1. [Advances in the treatment of newborns with congenital malformations].
- Author
-
Sawicka E, Michalak J, and Ploska-Urbanek B
- Subjects
- Abdominal Muscles abnormalities, Abdominal Muscles surgery, Craniofacial Abnormalities mortality, Craniofacial Abnormalities surgery, Diaphragm abnormalities, Diaphragm surgery, Digestive System Abnormalities mortality, Digestive System Abnormalities surgery, Female, Humans, Infant, Newborn, Male, Nervous System Malformations mortality, Nervous System Malformations surgery, Neural Tube Defects mortality, Neural Tube Defects surgery, Poland epidemiology, Retrospective Studies, Time Factors, Urologic Diseases complications, Urologic Diseases mortality, Urologic Diseases surgery, Congenital Abnormalities mortality, Congenital Abnormalities surgery
- Abstract
Authors analyzed the type and the number of treated congenital malformations in 544 newborns operated between 1992-2001 in the Department of Paediatric Surgery in the Institute of Mother and Child. The patients were divided in the following groups: digestive tract defects, abdominal wall and diaphragm defects, neural tube defects, urinary track defects, craniofacial and brain defects and others anomalies occurring rarely. Most of the operations were preformed in the first 48 hours of life. Since 1995 special newborn transport, early cardiac surgery and neonatal intensive care have been introduced. Total mortality of operated newborns and death in particular groups were analyzed. The implemented elements caused a decrease in mortality from 36 to 13 percent. In the authors' opinion improvement in treatment results is due to earlier diagnosis and better understanding of pathophysiology of the defects, introduction of noninvasive pre- and postnatal diagnostics and establishment of centres specialized in neonatal surgery and intensive care.
- Published
- 2003