RESULTS OF SURGICAL TREATMENT OF NEWBORNS WITH OMPHALOCELE

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  • 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: ОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ
  • URL: https://rps-journal.ru/jour/article/view/368
  • DOI: https://doi.org/10.30946/psaic368

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.


About the authors

Yu. A. Kozlov

Municipal Ivan-Matryona Children’s Clinical Hospital, Irkutsk;
Irkutsk State Medical Post-Graduation Academy;
Irkutsk State Medical University

Author for correspondence.
Email: yuriherz@hotmail.com
ORCID iD: 0000-0003-2313-897X

Russian Federation Yury А. Kozlov

V. A. Novozhilov

Municipal Ivan-Matryona Children’s Clinical Hospital, Irkutsk;
Irkutsk State Medical Post-Graduation Academy;
Irkutsk State Medical University

Email: fake@neicon.ru
ORCID iD: 0000-0002-9309-6691

Russian Federation Vladimir А. Novozhilov

A. A. Rasputin

Municipal Ivan-Matryona Children’s Clinical Hospital, Irkutsk

Email: fake@neicon.ru
ORCID iD: 0000-0002-5690-790X

Russian Federation Andrey А. Rasputin zlov

P. I. Baradieva

Municipal Ivan-Matryona Children’s Clinical Hospital, Irkutsk

Email: fake@neicon.ru
ORCID iD: 0000-0002-5463-6763

Russian Federation Polina J. Baradieva

D. A. Zvonkov

Irkutsk State Medical University

Email: fake@neicon.ru
ORCID iD: 0000-0002-7167-2520

Russian Federation Denis А. Zvonkov zlov

A. D. Timofeev

Irkutsk State Medical University

Email: fake@neicon.ru

Russian Federation Andrey D. Timofeev

N. V. Rasputina

Municipal Ivan-Matryona Children’s Clinical Hospital, Irkutsk

Email: fake@neicon.ru
ORCID iD: 0000-0002-2886-4746

Russian Federation Natalya V. Rasputina

N. N. Kuznetsova

Municipal Ivan-Matryona Children’s Clinical Hospital, Irkutsk

Email: fake@neicon.ru
ORCID iD: 0000-0001-5870-7752

Russian Federation Nina N. Kuznetsova

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