Gastroschisis treatment

The article analyzes the results of treatment of gastroschisis in newborns according to the data from the Surgical Department, Pediatric Center, Republic’s Hospital No. 1 -National Center of Medicine, from 2000 to 2018. During this period, 43 newborns with gastroschisis were treated, the malformation was diagnosed antenatally in all cases. Half of the infants - 21 newborns underwent primary plastic surgery of the anterior abdominal wall defect. According to our data, children with step-by-step immersion of the organs in the abdominal cavity through the method of chiloplasty showed a better outcome, less mortality, they were able to get enteral nutrition earlier, and their period of inpatient treatment was shorter. While the majority of gastroschisis patients did not survive before 2010, in recent years, the mortality rate in gastroschisis decreased by 5 times and amounted to 15%. This was facilitated not only by a change in the treatment algorithm in newborns with gastroschisis, but also by the introduction of organizational measures such as prenatal consultation, antenatal transfer to a level III hospital, operative delivery before the onset of severe inflammation of the wall of the emerged organs. Today, gastroschisis is an absolutely correctable pathology; the follow-up surveys show that the quality of life of children operated on gastroschisis in neonatal period is not inferior to their healthy peers.

antenatal diagnosis, congenital malformations, defect of the anterior abdominal wall, gastroschisis, siloplasty, primary plastics, newborns, treatment methods, neonatal surgery, pediatric surgery

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