CURRENT VIEW OF THE PREDICTORS OF GASTROISCHISIS, ITS PRENATAL DIAGNOSIS AND NEONATAL MANAGEMENT TACTICS


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Abstract

This paper considers gastroischisis, a congenital malformation of the anterior abdominal wall, in which the abdominal organs protrude through the paraumbilical defect of its soft tissues, which is located to the right of the normally formed umbilical cord. The incidence of this defect averages 1:5000; among babies born to less than 20-year-old mothers, it is more thrice more - 1 per 1500 births. The paper presents the main issues of the etiology, pathogenesis, and correction of this defect. Objective. To study current approaches and a view on the predictors of gastroischisis, its prenatal diagnosis and specif ic features of intranatal management of neonatal infants with gastroischisis from the data available in the literature. Subject and methods. More than 40 Russian and foreign literature references, including 28 from PubMed, were reviewed. Results. The best option is for a woman to give birth to a baby in an obstetric facility where surgical care may be rendered to her newborn infant with gastroischisis, which precludes the need for the baby’s transportation and makes it possible to initiate preoperative preparation and surgical intervention immediately after birth. Conclusion. Thus, many issues related to risk factors for fetal gastroischisis, as well as to to diagnosis, treatment option, and periods of delivery, therapy, and nursing of newborn babies with gastroischisis remain relevant despite the proven surgical tactic.

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About the authors

Olga V. Teplyakova

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: olga.v.teplyakova@gmail.com
anesthesiologist, Department of Surgery, Resuscitation and Intensive Care of Newborn Moscow 117997, Ac. Oparina str. 4, Russia

Viktor V. Zubkov

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

MD, Head of the Department of Neonatology and Pediatrics Moscow 117997, Ac. Oparina str. 4, Russia

Alexey V. Pyregov

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

MD, head of the Department of Anesthesiology and Resuscitation Moscow 117997, Ac. Oparina str. 4, Russia

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