THE RESULTS OF A NEW ORGANIZATIONAL MODEL INTRODUCED FOR THE CARE OF NEWBORNS WITH CONGENITAL MALFORMATIONS: A CLINICAL CASE
An important aspect in providing surgical care to newborns with congenital disorders in the early neonatal period is a timely diagnosis, transportation of a little patient to the surgical hospital, nursing and care in the postoperative period. To date, the concern of transportation of newborn babies remains ambiguous and controversial.
The given study exemplifies a clinical case of a newborn with anorectal malformation, atresia of anus, rectum, an ivory form, in combination with a congenital malformation of the urinary system. On the example of this clinical case, the potential risk mitigation measures have been assessed to avoid any life-threatening complications with transportation excluded.
The timely diagnosis and treatment contributed to a favorable prognosis and the absence of complications. A special feature of this case is complex treatment in the conditions of the 3rd level perinatal center. The pre-operative and post-operative care was given by neonatologists. The patient was discharged with improvement at the age of 19 days in satisfactory condition.
Valikhan M. Kaskarbayev1, https://orcid.org/0000-0003-0516-7363
Moldir Zh. Sarsenbek1, https://orcid.org/0000-0003-1378-7052
Akmaral Tolegen1,
Lyudmila G. Panibratets2,
Zhanat K. Elubayev3,
Saule T. Kizatova1, https://orcid.org/0000-0002-4697-5335
1 NJSC «Karaganda Medical University», Department of Pediatrics and Neonatology,
Karaganda c., Republic of Kazakhstan; 2 PSE «Regional Clinical Hospital», Perinatal Center No. 2, Karaganda c., Republic of Kazakhstan;
3 PSE «Regional Children’s Clinical Hospital of Karaganda», Karaganda c., Republic of Kazakhstan.
1. Аверин В.И. [и др.] Аноректальные пороки развития у детей (федеральные клинические рекомендации) // Детская хирургия. 2015. 19(4):29-35.
2. Малгаздаров Б.О., Бидайбаев А.Н., Елубаев Ж.К., Акмолдаев Е.А. Пути снижения неонатальной смертности новорожденных с ССЗ в Карагандинской области // Материалы Международной научно-практической конференции «Педиатрия Казахстана: вчера, сегодня, завтра», посвященной 90-летию Научного центра педиатрии и детской хирургии. 2022. С.110-111.
3. Фофанов В.А., Фофанов А.Д., Матяш О.Я., Дидух И.Н. Результаты реконструктивных операций при врожденной оноколоректальной патологии у детей // Детская хирургия. 2021. 25(С 1): 75-6.
4. Эргашев Н.С., Атамурадов Ф.А. Нозологическая структура редких регионарных форм аноректальных пороков развития у детей // Детская хирургия. 2021. 25(С1): 85-6.
5. Bischoff A., Bealer J., Peña A. Controversies in anorectal malformations // Lancet Child Adolesc Health. 2017. Dec. 1(4):323-330. doi: 10.1016/S2352-4642(17)30026-3.
6. Cairo S.B., Rothstein D.H., Harmon C.M. Minimally Invasive Surgery in the Management of Anorectal Malformations // Clin Perinatol. 2017 Dec. 44(4):819-834. doi: 10.1016/j.clp.2017.08.007.
7. Kruger P., Teague W.J., Khanal R. et al. Delayed diagnosis of anorectal malformations in neonates // ANZ J Surg. 2019 Oct. 89(10):1253-1255. doi: 10.1111/ans.15374
8. Mahmud A.A., Khan N., Islam M.S. et al. Anorectal Malformations and Associated Anomalies in Children // Med J. 2021 Jan. 30(1):62-68
9. Purcell L., Ngwira N., Gallaher J. et al. Characteristics and outcomes in paediatric patients presenting with congenital colorectal diseases in sub-Saharan Africa // Trop Doct. 2019 Oct. 49(4):256-259. doi: 10.1177/0049475519851010
10. Qazi S.H., Faruque A.V.., Khan M.M., Saleem U. Functional Outcome of Anorectal Malformations and Associated Anomalies in Era of Krickenbeck Classification // J. Coll. Physicians. Surg. Pak. 2016. 26(3): 204–7.
