Prospects for use of surgical navigation to correct congenital malformations in neonatology
The introduction of endoscopic methods to correct congenital malformations is one of the priorities in neonatal surgery. The current techniques of processing visual information and the possibilities of computer graphics maintain a surgeon’s work in natural environments and augmented reality conditions.Dorofeeva E.I., Podurovskaya Yu.L., Degtyarev D.N., Prokhin A.V., Aleksandrova N.V., Balashov I.A., Kozlova A.V., Bychenko V.G.
Objective. To analyze the authors’ own experience with the follow-up and surgical treatment of newborn infants with malformations and to identify disease groups, the surgical correction of which requires intraoperative navigation.
Subjects and methods. A total of 1354 newborns with malformations were followed up in 2010 to 2016; their medical records were retrospectively analyzed.
Results. Surgical removal of space-occupying lesions and endoscopic interventions for pulmonary and renal malformations are accompanied by the greatest technical difficulties and risks for complications in searching for a pathological focus, mobilizing tissues, and isolating the feeding vessels.
Conclusion. The intraoperative navigation complex is the most in-demand in surgery for congenital malformations of the lung, in the removal of space-occupying lesions, and in the reconstructive surgeries of kidney anomalies.
Keywords
newborn infants
malformations
surgical treatment
neonatal surgery
surgical navigation
Supplementary Materials
- Table. Annual hospitalization of patients in groups of congenital malformations in the Department of Neonatal Surgery of National Medical Research Center
- Fig. 1. The proportion of endoscopic surgical interventions performed in the department of neonatal surgery in the period 2010 - 2016.
- Fig. 2. Endoscopic intraoperative photo. Ureterohydronephrosis of the upper segment of the right double kidney. In the retroperitoneal space several elongated ureters
- Fig. 3. Endoscopic intraoperative photo. Multicystosis of the left kidney. In the retroperitoneal space, the cystic complex
- Fig. 4. Endoscopic intraoperative photo. Sequester of the lung in retroperitoneal space. Bleeding when the feeding vessel is injured
- Fig. 5. Endoscopic intraoperative photo. Congenital cystic adenomatous malformation of the lower lobe of the lung. There is no intersecting sulcus, the division is carried out through the lung tissue along the border of the patient (pictured left) and healthy (in the photo to the right)
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Received 11.10.2017
Accepted 27.10.2017
About the Authors
Dorofeeva Elena Igorevna, Ph.D., Head of Clinical Work of Department of Neonatal Surgery, National Medical Research Center of Obstetrics, Gynecology,and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Oparina str. 4. Tel.: +74954381424. E-mail: dorofey_i@mail.ru
Podyrovskaya Yulia Leonidovna, Ph.D., Head of Department of Neonatal Surgery, National Medical Research Center of Obstetrics, Gynecology,
and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia.
117997, Russia, Moscow, Oparina str. 4. Tel.: +74954381424. E-mail: y_podurovskaya@oparina4.ru
Degtyarev Dmitry Nikolaevich, Ph.D., M.D., professor, Deputy of Director on Researches, National Medical Research Center of Obstetrics, Gynecology,
and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia.
117997, Russia, Moscow, Oparina str. 4. Tel.: +79260072630. E-mail: glav_neolog@yahoo.com
Prokhin Alexey Victorovich, Analyst of Westtrade Ltd. 115201, Russia, Moscow, 1st Warshawsky pr. 1A/9. Tel.: +79160733881. E-mail: aleksprohin@gmail.com
Aleksandrova Natalia Vladimirovna, Ph.D., M.D., Senior Researcher, National Medical Research Center of Obstetrics, Gynecology,
and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia.
117997, Russia, Moscow, Oparina str. 4. Tel.: +74954382538. E-mail: alexandrova.ncagip@gmail.com
Balashov Ivan Sergeevich, Junior researcher at the Laboratory of Bioinformatics. National Medical Research Center of Obstetrics, Gynecology,
and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia.
117997, Russia, Moscow, Oparina str. 4. Tel.: +79104462005. E-mail: i_balashov@oparina4.ru
Kozlova Alina Vladimirovna, Radiologist of the Department of Radiation Diagnostics, National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Oparina str. 4. Tel.: +74954387647. E-mail: av_kozlova@oparina4.ru
Bychenko Vladimir Gennadyevich, Head of the department of radiation diagnostics, National Medical Research Center of Obstetrics, Gynecology,
and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia.
117997, Russia, Moscow, Oparina str. 4. Tel.: +74954387647. E-mail: v_bychenko@oparina4.ru
For citations: Dorofeeva E.I., Podurovskaya Yu.L., Degtyarev D.N., Prokhin A.V., Aleksandrova N.V., Balashov I.A., Kozlova A.V., Bychenko V.G. Prospects for use of surgical navigation to correct congenital malformations in neonatology.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2017; (12): 96-103. (in Russian)
https://dx.doi.org/10.18565/aig.2017.12.96-103
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