SVIBOR - Project code: 3-01-500

MINISTRY OF SCIENCE AND TECHNOLOGY

Strossmayerov trg 4, HR - 10000 ZAGREB
tel.: +385 1 459 44 44, fax: +385 1 459 44 69
E-mail: ured@znanost.hr

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Project code: 3-01-500


NEW METHODS OF SURGICAL TREATMENT FOR CONGENITAL MALFORMATIONS IN NEWBORN CHILDREN AND SMALL INFANTS


Main researcher: BATINICA, STIPE (2511)


Assistants
Type of research: applied
Duration from: 10/01/93. to 10/01/97.
Papers on project (total): 48
Papers on project quoted in Current Contents: 9
Institution name: Medicinski fakultet, Zagreb (108)
Department/Institute: Department of Pediatic Surgery University Hospital Rebro
Address: Kišpatićeva 12
City: 10000 - Zagreb, Croatia
Communication
Phone: 385 (0)1 233-233
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

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