Invention

Invention 
 

 

The method of combined treatment of giant sacrococcygeal cystic hygroma in newborns


Sliepov O. K., Latishev K. V., Ponomarenko O. P., Golopapa G. V., Migur M. Yu., Shipot O. G.

SI «Institute of Pediatrics, Obstetrics and Gynecology National Academy of Medical Sciences of Ukraine», Kiev


The method of combined treatment of giant sacrococcygeal cystic hygroma in newborns includes surgical treatment. Additionally, at the first stage, serial decompression punctures of tumor cavities with using of compressive bandages for maximal devastation and to minimize the volume of cystic hygroma was carried at 1-2 days intervals. At the second stage, surgery was carried out to remove residual teratoma tissues with excision of excess skin.

 

 

The method surgical correction of omphalocele with severe complex heart defect in newborns


Sliepov O. K., Soroka V. P., Kotcovskiy V. V., Ponomarenko O. P., Markevich O. V., Shipot O. G.

SI «Institute of Pediatrics, Obstetrics and Gynecology National Academy of Medical Sciences of Ukraine», Kiev


The method surgical correction of omphalocele with severe complex heart defect in newborns includes surgical treatment. Surgical correction of omphalocele performed under general anesthesia with spontaneous respiration without intubation, mechanical ventilation and muscle relaxants; after reduction of hernia contents into the abdominal cavity with transillumination control, excess of hernia sac is tied and removed, the residue is immersed in the abdomen and covered by aponeurosis which sutured with interrupted sutures, so it is fully restored the integrity of the anterior abdominal wall aponevrosis, interrupted sutures imposed on the skin and carried «artificial» navel plastic.

 

 

 


The method of prenatal assessment of correspondence between eventrated abdominal viscera volume and abdominal cavity volume in fetus with GS


Gordienko I. Yu., Sliepov O. K., Tarapurova O. M., Grebinchenko G. O., Vilichko A. V., Soroka V. P., Ponomarenko O. P.

SI «Institute of Pediatrics, Obstetrics and Gynecology National Academy of Medical Sciences of Ukraine», Kiev


The method of prenatal assessment of correspondence between eventrated abdominal viscera volume and abdominal cavity volume in fetus with GS includes ultrasound scan of the fetus. Additionally held biometrics sizes of the fetus abdomen and eventrated abdominal viscera, determination of its correspondence (index of visceroabdominal disproportion (VAD)) by calculating of the multiplication of two oblique anteroposterior fetal abdominal size under liver during lumbar scanning and the third longitudinal dimension of the abdominal cavity with calculation of eventrated abdominal viscera sizes multiplication – the two largest skew sizes at the lumbar scan of the fetus abdomen under liver during lumbar scanning and the third longitudinal dimension of the abdominal cavity, according to calculated VAD index degree of VAD in the fetus may be determined. If value of the index greater than 1, concluded that there is no VAD. At the index value of 0.5 to 0.9, conclude that the VAD is moderately severe. When the index is 0.5, conclude that VAD is severe.