Детская хирургия. Журнал им. Ю.Ф. Исакова. 2023; 27: 62-66
Этапная коррекция множественных врождённых пороков развития
https://doi.org/10.55308/1560-9510-2023-27-1-62-66Аннотация
Введение. Представлено собственное клиническое наблюдение этапной хирургической коррекции множественных врождённых пороков развития у больной А. с периода новорождённости до 1 года 4 мес.
Клиническое наблюдение. После комплексного обследования и этапных коррекций сопутствующих пороков развития больной выполнен заключительный этап хирургической коррекции атрезии пищевода – отсроченный эзофаго-эзофагоанастомоз. Послеоперационный период осложнился несостоятельностью и стенозом анастомоза пищевода. После консервативной терапии и бужирования пищевода в удовлетворительном состоянии пациентка выписана из стационара.
Заключение. Благодаря своевременной постнатальной диагностике и этапной хирургической коррекции у новорожденного с МВПР был достигнут благоприятный исход. Представлен алгоритм диагностики и лечения. Пример данного наблюдения приводит к выводу, что этапная коррекция МВПР может привести к хорошим результатам.
Список литературы
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11. Nasr A., Langer J.C. Mechanical traction techniques for long-gap esophageal atresia: a critical appraisal. Eur. J. Pediatr. Surg. 2013: 23(3): https://doi.org/10.55308/1560-9510-2023-27-1-62-66
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Russian Journal of Pediatric Surgery. 2023; 27: 62-66
Staged correction of multiple congenital malformations
https://doi.org/10.55308/1560-9510-2023-27-1-62-66Abstract
Introduction. The authors present their own clinical observation of staged surgical correction of multiple congenital malformations in patient A. from her neonatal period up to the age of 1 year 4 months.
Clinical observation. After a comprehensive examination and staged correction of congenital malformations, the surgeons made a final stage of surgical correction of esophageal atresia - delayed esophago-esophagoanastomosis. The postoperative period was complicated by failure and stenosis of the esophageal anastomosis. After conservative therapy and bougienage of the esophagus, the patient was discharged from the hospital in a satisfactory state.
Conclusion. A favorable outcome was seen in a newborn girl with multiple congenital malformations due to timely diagnostics in the postnatal period and staged surgical correction. The authors also describe the algorithm of diagnostics and management of this patient. The obtained results have motivated the researchers to make a conclusion that step-by-step correction of multiple congenital malformations can bring good results
References
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3. Alberti D., Boroni G., Corasaniti L., Torri F. Esophageal atresia: pre and post-operative management. J. Matern Fetal Neonatal Med. 2011; 24(1): 4–6.
4. Garcia A.V., Thirumoorthi A.S., Traina J.M., Schlossberg P., Sheynzon V., Kandel J.J. Image-guided esophageal anastomosis in esophageal atresia. Journal of Pediatric Surgery. 2012; 47(10): 1959–61.
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8. Hunter C.J., Petrosyan M., Connelly M.E., Ford H.R., Nguyen N.X. Repair of long-gap esophageal atresia: gastric conduits may improve outcome-a 20-year single center experience. Pediatr. Surg. Int. 2009; 25(12): 1087–91.
9. Ito K., Ashizuka S., Kurobe M., Ohashi S., Kuwashima N., Yoshizawa J., Ohki T. Delayed primary reconstruction of esophageal atresia and distal tracheoesophageal fistula in a 471-g infant. Int. J. Surg. Case Rep. 2013; 4(2): 167-9.
10. Lee H.Q., Hawley A., Doak J., Nightingale M.G., Hutson J.M. Longgap esophageal atresia: comparison of delayed primary anastomosis and Oesophageal replacement with gastric tube. J. Pediatr. Surg. 2014: 49(12): 1762–6.
11. Nasr A., Langer J.C. Mechanical traction techniques for long-gap esophageal atresia: a critical appraisal. Eur. J. Pediatr. Surg. 2013: 23(3): https://doi.org/10.55308/1560-9510-2023-27-1-62-66
12. Petrosyan M., Estrada J., Hunter C., Woo R., Stein J., Ford H.R., et al. Esophageal atresia/tracheoesophageal fistula in very low-birth-weight neonates: improved outcomes with staged repair. J. Pediatr. Surg. 2009; 44(12): 2278–81.
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