Висцеро-абдоминальная диспропорция и состояние эвентрированных органов при гастрошизисе у новорожденных детей в зависимости от способа родоразрешения

Purpose — to determine the frequency and severity of viscero-abdominal disproportion and condition of eventrated organs in infants with gastroschisis depending on way of delivery. Patients and methods. The analysis of medical records of 100 children with gastroschisis for the period from 1987 to 2015 which were born naturally or via cesarean section was performed. Patients with gastroschisis were divided into 3 clinical groups depending on prenatal diagnosis, methods of transportation and delivery, surgical treatment (I — basic, II — comparison, III — comparison). Results. The frequency of viscero-abdominal disproportion in children which were born by cesarean section (I group) was 87.5% and did not differ significantly from those which were born naturally (II and III groups). It was determined that incidence of severe viscero-abdominal disproportion in patients from I group which were born by cesarean section was smaller and significantly lower than in infants with gastroschisis from II and III groups which were born naturally. In children with gastroschisis which were born by cesarean section (I group) physiological pink color of eventrated hollow viscus was observed more often, in contrast to patients who were born naturally (II and III groups). Peels frequency in children with gastroschisis which were born naturally (II and III groups) was much more higher than in babies with gastroschisis delivered by cesarean section. Conclusions. The frequency of viscero-abdominal disproportion in children with gastroschisis which were born by cesarean section is 87.5% and in newborns which were born naturally — 80.0% (II group) and 100% (III group). Patient transportation method (in-utero transport and postnatal transportation) affects viscero-abdominal disproportion frequency. Way of delivery affects severity of viscero-abdominal disproportion and eventrated organs condition and does not affects the frequency of viscero-abdominal disproportion in children with gastroschisis. Key words: gastroschisis, viscero-abdominal disproportion, eventrated organs, newborns, way of delivery.