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  • 49 -11 (85) 2025 - Khamrоev U.A. Ergashev B.B. - OPTIMIZATION OF TACTIC AND SELECTION OF SURGICAL TREATMENT METHOD IN NEWBORNS WITH CONGENITAL ACUTE DUODENAL OBSTRUCTION

49 -11 (85) 2025 - Khamrоev U.A. Ergashev B.B. - OPTIMIZATION OF TACTIC AND SELECTION OF SURGICAL TREATMENT METHOD IN NEWBORNS WITH CONGENITAL ACUTE DUODENAL OBSTRUCTION

OPTIMIZATION OF TACTIC AND SELECTION OF SURGICAL TREATMENT METHOD IN NEWBORNS WITH CONGENITAL ACUTE DUODENAL OBSTRUCTION

Khamrоev U.A. - Republican Perinatal Center, Uzbekistan

Ergashev B.B. - Republican Perinatal Center, Uzbekistan

Akhmedova R.M. - Tashkent State Medical University

Resume

Surgical treatment of сongenital duodenal obstruction (CDO) in newborns consists of creating an anastomosis via an open approach. The most commonly performed procedures are duodeno-duodenostomy according to Kocher or Kimura, duodenotomy with excision of an obstructing membrane followed by transverse closure, and longitudinal duodenotomy with transverse closure in cases of stenosis. At the present stage, a differentiated approach is applied to improve CDO treatment outcomes, with the choice of anastomosis technique and duodenal defect repair tailored using both open and laparoscopic methods. Despite the progress achieved, issues of ante- and early postnatal diagnosis, selection of surgical technique, and postoperative management remain debatable and urgent in neonatal surgery. Based on many years of experience, the authors analyzed the results of surgical treatment in 137 newborns with CDO between 2018 and 2025. Of these patients, 65.5% were full-term and 34.5% were premature. For CDO correction, a laparoscopic approach was used in 46 (33,5%) cases (conversion to open surgery was required in 11 cases), and open laparotomy was performed in 91 (66,5%) cases. Early postoperative complications were observed in 34 (24.8%) patients, including anastomotic leakage in 8 (5.8%) (with reoperation required in 5 cases), prolonged functional duodenal obstruction in 26 (19%), and necrotizing enterocolitis in 12 (8.7%) patients. The laparoscopic method was associated with a longer operative time but resulted in faster recovery, fewer complications, and a better cosmetic outcome compared to the open approach.

Key words: duodenal obstruction; newborns; anastomoses; laparoscopic method.

First page

283

Last page

289

For citation:Khamrоev U.A. Ergashev B.B., Akhmedova R.M. - OPTIMIZATION OF TACTIC AND SELECTION OF SURGICAL TREATMENT METHOD IN NEWBORNS WITH CONGENITAL ACUTE DUODENAL OBSTRUCTION//New Day in Medicine 11(85)2025 283-289 https://newdayworldmedicine.com/en/new_day_medicine/11-85-2025

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