RESULTS OF SURGICAL TREATMENT OF NEWBORNS WITH OMPHALOCELE

Yu. A. Kozlov; Козлов Ю. А.; V. A. Novozhilov; Новожилов В. А.; A. A. Rasputin; Распутин А. А.; P. I. Baradieva; Барадиева П. Ж.; D. A. Zvonkov; Звонков Д. А.; A. D. Timofeev; Тимофеев А. Д.; N. V. Rasputina; Распутина Н. В.; N. N. Kuznetsova; Кузнецова Н. Н.

doi:10.17816/psaic368

RESULTS OF SURGICAL TREATMENT OF NEWBORNS WITH OMPHALOCELE

Authors: Kozlov Y.A.¹^,2^,3, Novozhilov V.A.¹^,2^,3, Rasputin A.A.¹, Baradieva P.I.¹, Zvonkov D.A.³, Timofeev A.D.³, Rasputina N.V.¹, Kuznetsova N.N.¹
Affiliations:
1. Municipal Ivan-Matryona Children’s Clinical Hospital, Irkutsk
2. Irkutsk State Medical Post-Graduation Academy
3. Irkutsk State Medical University
Issue: Vol 7, No 4 (2017)
Pages: 18-25
Section: Original Study Articles
URL: https://journal-vniispk.ru/2219-4061/article/view/122746
DOI: https://doi.org/10.17816/psaic368
ID: 122746

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Abstract

The surgical treatment results for 27 patients with omphalocele taken to the Ivan-Matryona Children’sClinicalHospitalinIrkutskfrom 2002 to 2017 were submitted. The study methodology consists in the comparative analysis of effectiveness of different surgical technologies including one-step (17 patients) and stage (10 patients) abdominal wall defect repair. ALV duration, time of transition to complete parenteral nutrition, hospital stay duration, gastroesophageal reflux occurrence, ventral hernia and lethality are used as comparison criteria. There are no significant differences between the groups of patients randomized by gestational age, afterbirth age and body weight. Significant disturbances by extubation period were stated (1.76 vs 5.4 days, p=0.0001).

A significant decreased transition time to complete enteral nutrition (20.53 vs 27.60 days, p=0.020) was observed in the group of one-stage defect closure. Fundoplication frequency was higher in those patients who underwent multistage surgeries (11.76% vs 30%, p=0.326). Ventral hernia formation frequency was also higher in the group of stage closure (8.57% vs 30%, p=0.128). Study results reveal the advantage of one-stage abdominal repair in surgical treatment of newborns with omphalocele.

Keywords

omphalocele, primary repair, stage treatment

References

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RESULTS OF SURGICAL TREATMENT OF NEWBORNS WITH OMPHALOCELE

Full Text

Abstract

Keywords

About the authors

References

Supplementary files