Experience of treatment of newborns with gastroschisis in the conditions of the national center for maternal and child health care
| Autor: | Tatyana A. Akmentieva, Kamchibek A. Uzakbaev, Natalia F. Gagloeva |
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| Jazyk: | angličtina |
| Rok vydání: | 2024 |
| Předmět: | |
| Zdroj: | Heart Vessels and Transplantation, Vol 8, Iss 4 (2024) |
| Druh dokumentu: | article |
| ISSN: | 1694-7886 1694-7894 |
| DOI: | 10.24969/hvt.2024.515 |
| Popis: | Objective: The objective of the study was to evaluate effectiveness of different surgical mthods and the results of treatment of newborns with gastroschisis in the National Center for Maternal and Child Health (Bishkek), based on the data of the intensive care unit of newborns with surgical pathology. Methods: From 2016 to 2023, 56 newborns with gastroschisis were admitted to the intensive care unit of newborns with surgical pathology on the basis of the National Center for Maternal and Childhood Care in Bishkek. Results: All 56 (100%) neonates were with intrauterine developmental delay. They were also hospitalized in the neonatal intensive care unit when gastroschisis was diagnosed. All children underwent preoperative preparation, which included correction of metabolic, hemodynamic disorders, normalization of body temperature and adequate diuresis. The algorithm of diagnostic examinations included clinical and laboratory methods, ultrasonography and ultrasonography of internal organs, cardiac ultrasonography, bacterial blood culture, and high cleansing enemas with warm physiological solution to reduce the volume of intestinal loops and maximize their immersion in the abdominal cavity. Forty-six (82%) newborns underwent primary plasty of anterior abdominal wall defect and 10 (17.8%) newborns - two-stage plasty of the anterior abdominal wall. Postoperative mortality was 22 (39.2%). Conclusion: Analyzing the existing methods of surgical correction to date, none of them has absolute effectiveness in the treatment of gastroschisis. Each of these methods has its advantages and disadvantages. There is a steady tendency to increase the number of radical operations performed in children with gastroschisis, which is associated with the improvement of methods of nursing newborns in the postoperative period. |
| Databáze: | Directory of Open Access Journals |
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