Gastrointestinal stoma performed in newborns with gastrointestinal tract defects methods effectiveness evaluation
Ashirbay K.S. Dzhumabekov A.T. Kusainov A.Z. Altynbaeva G.B. Aitbaeva E.B. Erekeshov A.A. Kalabaeva M.M. Kaukenbaeva G.T. Shilanbaev N.R. Zhaksylyk M.
2024Kaz Med Print LLP
Reproductive Medicine (Central Asia)
2024#2024Issue 1122 - 130 pp.
Relevance: Modern methods of early diagnosis of birth defects in infants and treatment of acute surgical pathology of the intestinal tract determine the possibility of rapid radical surgical correction to restore body functions and development of the child in accordance with age periods. Intestinal stoma in infants, the incidence is 30-50%. Without an intestinal stoma, it is impossible to imagine any kind of reconstructive homeland. The study aimed to conduct a comparative retrospective and prospective analysis of surgical treatment in newborns with the imposition of an intestinal stoma. Materials and Methods: We retrospectively analyzed data on congenital and acquired diseases in 42 newborns treated at the Neonatology and Neonatal Surgery Department of the Hospital of Pediatrics and Pediatric Surgery, JSC (Almaty, Kazakhstan) from 2014 to 2023. Results: Thus, in many cases, the appearance of an intestinal stoma in pediatric practice is temporary and implies the subsequent restoration of intestinal permeability, which is of decisive importance in choosing the type of intestinal stoma and the methodology for its formation. A properly formed stoma should perform its functions without aggravation, but alleviate the condition of a sick child. However, an operation that seems simple at first glance, the use of an intestinal stoma, may be accompanied by various technical errors, leading to a wide range of complications, from minimal to severe, that put the patients life at risk. Conclusion: Due to the use of early diagnosis and plastic surgery to restore congenital and acquired defects of the gastrointestinal tract in newborns, timely surgery to create and improve the peritoneal aponeurotic ring, in turn, gave a positive result (98.25%). Using this method, it was possible to prevent early and late postoperative complications. The surgery of newborns and the improvement of surgical treatment performed on them and the simultaneous adjustment with the development of care technology allowed a good result of treatment. This article is written with the objective of improving the clinical experience of the Pediatric Surgery Association with respect to the results of the proposed surgical treatment.
newborns , perinatal aporeuretic ring , Stoma , stoma complications , surgical design , surgical treatment
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Scientific Center of Pediatrics and Pediatric Surgery, Kazakhstan Medical University, Almaty, Kazakhstan
«Kazakhstan’s School of Public Health», Kazakhstan Medical University, Almaty, Kazakhstan
Al-Farabi Kazakh National University, Almaty, Kazakhstan
Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
Surgery No. 1 Department, Scientific Center of Pediatrics and Pediatric Surgery, Almaty, Kazakhstan
Endoscopy Department, Scientific Center of Pediatrics and Pediatric Surgery, Almaty, Kazakhstan
Scientific Center of Pediatrics and Pediatric Surgery
«Kazakhstan’s School of Public Health»
Al-Farabi Kazakh National University
Asfendiyarov Kazakh National Medical University
Surgery No. 1 Department
Endoscopy Department
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