GASTROSCHISIS: PROBLEMS, FIRST EXPERIENCE, ALGORITHM FOR MEDICAL TACTICS


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Resumo

Objective. To develop a scientifically sound algorithm for medical tactics from the intrauterine diagnosis of congenital abdominal wall defect (gastroschisis) in a fetus. The paper describes the first experience in rendering ante- and postnatal medical aid for fetally diagnosed gastroschisis under conditions of a new organizational model at the perinatal center. Subjects and methods. Thirty-five cases of gastroschisis from pregnancy to surgical correction of the defect have been analyzed. The treatment results are described. Results. Based on their experience, the authors have developed an algorithm for medical tactics from the antenatal diagnosis of gastroschisis. Conclusion. The proposed algorithm has allowed optimization of treatment results: to reduce the number of unwarranted abortions and neonatal deaths.

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Sobre autores

E. Khamatknanova

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia, Moscow

Email: liz39@ya.ru

Yu. Kucherov

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia, Moscow

Yu. Podurovskaya

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia, Moscow

E. Dorofeyeva

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia, Moscow

Yu. Zhirkova

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia, Moscow

Bibliografia

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  2. Красовская Т.В., Голоденко Н.В., Кучеров Ю.И. и др. Гастрошизис: новые аспекты этиологии, патогенеза и лечения // Дет. хир. — 1997. — № 1. — С. 40 — 42.
  3. Щитинин В.Е., Арапова А.В., Карцева Е.В. Гастрошизис и грыжа пупочного канатика: Учебное пособие. — М., 2002. — С. 2—32.
  4. Eggink B.H., Richardson C.J., Malloy M.H. et al. Outcome of gastroschisis: a 20-year case review of infants with gastroschisis born in Galveston, Texas // J. Pediatr. Surg. — 2006. — Vol. 41, № 6. — Р. 1103—1108.
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  7. Rankin J., Dillon E., Wrigt C. Congenital anterior abdominal wall defects in the north of England, 1986-1996: occurrence and outcome. // Prenat. Diagn. — 1999. — Vol. 19, № 7. — P. 662—668.
  8. Rankin J., Pattenden S.W., Abramsky L. et al. Prevalense of congenital anomalies in five British regions, 1991—99 // Arch. Dis. Child. Fetal. Neonatal. Ed. — 2005. — Vol. 90, № 5. — Р. 374—379.
  9. Suita S., Okamatsu T., Yamamoto T. et al. Changing profile of abdominal wall defects in Japan: results of a national survey // J. Pediatr. Surg. — 2000. — Vol. 35, № 1. — P. 66—72.

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