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Summary: In this project authors suggest the new methods in
adjustment in some more frequent congenital anomalies.
In the tratment of recurrent tracheo-esophageal fistula they reccomend
pedicle of pericard for covering the hole on the trachea. In the sane way,
vascularing flap of the pericard may be used to bridge the hole in the
diaphragm of the babies with diaphragmatic hernia.
If the congenital defect of the anterior abdominal wall can not be
closed easily in layers, without tension, the eviscerated organs are
covered by the alloplasts (Dacron, Teflon Gore-Tex) and skin over that. It
is very important to measure the intraabdominal cavity pressure, and depend
of that, to choose the proper method.
In the syndrome of short bowel it is very difficult to keep alive child
who has less than 40 cm of small bowel without ileocecal valve. Our
experience and results with these problems are not good.
The most frequent surgical problems about congenital anomalies in
newborn children and small infants are in the urologic system, particulary
on the cystoureteral and pyeloureteral junction. Instead of urgent and
radical operation, sometimes we use internal and external drainage as a
temporaly method of operation.
Keywords: neonatal surgery, congenital anomalies, model, reccurent tracheo-esophageal fistula, pleuroperitoneal diaphragmatic hernia, congenital defects of the anterior abdominal wall, short bowel syndrom, anomalies of the urologic system