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Information × Registration Number 0224U032925, (0123U100529) , R & D reports Title To develop a differentiated approach to providing surgical care to newborns with gastroschisis from regions adjacent to active hostilities popup.stage_title Розробити диференційований підхід надання хірургічної допомоги новонародженим з гастрошизисом з регіонів прилеглих до активних бойових дій Head Sliepov Oleksii K., Registration Date 11-12-2024 Organization State institution «Ukrainian center of maternity and childhood of the National academy of medical sciences of Ukraine» popup.description1 To optimize the surgical treatment of GS in newborns by developing the tactics of surgical care in the conditions of the perinatal center, based on the study of risk factors, concomitant pathology of the defect and their influence on the use of appropriate methods of surgical correction. popup.description2 Report on the research work: 139 p., 19 tables, 70 figures, 193 references. The object of the study is a congenital developmental disorder - gastroschisis in newborns. Purpose - to improve the results of surgical treatment of gastroschisis in newborns, including those from regions adjacent to active hostilities; to study the peculiarities of the course of gastroschisis during military operations. Methods of the study: general clinical, radiological (chest and abdominal radiography, X-ray contrast examination of the gastrointestinal passage, irigography), morphological and statistical methods. The anatomical features of various forms of GS were studied. For the first time in the world, a treatment strategy for GS ‘Surgery of the First Minutes’ was developed and implemented, and on this basis, the tactics of surgical treatment of various forms of GS (isolated, associated, uncomplicated, complicated), including in patients from the territories of active hostilities, were developed. For the first time, the impact of military operations on the outcome of surgical treatment of GS was studied. It was found that during military operations, the pathological course of pregnancy in women with fetal GS prevailed. The condition of newborns with GS, at the 5th minute of their life, during hostilities, was more severe than that of similarly born children in peacetime. It was found that the frequency and average severity of VAD in newborns with GS during hostilities were significantly higher than in the comparison group. It has been proved that surgical treatment of GS associated with meconium ileus is always a multi-stage procedure: placement of a Schuster bag (stage I), placement of a two-barrel divided enterostomy (stage II) and closure of stomas with restoration of gastrointestinal tract patency (stage III). The research results are reflected in 10 printed works. Based on the results of the study, 1 monograph ‘Surgery of gastroschisis’ was published. Product Description popup.authors Dzham Oleh P. Znak Kostiantyn L. Kanіovska Valentyna A. Lutsenko Iryna R. Ponomarenko Oleksii P. Sliepov Oleksii K. Stryzhak Svitlana K. popup.nrat_date 2024-12-11 Close