RESULTS OF SURGICAL TREATMENT OF NEWBORNS WITH ANTERIOR ABDOMINAL WALL MALFORMATIONS



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Introduction. Malformations of the anterior abdominal wall in newborns is one of the actual problems in neonatal surgery. Antenatal diagnostics of such defects as omphalocele and gastroschisis allows to diagnose and perform necessary surgical interventions in time. Often, outcomes of treatment of newborns with embryonic hernia depend not only on the form of the defect, but also on the accompanying abnomalies. Purpose. To present outcomes of surgical treatment of newborns with anterior abdominal wall malformations. Material and methods. From December 2017 till May 2019, 34 pregnant women with fetal anterior abdominal wall malformations were consulted; 17 out of them with omphalocele and gastroschisis were treated. Results. In December 2017, the surgical department for newborns and infants at the National Medical Research Center for Children’s Health successfully helped children with malformations of the anterior abdominal wall. 16 children were discharged home in a satisfactory condition; there was one unsatisfactory outcome. 11 patients were treated for gastroschisis; 6 patients were treated for omphalocele. 3 patients had repeated surgeries for concomitant pathologies. There were no any adhesive processes and commissural intestinal obstruction. Conclusions. In Russia, there are two groups of newborns with anterior abdominal wall defects: children with isolated defects and children with concomitant pathologies who have an increased risk of unsatisfactory outcomes. The technique developed by us for treating newborns with anterior abdominal wall malformations and concomitant pathologies has very good cosmetic and functional results and reduces the number of postoperative complications and unsatisfactory outcomes.

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A. Shchukina

National Medical Research Center for Children’s Health

编辑信件的主要联系方式.
Email: noemail@neicon.ru
ORCID iD: 0000-0001-6892-6860
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O. Mokrushina

National Medical Research Center for Children’s Health; Pirogov Russian National Research Medical University

Email: noemail@neicon.ru
ORCID iD: 0000-0002-8169-7342
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A. Gurskaya

National Medical Research Center for Children’s Health

Email: noemail@neicon.ru
ORCID iD: 0000-0002-0462-596X
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E. Dyakonova

National Medical Research Center for Children’s Health

Email: noemail@neicon.ru
ORCID iD: 0000-0002-8563-6002
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O. Nakovkin

National Medical Research Center for Children’s Health

Email: noemail@neicon.ru
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M. Sulavko

National Medical Research Center for Children’s Health

Email: noemail@neicon.ru
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D. Akhmedova

National Medical Research Center for Children’s Health

Email: noemail@neicon.ru
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