Surgical design of stoma in children: A literary review
Ashirbay K.S. Dzhumabekov A.T. Kusainov A.Z. Altynbaeva G.B. Aitbaeva E.B.
2024Kaz Med Print LLP
Reproductive Medicine (Central Asia)
2024#2024Issue 1113 - 121 pp.
Relevance: Modern methods of early diagnosis of congenital malformations in infants and treatment of acute surgical pathology of the gastrointestinal tract determine the possibility of timely radical surgical correction in order to restore body functions and development of the child in accordance with age periods. Intestinal stoma in infants occurs in 30-50% of cases. Without an intestinal stoma, it is impossible to imagine any reconstructive surgery. The study aimed to analyze modern literature data on the application of stomas in children with congenital and acquired surgical pathologies. Materials and Methods: A search for publications with a depth of 10 years was carried out in the abstract databases of the Russian Science Citation Index, PubMed and Scopus using the keywords: stoma, children, newborns, stoma complications, surgical design, surgical treatment. 103 publications were found, and 36 studies were selected for analysis. Results: Thus, in the vast majority of cases, the formation of an intestinal stoma in pediatric practice is temporary and implies the subsequent restoration of intestinal patency, which is crucial when choosing the type of intestinal stoma and the technique of its formation. Peristomal complications. A properly formed stoma should perform its functions without aggravating, but easing the condition of a sick child. However, an operation that seems simple at first glance-the application of an intestinal stoma-can be accompanied by various technical errors and errors, which leads to a wide range of complications-from minimal to severe, threatening the patient’s life. Conclusion: Based on the above, it is necessary to conduct further research in order to exclude complications, as well as rapid recovery in the early postoperative period of ostomized children with the introduction of new methods of ostomy with the creation of a peritoneal aponeurotic ring in young children.
newborns , peritoneal aporeurotic ring , Stoma , stoma complications , surgical design , surgical treatment
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Scientific Center of Pediatrics and Pediatric Surgery, 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
Scientific Center of Pediatrics and Pediatric Surgery
«Kazakhstan’s School of Public Health» Kazakhstan Medical University
Al-Farabi Kazakh National University
Asfendiyarov Kazakh National Medical University
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