but also a biopsy for sampling. The diagnostic techniques allow to remove neoformations and tumors.

Bronchoscopy: a doctor examines child’s airways with a special optical device. The images of larynx, trachea and bronchial tubes are transmitted on the monitor and saved on the computer. The examination is applied in pediatric surgery in case of suspected chest tumor, respiratory organ diseases, entering of foreign objects, bleeding from airways, application of medications, etc. The procedure on children is performed only under anesthesia.

Biopsy is the procedure that includes microscopic sampling of the tissue from the child's body. Biopsy allows a doctor to know if a surgical intervention is required or a nonsurgical pharmacological therapy is enough. Biopsy helps to avoid unnecessary surgical interventions.

All types of biopsies are performed at Dobrobut clinic chain:

• open biopsy means that the biopsy sampling is performed via a special incision. It is performed in case there are special doctor’s indications;
• ultrasonic-guided needle biopsy is performed with a thin needle introduced into tissues or organs under the control of an ultrasound device. The technique is very accurate;
• punch biopsy of the skin is performed for diagnostics of complicated dermatological diseases;
• laparoscopic biopsy is perform to obtain a piece of tissue from deep or inconveniently located organs where a puncture needle cannot reach. This type of biopsy is an alternative for the open biopsy. It is often used to diagnose neoformations in chest, abdominal and pelvic areas;
• thoracoscopic biopsy is used for sampling from the pleural cavity. A doctor inserts a special device, thoracoscope, through a puncture in the chest.