Typhlostomy

An important element in the surgical treatment of obstruction in newborns is palliative therapy. With obstruction of the esophagus or esophagus, the most severe degree of obstruction. Very rarely, an isolated infection of one of the branches of the esophagus is observed, much more often it is bilateral, combined, simultaneously with obstruction of the stomach and duodenum. The diagnosis is established based on the clinical picture and endoscopic examination. An X-ray examination is mandatory, revealing the expansion of the saccular dilatation of the distal esophagus and pneumatosis intestinalis.

The most effective method of treatment for partial intestinal obstruction is considered to be the operation of E. M. Marfin. In case of complete obstruction, when the clinical picture of the patient corresponds to acute intestinal obstruction or peritonitis, an emergency operation is performed - median laparotomy, abdominal toilet, ligation of the vessels of the intestinal mesentery. After this operation, the intestinal wall is examined and, if it is covered with fibrinous deposits, they are removed and the abdominal press is closed in layers. Extraintestinal forms of peritonitis require massive antibiotic therapy. In the postoperative period, the child is given anesthesia using various analgesics and antipsychotics according to the scheme, and antipyretics are used to combat hyperthermia. From 2-3