Release date: 2016-08-11
Shanghai Children's Medical Center revealed on the 9th that the hospital's surgery has successfully performed a very difficult endoscopic minimally invasive surgery for the youngest patient since the establishment of the hospital. Children with congenital intestinal multiple deformity who were born only one day were rescued.
It is reported that the child not only has duodenal malformation, but also accompanied by the twist of the entire intestine - the midgut is twisted, delaying treatment is life-threatening. On the 10th postoperative day, the child was discharged from the hospital, which was nearly one week earlier than the traditional neonatal bowel surgery.
According to Yan Zhilong, the incidence of global digestive tract malformation is 5 million cases per year, and the incidence of intestinal malrotation is about 1/6000, and it is even rarer to have duodenal atresia. The operation was the youngest in the minimally invasive laparoscopic minimally invasive surgery performed by the child center for more than 10 years - only one day after birth.
Yin Yin (a pseudonym) mother's prenatal antenatal B-ultrasound found that the fetal intestines dilated, the doctor considered the child may be congenital intestinal malformations. Therefore, Yin Yin was sent to the Children's Medical Center of Shanghai Children's Medical Center just after leaving her mother's womb. Yan Zhilong, the director of the Shanghai Children's Medical Center, admitted to Yin Yin, the baby born on the same day and weighing only about 3kg (6kg).
According to reports, in order to help Yin Yin to clear the cause as soon as possible, on the night of admission, the Department of Pediatric Surgery, together with neonatology, radiology and other experts, completed the digestive tract film and angiography within 1 hour. After a thorough examination, Yan Zhilong believed that Yin Yin was indeed congenital digestive tract malformation. He told reporters that for this newborn baby, this is undoubtedly a tricky and life-threatening bad news: congenital digestive tract malformation will cause it to be completely unable to eat, resulting in intestinal obstruction, bloating, making the diaphragm position too high So that the chest is oppressed, directly affecting its normal breathing.
Yan Zhilong decided to perform surgical exploration and treatment on the second day after Yin Yin came to the world. "She is a beautiful girl. It is a pity to leave such a small body." Director Yan said, "This surgery uses minimally invasive techniques to avoid the lack of postoperative abdominal incision caused by traditional open surgery. The advantages of small wound, quick recovery and more beautiful appearance."
Of course, the expert's decision hides the risk. It is understood that Yin Yin is a newborn born only one day, and the abdominal space is small, which means that the operation space in the operation is also small, which greatly increases the difficulty and risk of surgery. With years of rich experience in laparoscopic surgery, Yan Zhilong, with the support of his family members, decided to "become a perfect future for the children."
Yan Zhilong said that during the operation, doctors discovered that there is not only duodenal malformation, but also the torsion of the entire intestine - the midgut torsion, such as delayed diagnosis and treatment will lead to intestinal necrosis and life-threatening. For newborns, it is very rare to have two serious congenital malformations of the digestive tract at the same time, and the operation is extremely difficult.
In the end, after 2 hours, under the skilled operation of Yan Zhilong, the operation was finally completed.
After careful care and patient care by the nursing staff of the Department of Pediatric Surgery, Neonatology and General Surgery, Yin Yin began to drink milk on the 7th day after surgery, and the amount of milk increased day by day. He was discharged from hospital on the 10th postoperative day. This is about a week earlier than the time of traditional neonatal bowel surgery.
Experts remind parents that for newborns who cannot eat, repeat vomiting, or bloating after birth, it is necessary to determine early whether there is a digestive tract malformation, and once the presence of a deformity is clear, surgery is needed as soon as possible. Now with the continuous improvement of science and technology, the surgeon's experience in minimally invasive surgery continues to improve, and neonatal endoscopic minimally invasive surgery is a good choice for children.
Source: China News Network
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