Главная 7 Children's diseases 7 Problems and achievements of Moscow specialists in the field of neonatal surgery

Problems and achievements of Moscow specialists in the field of neonatal surgery

Problems and achievements of Moscow specialists in the field of neonatal surgery

At present, there is an increase in the birth rate of children with surgical pathology who need surgical treatment sometimes even during the period of newborns. Over the past decade, there have been significant changes in the organization of care for children of the first days of life with surgical pathology at different levels of the health system, which allowed expanding the list of corrected congenital pathologies and reducing child mortality.

Doctor of Medical Sciences, Professor, Chief Children’s Surgeon of the Department of Public Health of the City of Moscow, Head of the Department of Thoracic Surgery and Surgical Gastroenterology of the Children’s Clinical Hospital № 13 named after the doctor of medical sciences, spoke about the problems and achievements in the provision of surgical care for children of the newborn period in the capital. NF Filatov Alexander Yurievich Razumovsky.

– Alexander Yuryevich, please tell us what successes and difficulties are present in your hard work.

The formation of neonatal surgery

– Surgery of the neonatal period is a complex area of ​​modern pediatric surgery. In our country neonatal surgery has been developing for several years and I would like to note that Russian specialists, in particular the capital surgeons, have made a significant contribution to the development of this area of ​​surgery.

In the middle of the last century, outstanding Moscow surgeons S.D. Ternovsky, Yu.F. Isakov, S.Ya. Doletsky and others laid the foundations for the development of neonatal surgery as a separate multidisciplinary area. At the initiative of these doctors, a specialization in neonatal surgery appeared in the training of children’s resuscitators and surgeons. At the same time, the first branches were opened in the capital to provide medical care to children of neonatal age. As a result, the survival rates of this category of patients improved significantly.


- What are, in your opinion, the advantages of prenatal diagnosis?

- As I mentioned earlier, the development of modern diagnostic methods gives us the opportunity to learn about the presence of congenital pathology even at the stage of intrauterine development. Emergency Surgery is relevant in about a third of the cases of the birth of such children immediately after birth and about half of those born with congenital malformations of children need a dynamic observation and rectification of the defect in a planned manner.

In the capital, there are now 3 centers of antenatal care: department on the basis DKB number 13 named. N.F. Filatova, the Center for Family Planning and Reproduction (TsPSiR), and the department on the basis of State Clinical Hospital No. 8. So, for example, in the consultative center of the hospital. N.F. Filatova prenatal examination is more than 400 pregnant women per year. In some cases, in the process of counseling, it is possible to remove the diagnosis, in some cases fundamentally change.

In special cases, doctors of counseling centers explain to future parents about the nature of congenital anomalies, the possibility of conducting corrective operations, their scope. In some cases, medications are indicated for the termination of pregnancy. Some pregnant women need a dynamic observation of fetal development, with the definition of further tactics of labor and the timing of the transfer of a newborn to a specialized department.


Hello. My name is Polina. Hearing once the truth that a pediatrician is the chief doctor for any family with young children, I realized that I have something to strive for.

О admin

x

Check Also

Symptoms of concussion in the child: how to determine the first signs, other features and manifestations

Concussion in children: the first signs and symptoms Concussion in children requires careful monitoring of ...

Symptoms of obstructive bronchitis in children and the scheme of its treatment

What is obstructive bronchitis: symptoms and treatment of illness in children Obstructive form of bronchitis ...

Symptoms of intestinal infections in children, first aid and treatment

Acute intestinal infections in children: the types, symptoms and tactics of treatment Intestinal infections are ...

Symptoms and signs of laryngitis in newborns, infants and older children, depending on the form and stage of the disease

Laryngitis in children: features and signs of the disease In the treatment of laryngitis in ...

Symptoms and the first signs of brain concussion in school-age children, preschool, newborns and babies, as well as first aid and treatment

Symptoms of brain concussion in children: meaningful recommendations to parents Concussion is one of the ...

Symptoms and first signs of pneumonia in children, treatment tactics

Inflammation of the lungs or pneumonia in children: symptoms, the first signs, tactics of therapy ...

Symptoms and first signs of appendicitis in children, diagnosis and treatment

Symptoms of appendicitis in children: the degree of development and the nature of the disease ...

Symptoms and treatment of sinusitis in children of different ages video

Symptoms and treatment of sinusitis in children of different ages The child is more exposed ...

Serous meningitis in children: symptoms, incubation period, consequences, treatment and prevention

Serous meningitis in children, its symptoms, diagnosis and treatment All parents pay special attention to ...

Seasonal flu in children: treatment, prevention of influenza in children up to a year and older

Influenza in children: symptoms and treatment Influenza in children (Grippus) Is an acute viral disease ...

Seborrheic dermatitis in children at different ages: treatment and other features photo

Seborrheic dermatitis or milk crust in small patients Young mothers are very worried about their ...

Candles for Teething Teeth in Children: How to Choose an Effective Anesthetic

Candles for teething children: we will tell about the most popular and effective preparations Teething ...

Candles Paracetamol for children: instructions for use, dosage and reviews

Candles for children Paracetamol: instructions for the use of an effective remedy against temperature and ...

Candles Panadol for children (125 and 250 mg): instructions for use, composition and form of the preparation of children’s drug

Candles for children Panadol; instructions for use, advantages, pros and cons The rise in temperature ...

Candles for children: what antipyretic drugs are recommended by pediatricians

Effective and quick-acting candles for children: a list of antipyretic agents recommended by pediatricians In ...

Candles for colds and SARS for children: a description of the most effective children’s products

Review of the most popular and effective candles for colds for children Pharmacists have come ...

Candles for constipation for children: the principle of action and the rules for choosing children’s laxatives for newborns, children up to a year and older 2-3 years

Candles for Constipation for Children: Features of Use, Safety, Best Drugs Problems with the intestines ...

Worm candles for children: the principle of action and a detailed list of drugs

Guests in the tummy of your baby; how to get rid of worms with the ...

Candles Corilip and Corilip-Neo for children: composition and instruction on the use of the drug

Candles Corilip and Corilip-Neo for children: admission rules, contraindications and drug prices How to help ...

Ibuprofen candles for children: benefit and harm to the child’s body, instructions for use, recommended forms of medicine for infants under one year and from 2-3 years, and interaction with other drugs

Ibuprofen for children: all the features and rules of the drug The need for non-steroid ...

Candles for children from hemorrhoids and cracks in the anus: an overview of the best means

The most effective and safe candles from hemorrhoids and cracks in the anus for children ...

Candles for children Viferon: instructions for use and dosage rules for an antiviral drug

To help Mom candles for children Viferon: instruction on the use of an antiviral drug ...

Viferon suppositories for the prophylaxis of viral diseases in children (acute respiratory viral infection, influenza): features of the drug

Viferon: effective remedy for the prevention of viral diseases in children Candles of Viferon; it ...

Candles Viferon for children under 1 year: from how many months can be used (instructions for use and dosage rules)

Antiviral suppositories Viferon: is it possible to use a remedy for children under one year ...