Open AccessSTRUCTURE OF SURGICAL ABNORMALITY IN NEWBORNS OF THE NIZHNY NOVGOROD REGION
Author(s) -
И. Ю. Карпова,
В. В. Паршиков,
Е. А. Рожденкин,
Г. Б. Батанов,
В. Е. Пивиков,
Е. Д. Пятова,
Д. В. Молчанова,
А. А. Бебенина
Publication year - 2019
Publication title -
rossijskij vestnik detskoj hirurgii, anesteziologii i reanimatologii
Language(s) - English
Resource type - Journals
eISSN - 2587-6554
pISSN - 2219-4061
DOI - 10.30946/2219-4061-2018-8-4-33-38
Subject(s) - referral , medicine , pediatrics , abnormality , congenital malformations , pregnancy , family medicine , biology , genetics , psychiatry
Introduction. A tendency to the decline in birth rate and reduced number of diseases of the neonatal period has been lately observed in the Nizhny Novgorod region. Materials and methods . 494 neonates with a surgical pathology aged from the frst hours to several weeks were treated in hospitals serving as clinical bases for the Volga Research Medical University from 2013 to 2017. 305 (62%) boys and 189 (38%) girls were observed. The majority of children (88%) were taken to surgical departments from maternity homes and perinatal centers of the city and region. 62 (12%) of children were hospitalized following the referral from local pediatricians. Admitted patients had a clinical and instrumental examination and initial therapy that stabilized their conditions and prepared them for surgeries. Results . Congenital malformations (CM) were diagnosed in 330 (67%) children only. According to analysis of diseases related to the neonatal period, purulent and septic processes were found in 104 (21%) patients. Surgeries were performed in children aged from day 1 to several months of life. Conclusion . Modern antenatal diagnostics and complex examination of newborns in the neonatal period enable timely detection of congenital abnormalities and initiation of adequate treatment.