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Title: Gastroschisi e onfalocele nel servizio di chirurgia pediatrica di luanda (Angola): studio prospettico
Authors: Anjinho, Lucia Etome
Supervisore/Tutore: Shleef, Jurgen
Ventura, Alessandro
Issue Date: 15-Apr-2009
Publisher: Università degli studi di Trieste
The study of gastroschisis and omphalocele had the general objective of establishing criteria to standardize and improve the treatment of R/N with above conditions, providing reduced rate of nosologic entities concerned. Identify and analyze the risk factors. Ensuring higher survival and improve the prognosis, reducing the risk factors associated with death. There was a retrospective study in the years 2001-2006 and 2007-2008 respectively in the forward-HPDB Angola. The study included a total of 62 cases and 34 cases (55%) of gaetroschisis and 28 cases (45%) of omphalocele. The mean maternal age was 20 years in the gastroschisis and omphalocele in 25.5 years. Mean birth weight was 2390.5 g for gastroschisis to omphalocele 2900gr. There was a predominance of female 35 (56.45%) cases. Both cases of gastroschisis and omphalocele arrived in the first 48hours after birth, the transportation was not the most appropriate, to arrive at BU has become infused Ev, local treatment with sterile material, and placement of antibiotic Ev NGA to aspiration of secretions. In gastroschisis in 8 cases (23.5%) made up of gross surgery, 9 cases (26.5%) made up of surgery Schuster, 6 cases (17.6%) made up the wall plasty not specify the technique and in 11 cases (32%) no information for surgical treatment. In omphalocele in 28 cases (50%) took place the plastic wall, 13(46%) cases it was conservative treatment and 1 case (3.5%) treatment has become mixed, so to emphasize that in 3 cases (10.71%) it is specified the type of surgery that was Gross. The association of omphalocele with other malformations was present in 5 cases (18%).The mortality in gastroschisis was 100%, the omphalocele was71.42%.There was a prospective study of gastroschisis and omphalocele in several rooms of delivery and the service of pediatric surgery Luanda, Angola from October 2007-2008. The overall objective of reducing the rate of morbidity and mortality of these nosologic entities. The variables were: maternal age, gestational age, socio-economic status, parity, birth weight, Apgar score and outcome. Using established standards and conduct therapeutic such as: Prophylaxis-anti-infection using antibiotics soon after birth prophylaxis-anti-anti-hypothermia and hypovolemia using sterile plastic bags protecting viscera exposed.-Implementation of surgical treatment with staged construction of the silo. We evaluated 6 R / N and R 4 / N 2, with gastroschisis and omphalocele in the delivery room of Lucrécia Paim Maternity rooms and other parts of Luanda, and then immediately transferred to the department of pediatric surgery HPDB for surgical treatment measures support previously done. The interval between delivery and surgery was 6 hours on average. 4 cases of R / N with gastroschisis without prenatal diagnosis, delivery hospital, transpelvino with average birth weight of 2.300g Apgar with an average of 4 / 5, both with large abdominal wall defect, the maternal age on average was de17anos , on average gestational age was 38 weeks, low socio-economic situation and were all primigravidae.3 cases (75%) in the immediate postoperative period needed assisted ventilation, in which 2 - °, 3 - and 4 ° - ° days ended in deaths, 1 case(25%) developed high and taking the 65 - ° days of hospitalization.2 cases of omphalocele associated with multiple malformations incompatible with life, one (50%) with prenatal diagnosis, born of cesarean section with Apgar 1 survived only 2 hours, another (50%) birth transpelvino Apgar 1 / 3 survived 24 hours with very bad general condition, on average gestational age was 39 weeks, on average maternal age of 29 years, multiparous (2-3).
Ciclo di dottorato: XXI Ciclo
Keywords: GastroschisionfaloceleAngolagravidanza
Type: Doctoral
Language: pt
Settore scientifico-disciplinare: MED/38 PEDIATRIA GENERALE E SPECIALISTICA
NBN: urn:nbn:it:units-7511
Appears in Collections:Scienze mediche

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