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  • 46 -4 (32/1) 2020 — Umarov K.M., Abdusamatov B.Z. — DIAGNOSIS AND SURGICAL TREATMENTTACTICS IN STAGE II-B OF NEWBORNS NECROTIC ENTEROCOLITIS

46 -4 (32/1) 2020 — Umarov K.M., Abdusamatov B.Z. — DIAGNOSIS AND SURGICAL TREATMENTTACTICS IN STAGE II-B OF NEWBORNS NECROTIC ENTEROCOLITIS

DIAGNOSIS AND SURGICAL TREATMENTTACTICS IN STAGE II-B OF NEWBORNS NECROTIC
ENTEROCOLITIS

Umarov K.M. -Tashkent Medical Academy, Republican Scientific and Practical Center for Minimally Invasive and Endovascular Surgery of Children’s Age

Abdusamatov B.Z. -Tashkent Medical Academy, Republican Scientific and Practical Center for Minimally Invasive and Endovascular Surgery of Children’s Age

Salimov Sh.T. -Tashkent Medical Academy, Republican Scientific and Practical Center for Minimally Invasive and Endovascular Surgery of Children’s Age

Vakhidov A.Sh. -Tashkent Medical Academy, Republican Scientific and Practical Center for Minimally Invasive and Endovascular Surgery of Children’s Age

Rustamova M.Sh. -Tashkent Medical Academy, Republican Scientific and Practical Center for Minimally Invasive and Endovascular Surgery of Children’s Age

Abdurakhmanov A.A. -Tashkent Medical Academy, Republican Scientific and Practical Center for Minimally Invasive and Endovascular Surgery of Children’s Age

Elmuradov S.Kh. -Tashkent Medical Academy, Republican Scientific and Practical Center for Minimally Invasive and Endovascular Surgery of Children’s Age

Azizov Sh.F. -Tashkent Medical Academy, Republican Scientific and Practical Center for Minimally Invasive and Endovascular Surgery of Children’s Age

Resume

We analyzed the results of surgical treatment performed on 18 newborns diagnosed by NEC II – Stage B during period from 2015 to 2020. A total of 18 diagnostic laparoscopies (LL) were carried out, of these 4 (22.2%) were converted to laparotomy. In 14 patients (77.8%) therapeutic laparoscopy was completed by means of mini laparotomy with video-assisted testing, including 8 (44.4%) patients who had a necrotized section of the intestine resected with an “eml to end” anastomosis. In 6 (33.3%) cases an intestinal stomach was applied through minilaparotomy.

In comparison – after laparoscopic video-assisted operations, mortality was observed in 7.1% of cases (1 patient out of 14), after traditional surgical interventions, mortality was 25% (1 patient out of 4).

Conclusions: Based on the results of the LD at the surgical stage of the NEC, we consider it is possible to build further tactics of radical surgical treatment.Its possible transformation into a therapeutic treatment can minimize intraoperative trauma, which has a positive impact on the postoperative survival of patients.

Keywords: necrotic enterocolitis; newborns; surgical treatment; laparoscopy

For citation: Umarov K.M., Abdusamatov B.Z., Salimov Sh.T., Vakhidov A.Sh, Rustamova M.Sh., Abdurakhmanov A.A., Elmuradov S.Kh., Azizov Sh.F., Diagnosis and surgical treatmenttactics in stage ii-b of newborns necroticenterocolitis//New Day in Medicine 4(32)2020 195-199 https://cutt.ly/3l41PzT

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46-195-199-4-32-2020-тиббиёт-25-12-2020-—-копия

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