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Title: The impact of modern videosurgical techniques on the modification of surgical treatment in newborns and infants with selected congenital malformations
Abstract:
Modern regimen of surgical treatment of congenital anomalies emphasizes the earliest possible diagnosis, optimal time of therapy and also the reduction of the number and invasiveness of interventions. The development of MIS have allowed for essential modifications of surgical intervention-requiring congenital defects. The objective of this study is the presentation of new surgical treatment modalities aiming to achieve the postulated goals. The first study presents an analysis of treatment of newborns with long-gap esophageal atresia. The intervention involved a staged thoracoscopic internal traction, without gastrostomy. A successful esophageal anastomosis was achieved during the second approach in three out of four neonates. Full oral feeding was achieved between 10 and 35 days postoperatively. The second study presents a retrospective analysis of surgical therapy of newborns with diagnosed congenital diaphragmatic hernia. The percutaneous suturing technique introduced for the fixation of diaphragmatic muscle to the chest wall was evaluated according to the percentage of hernia recurrences. Statistically significant reduction of the recurrence rate was achieved. The third study presents an analysis of laparoscopic histological mapping employed in patients with HD, in whom the determination of the length of the aganglionic segment with contrast enema was impossible. The prec ; ise diagnosis was achieved in all children, which allowed to establish the mode of further surgical treatment. No complications related to the laparoscopic procedure were identified. The results of presented studies confirm the effectiveness of proposed diagnostic and therapeutic solutions, with maintained safety level.
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Last modified:
Mar 6, 2024
In our library since:
Mar 1, 2023
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18
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0
All available object's versions:
http://dl.cm-uj.krakow.pl:8080/publication/4956
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| Edition name | Date |
|---|---|
| ZB-135915 | Mar 6, 2024 |
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