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Khirurgii

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Year 2010 Vol. 18 No 3

PAEDIATRIC SURGERY

KOVALCHUK V.I., NOVOSAD V.V.

COMPARATIVE ESTIMATION OF THE OPERATIVE TREATMENT RESULTS OF THE ESOPHAGUS ATRESIA

Objective. To study the treatment results of the esophagus atresia in the clinic of pediatric surgery and to estimate the efficacy of the proposed techniques.
Methods. The present investigation was carried out at the clinic of pediatric surgery of GSMU, Grodno. The results analysis of the early postoperative period in the children with the esophagus atresia operated on in the period of 1995 to 2004 years (group A) was carried out by us. And the treatment results of children with the esophagus atresia were analyzed during the period of 2005 to 2009 years (group B), when the modified techniques of this defect treatment were used.
Results. The comparative estimation of the methods of treatment and their results in children with the esophagus atresia up to 2004 year and later was performed. The modified techniques of the esophagus prolongation, the tracheoesophageal fistula treatment and esophagoesophagoanastomosis application are proposed.
Conclusion. The reduction of the general and postoperative lethality rate is marked as well as the reduction of the failures of the esophagus and lack of hemorrhage and lack of recurrences of the tracheoesophageal fistula. The use of the bougieurage technique of the proximal end of the esophagus and the method of the anastomosis application at diastasis of 1,5–2,0 cm permitted to avoid completely esophagocoloplasty. The applied technique of the tracheoesophageal fistula treatment permits to avoid trachea deformations and fistula recurrences.

Keywords: esophageal atresia, dehiscence of anastomosis, esophageal stricture, recurrence of the tracheoesophageal fistula, hemorrhage
p. 97 – 102 of the original issue
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