11. Rohrer L., Vial Y., Gengler C. et al. Prenatal imaging of anorectal malformations - 10-year experience at a tertiary center in Switzerland. Pediatr Radiol. 2020 Jan. 50(1):57-67. doi: 10.1007/s00247-019-04513-2
12. Steeg H.J., Schmiedeke E., Bagolan P., et al. European consensus meeting of ARM-Net members concerning diagnosis and early management of newborns with anorectal malformations // Tech. Coloproctol. 2015. 19(3): 181–5. DOI 10.1007/s10151-015-1267-8
13. Wood R.J., Levitt M.A. Anorectal Malformations // Clin Colon Rectal Surg. 2018 Mar. 31(2):61-70. doi: 10.1055/s-0037-1609020.
References: [1-4]
1. Averin V.I. [et al.] Anorektal'nye poroki razvitiya u detei (federal'nye klinicheskie rekomendatsii) [Anorectal malformations in children (federal clinical guidelines)]. Detskaya khirurgiya [Pediatric surgery]. 2015. 19(4):29-35. [in Russian]
2. Malgazdarov B.O., Bidaybayev A.N., Yelubaev Zh.K., Akmoldaev E.A. Puti snizheniya neonatal'noi smertnosti novorozhdennykh s SSZ v Karagandinskoi oblasti [Ways to reduce neonatal mortality of newborns with CVD in the Karaganda region]. Materialy Mezhdunarodnoi nauchno-prakticheskoi konferentsii «Pediatriya Kazakhstana: vchera, segodnya, zavtra», posvyashchennoi 90-letiyu Nauchnogo tsentra pediatrii i detskoi khirurgii. [Materials of the International Scientific and practical Conference "Pediatrics of Kazakhstan: yesterday, today and tomorrow" dedicated to the 90th anniversary of the Scientific Center of Pediatrics and Pediatric Surgery]. 2022. Р.110-111. [in Russian]
3. Fofanov V.A., Fofanov A.D., Matyash O.Ya., Didukh I.N. Rezul'taty rekonstruktivnykh operatsii pri vrozhdennoi onokolorektal'noi patologii u detei [Results of reconstructive operations in congenital ono colorectal pathology in children]. Detskaya khirurgiya [Pediatric surgery]. 2021. 25(S 1): 75-6. [in Russian]
4. Ergashev N.S., Atamuradov F.A. Nozologicheskaya struktura redkikh regionarnykh form anorektal'nykh porokov razvitiya u detei [Nosological structure of rare regional forms of anorectal malformations in children]. Detskaya khirurgiya [Pediatric surgery]. 2021. 25(S1): 85-6. [in Russian]
Количество просмотров: 1186
Категория статей:
Клинический случай
Библиографическая ссылка
Kaskarbayev V.M., Sarsenbek M.Zh., Tolegen A., Panibratets L.G., Elubayev Zh.K., Kizatova S.T. The results of a new organizational model introduced for the care of newborns with congenital malformations: a clinical case // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 3, pp. 279-283. doi 10.34689/SH.2023.25.3.036Похожие публикации:
IMPROVED RECOGNITION OF ADULT-ONSET COMMON VARIABLE IMMUNODEFICIENCY FOLLOWING A TARGETED EDUCATIONAL WORKSHOP: A CASE SERIES FROM KAZAKHSTAN
NEW TECHNIQUE OF ANTERIOR MITRAL LEAFLET PLICATION FOR CORRECTION OF SAM SYNDROME IN OBSTRUCTIVE HYPERTROPHIC CARDIOMYOPATHY. CLINICAL CASE
COMBINATION OF ATYPICAL HEMOLYTIC UREMIC SYNDROME AND IGA NEPHROPATHY : A CASE REPORT AND LITERATURE REVIEW
CORONARY ARTERY STENTING UNDER ECMO SUPPORT: A CASE SERIES DESCRIPTION
CLINICAL CASE OF INTUSSUSCEPTION AGAINST A BACKGROUND OF INTESTINAL INFECTION IN A CHILD. CLINICAL CASE