Prospects for use of surgical navigation to correct congenital malformations in neonatology


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Abstract

The introduction of endoscopic methods to correct congenital malformations is one of the priorities in neonatal surgery. The current techniques of processing visual information and the possibilities of computer graphics maintain a surgeon’s work in natural environments and augmented reality conditions. Objective. To analyze the authors’ own experience with the follow-up and surgical treatment of newborn infants with malformations and to identify disease groups, the surgical correction of which requires intraoperative navigation. Subjects and methods. A total of 1354 newborns with malformations were followed up in 2010 to 2016; their medical records were retrospectively analyzed. Results. Surgical removal of space-occupying lesions and endoscopic interventions for pulmonary and renal malformations are accompanied by the greatest technical difficulties and risks for complications in searching for a pathological focus, mobilizing tissues, and isolating the feeding vessels. Conclusion. The intraoperative navigation complex is the most in-demand in surgery for congenital malformations of the lung, in the removal of space-occupying lesions, and in the reconstructive surgeries of kidney anomalies

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About the authors

Elena Igorevna Dorofeeva

National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov

Email: dorofey_i@mail.ru
Ph.D., Head of Clinical Work of Department of Neonatal Surgery

Yulia Leonidovna Podurovskaya

National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov

Email: podurovskaya@yandex.ru
Ph.D., Head of Department of Neonatal Surgery

Dmitry Nikolaevich Degtyarev

National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov

Email: glav_neolog@yahoo.com
Ph.D., M.D., professor, Deputy of Director on Researches

Alexey Victorovich Prokhin

Westtrade Ltd

Email: aleksprohin@gmail.com
Analyst

Natalia Vladimirovna Aleksandrova

National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov

Email: alexandrova.ncagip@gmail.com
Ph.D., M.D., Senior Researcher

Ivan Sergeevich Balashov

National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov

Email: i_balashov@oparina4.ru
Junior researcher at the Laboratory of Bioinformatics.

Alina Vladimirovna Kozlova

National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov

Email: av_kozlova@oparina4.ru
Radiologist of the Department of Radiation Diagnostics

Vladimir Gennadyevich Bychenko

National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov

Email: v_bychenko@oparina4.ru
Head of the department of radiation diagnostics

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