45 -4 (32/1) 2020 — Ruzmatov I.B. Ergashev B.B. — SELECTION OF A METHOD FOR SURGICAL CORRECTION OF GASTROSCHISIS IN NEWBORNS
SELECTION OF A METHOD FOR SURGICAL CORRECTION OF GASTROSCHISIS IN NEWBORNS
Ruzmatov I.B. -Republican Training Center for Neonatal Surgery at the Republican Perinatal Center2, Urgench branch of TMA1
Ergashev B.B. -Republican Training Center for Neonatal Surgery at the Republican Perinatal Center2, Urgench branch of TMA1
Sapayev O.K. -Republican Training Center for Neonatal Surgery at the Republican Perinatal Center2, Urgench branch of TMA1.
Resume
Objective: Selection of a method for surgical correction of gastroschisis in newborns.
Material and Methods: We observed 92 patients with gastroschisis. Among them boys – 51 (55,4%), girls – 41 (44,6%). Born full-term – 47 (51%), preterm – 45 (49%) children. On the first day (0-24 hours) after birth received 78 (84.8%) patients, 24-48 hours – 12 (13%) and 48-72 hours – 2 (2.2%) children.
Results: In 60 (65.3%) revealed a total form, in 27 (29.3%) and subtotal in 5 (5.4%) – a local form of gastroschisis. 51 (55.4%) of 92 children diagnosed prenatally pathology. Ultrasonographic findings of gastroschisis were uneven contours of the anterior abdominal wall, and the defect was located a short distance from the umbilical cord. In our studies, ultrasound accuracy in gastroschisis was 100%. Surgery performed 84 (91,3%) patients. 65 (77,4%) neonates with total, subtotal and local form performed radical surgery. In 17 (18.5%) cases made-stage surgical correction. Postoperatively, 52 died (61.9%) children. The most common cause of postoperative mortality were aspiration pneumonia, and sclerema oligoanuria as a result of hypothermia on the road and a painful shock and sepsis and necrotizing enterocolitis, cardiovascular and respiratory failure.
Key words: gastroschisis, newborns, treatment.
First page
192
Last page
194
For citation: Ruzmatov I.B. Ergashev B.B. Sapayev O.K. Selection of a method for surgical correction of gastroschisis in newborns//New Day in Medicine 4(32)2020 192-194 https://cutt.ly/8l4MR2i
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