Staged correction of multiple congenital malformations

S. A. Gebekova , B. M. Makhachev , F. V. Meilanova , M. N. Abasov , A. D. Magomedov , V. T. Ashurbekov

Russian Journal of Pediatric Surgery ›› 2023, Vol. 27 ›› Issue (1) : 62 -66.

PDF
Russian Journal of Pediatric Surgery ›› 2023, Vol. 27 ›› Issue (1) : 62 -66. DOI: 10.55308/1560-9510-2023-27-1-62-66
CASE REPORT
other

Staged correction of multiple congenital malformations

Author information +
History +
PDF

Abstract

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

Keywords

esophageal atresia / thoracoscopy / esophago-esophagoanastomosis / children

Cite this article

Download citation ▾
S. A. Gebekova, B. M. Makhachev, F. V. Meilanova, M. N. Abasov, A. D. Magomedov, V. T. Ashurbekov. Staged correction of multiple congenital malformations. Russian Journal of Pediatric Surgery, 2023, 27(1): 62-66 DOI:10.55308/1560-9510-2023-27-1-62-66

登录浏览全文

4963

注册一个新账户 忘记密码

References

[1]

1. Пури П., Гольварт М. Атрезия пищевода. В кн.: Атлас детской оперативной хирургии. М.: МЕДпресс-информ; 2009, 43–62. Puri P., Gol’vart M. Esophageal atresia. In: Atlas of Pediatric Operative Surgery [Atlas detskoj operativnoj khirurgii]. Moscow: MEDpressinform; 2009, 43–62. (in Russian)

[2]

3.Aminde L.N., Ebenye V.N., Arrey W.T., Takah N.F., Awungafac G. Oesophageal atresia with tracheo-oesophageal fistula in a preterm neonate in Limbe, Cameroon: case report and brief literature review. BMC Res Notes. 2014; 7(7): 692.

[3]

4.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]

5.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.

[5]

6.Pinheiro P.F., Simoes e Silva A.C., Pereira R.M. Current knowledge on esophageal atresia. World J. Gastroenterol. 2012; 18(28): 3662–72.

[6]

7.Красовская Т.В., Кучеров Ю.И., Батаев Х. М., Толстов К.Н., Мокрушина О.Г. Хирургическая тактика при различных формах атрезии пищевода. Детская хирургия. 2000; 5: 46–50.

[7]

8.Huh Y.J., Kim H.Y., Lee S.C., Park K.W., Jung S.E. Comparison of outcomes according to the operation for type A esophageal atresia. Ann. Surg. Treat. Res. 2014; 86(2): 83–90.

[8]

9.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]

10.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]

11.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]

12.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]

13.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.

[13]

14.Ашкрафт К.У., Холдер Т.М. Атрезия пищевода и трахеопищеводные аномалии. Т. № 1. В кн.: Детская хирургия. Санкт-Петербург: Хардфорд; 1996. С. 278–99.

[14]

15.Красовская Т.В., Кучеров Ю.И., Батаев С.-Х. М., Толстов К.Н., Мокрушина О.Г. Осложнения оперативного лечения атрезии пищевода. Детская хирургия. 2001; 3: 44–7.

[15]

16.Chang E.Y., Chang H.K., Han S.J., Choi S.H., Hwang E.H., Oh J.T. Clinical characteristics and treatment of esophageal atresia: a single institutional experience. J. Korean Surg. Soc. 2012; 83(1): 43–9.

AI Summary AI Mindmap
PDF

149

Accesses

0

Citation

Detail

Sections
Recommended

AI思维导图

/