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]
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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.2023.25.3.036

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