RESULTS OF SURGICAL TREATMENT OF NEWBORNS WITH OMPHALOCELE

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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.

作者简介

Yu. Kozlov

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

编辑信件的主要联系方式.
Email: yuriherz@hotmail.com
ORCID iD: 0000-0003-2313-897X
Yury А. Kozlov 俄罗斯联邦

V. 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
Vladimir А. Novozhilov 俄罗斯联邦

A. Rasputin

Municipal Ivan-Matryona Children’s Clinical Hospital, Irkutsk

Email: fake@neicon.ru
ORCID iD: 0000-0002-5690-790X
Andrey А. Rasputin zlov 俄罗斯联邦

P. Baradieva

Municipal Ivan-Matryona Children’s Clinical Hospital, Irkutsk

Email: fake@neicon.ru
ORCID iD: 0000-0002-5463-6763
Polina J. Baradieva 俄罗斯联邦

D. Zvonkov

Irkutsk State Medical University

Email: fake@neicon.ru
ORCID iD: 0000-0002-7167-2520
Denis А. Zvonkov zlov 俄罗斯联邦

A. Timofeev

Irkutsk State Medical University

Email: fake@neicon.ru
Andrey D. Timofeev 俄罗斯联邦

N. Rasputina

Municipal Ivan-Matryona Children’s Clinical Hospital, Irkutsk

Email: fake@neicon.ru
ORCID iD: 0000-0002-2886-4746
Natalya V. Rasputina 俄罗斯联邦

N. Kuznetsova

Municipal Ivan-Matryona Children’s Clinical Hospital, Irkutsk

Email: fake@neicon.ru
ORCID iD: 0000-0001-5870-7752
Nina N. Kuznetsova 俄罗斯联邦

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版权所有 © Kozlov Y.A., Novozhilov V.A., Rasputin A.A., Baradieva P.I., Zvonkov D.A., Timofeev A.D., Rasputina N.V., Kuznetsova N.N., 2017

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