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Comparative results after the management of intestinal malrotation in newborns with laparoscopy and laparotomy
- Authors: Trofimov V.V.1, Mokrushina O.G.1,2, Razumovskiy A.Y.1,2, Shumikhin V.S.1,2, Halafov R.V.1,2, Nagornay Y.V.1,2, Smirnova S.V.1,2, Petrova L.V.2
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Affiliations:
- Pirogov Russian National Research Medical University
- Filatov Children’s Municipal Clinical Hospital No 13
- Issue: Vol 27, No 3 (2023)
- Pages: 168-175
- Section: ORIGINAL STUDY
- Submitted: 09.08.2023
- Accepted: 09.08.2023
- Published: 09.08.2023
- URL: https://jps-nmp.ru/jour/article/view/712
- DOI: https://doi.org/10.55308/1560-9510-2023-27-3-168-175
- ID: 712
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Abstract
Introduction. The open Ladd surgery is a standard treatment of intestinal malrotation. After implementing laparoscopic techniques into clinical practice, the number of reports on successful treatment of this defect with minimally invasive laparoscopic techniques is growing. However, publications on such correction of the defect in newborns are rather scarce.
Purpose. To improve management of newborns with intestinal malrotation.
Material and methods. Retrospective and prospective analyses of 77 newborns with intestinal malrotation, treated in 2002–2020, have been made. The studied group included 35 newborns; the control group – 42. StatTech program was used for statistical data processing.
Results. Groups were comparable in anthropometric indicators, gender composition, gestational age. The following differences were revealed during the study: laparoscopic surgery lasts longer than the open surgery. The intensive care period was uneventful in the studied group. Passage through the intestine was restored faster, enteral feeding started earlier in the laparoscopic group too. The number of bed days in patients operated with minimally invasive techniques was less , if to compare to the control group with open surgery. After the open surgery, children often required intestinal stimulation in order to restore passage through the gastrointestinal tract. The incidence of complications does not depend on the applied surgical technique. Relapses in both groups are comparable; the leading factor in developing relapses is violations of surgical techniques.
About the authors
V. V. Trofimov
Pirogov Russian National Research Medical University
Author for correspondence.
Email: trofimsky@bk.ru
ORCID iD: 0000-0001-8725-7172
Victor V. Trofimov, postgraduate student, department of pediatric surgery
117997 Moscow
РоссияO. G. Mokrushina
Pirogov Russian National Research Medical University; Filatov Children’s Municipal Clinical Hospital No 13
Email: fake@neicon.ru
ORCID iD: 0000-0003-4444-6103
117997 Moscow
103001, Moscow
РоссияA. Yu. Razumovskiy
Pirogov Russian National Research Medical University; Filatov Children’s Municipal Clinical Hospital No 13
Email: fake@neicon.ru
ORCID iD: 0000-0002-9497-4070
117997 Moscow
103001, Moscow
РоссияV. S. Shumikhin
Pirogov Russian National Research Medical University; Filatov Children’s Municipal Clinical Hospital No 13
Email: fake@neicon.ru
ORCID iD: 0000-0001-9477-8785
117997 Moscow
103001, Moscow
РоссияR. V. Halafov
Pirogov Russian National Research Medical University; Filatov Children’s Municipal Clinical Hospital No 13
Email: fake@neicon.ru
ORCID iD: 0000-0001-7998-5639
117997 Moscow
103001, Moscow
РоссияYu. V. Nagornay
Pirogov Russian National Research Medical University; Filatov Children’s Municipal Clinical Hospital No 13
Email: fake@neicon.ru
ORCID iD: 0000-0002-1702-7811
117997 Moscow
103001, Moscow
РоссияS. V. Smirnova
Pirogov Russian National Research Medical University; Filatov Children’s Municipal Clinical Hospital No 13
Email: fake@neicon.ru
ORCID iD: 0000-0001-9158-4571
117997 Moscow
103001, Moscow
РоссияL. V. Petrova
Filatov Children’s Municipal Clinical Hospital No 13
Email: fake@neicon.ru
ORCID iD: 0000-0001-8727-5514
103001, Moscow
РоссияReferences
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