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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.
ORCID iD: 0000-0003-2313-897X
Yury А. Kozlov Russian Federation

V. A. Novozhilov

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

ORCID iD: 0000-0002-9309-6691
Vladimir А. Novozhilov Russian Federation

A. A. Rasputin

Municipal Ivan-Matryona Children’s Clinical Hospital, Irkutsk

ORCID iD: 0000-0002-5690-790X
Andrey А. Rasputin zlov Russian Federation

P. I. Baradieva

Municipal Ivan-Matryona Children’s Clinical Hospital, Irkutsk

ORCID iD: 0000-0002-5463-6763
Polina J. Baradieva Russian Federation

D. A. Zvonkov

Irkutsk State Medical University

ORCID iD: 0000-0002-7167-2520
Denis А. Zvonkov zlov Russian Federation

A. D. Timofeev

Irkutsk State Medical University

Andrey D. Timofeev Russian Federation

N. V. Rasputina

Municipal Ivan-Matryona Children’s Clinical Hospital, Irkutsk

ORCID iD: 0000-0002-2886-4746
Natalya V. Rasputina Russian Federation

N. N. Kuznetsova

Municipal Ivan-Matryona Children’s Clinical Hospital, Irkutsk

ORCID iD: 0000-0001-5870-7752
Nina N. Kuznetsova Russian Federation


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Copyright (c) 2017 Kozlov Y.A., Novozhilov V.A., Rasputin A.A., Baradieva P.I., Zvonkov D.A., Timofeev A.D., Rasputina N.V., Kuznetsova N.N.

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