32 -2 (26/1) 2019 — Bozorov S.T., Gofurov A.A., — CRITERIA OF THE METHOD OF CREATING ANASTOMOSIS IN THE NEWBORNS WITH SUSTAINABLE PERMEABILITY

CRITERIA OF THE METHOD OF CREATING ANASTOMOSIS IN THE NEWBORNS WITH SUSTAINABLE PERMEABILITY

Bozorov S.T., Department of Pediatric Surgery Andijan State Medical Institute (Uzbekistan, Andijan).

Gofurov A.A., Department of Pediatric Surgery Andijan State Medical Institute (Uzbekistan, Andijan).

Turakulov Z.Sh. Department of Pediatric Surgery Andijan State Medical Institute (Uzbekistan, Andijan).

Resume,

The tactics among children with primary anastomoses, in whom complications were detected in the early postoperative period, were the following: The failure and stenosis of the anastomosis zone at the level of the jejunum was most often observed. In end-to-end anastomoses, at the level of the jejunum, the failure of the anastomosis zone was observed in 2 cases (2 of 4 newborns), with T-shaped anastomoses, fistula failure was noted in 1 newborn (1 of 11). The tactics for establishing small bowel anastomosis insufficiency was the following: in 1 case, the anastomosis was disconnected with the removal of a double junction (1), in the latter case the anastomosis zone was resected to create a T-shaped discharge anastomosis, since the pathology was localized at the level of the jejunum. Fatal outcome occurred in 2 infants.

Key words: small intestinal anastomosis, intestinal obstruction, newborns

First page

126

Last page

129

For citation: Bozorov S.T., Gofurov A.A., Turakulov Z.Sh. Criteria of the method of creating anastomosis in the newborns with sustainable permeability//New Day in Medicine 2(26)2019 126-129 https://cutt.ly/ebYLIv7

List of References

  1. Грона В.Н., Сопов Г.А. и др. Т-образный кишечный анасто­моз в хирургии новорожденных. Вестник Российского госу­дарственного медицинского университета. 2010; 3: 15.
  2. Саввина В.А., Варфоломеев А.Р. и др. Врожденная кишечная непроходимость. Выбор хирургической тактики и техники ки­шечного шва. Российский Вестник детской хирургии, анесте­зиологии и реаниматологии. 2012; 2: 69-73.
  3. Морозов Д.А., Филиппов Ю.В. и др. Хирургия врожденной непроходимости тонкой кишки. Российский вестник детской хирургии, анестезиологии и реаниматологии. 2011; 2: 21-9.
  4. Almoutaz A., Eltayeb. Different Surgical Techniques in Management of Small Intestinal Atresia in High Risk Neonates. Pediat. Surg. Unit. 2009; 5: 31-5.
  5. Balanescu R. et al. Associated type IIIB and type IV multiple intestinal atresia in a pediatric patient. Chirurgia. 2013; 108(3): 407­10.
  6. Anatol T.I., Hariharan S. Congenital intrinsic intestinal obstruction in a Caribbean country. Int. Surg. 2009; 94 (3): 212-6.
  7. Hayrettin Ozturk, Hulya Ozturk et al. A comprehensive analysis of 51 neonates with congenital intestinal atresia. Saudi Med. J. 2007: 28: 1050-4.



file

download