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SYSTEM CARE FOR CHILDREN WITH CONGENITAL ANORECTAL PATHOLOGY IN BELARUS

Abstract

Belarus is among the countries with a low infant mortality rate (2015 – 3 ppm). This is achieved thanks to a functioning multi-level system of care for children. As an example, the provision of medical aid to children with congenital anorectal disorders in the Republic of Belarus, including surgical care to children with congenital anorectal disorders, is analyzed, and the principles, which will ensure the best possible results with minimal material costs, are defined. The treatment of children in special institutions and the standardization of the approaches to determine the indications for surgery, operating tactics, and postoperative management allow one to optimize the results of treatment of patients with congenital anorectal anomaly. The application of the developed system of diagnostics and the treatment of patients with congenital malformations of ARC has provided a significant decrease in the long-term mortality from 20  % (1980), 7  % (1990) to 1.8  % (2014) (p < 0.001). A reduced length of hospital stay is: if earlier a child was in intensive care and resuscitation 7 ± 3.4 days, and DHC 22.2 ± 3.9 days, then in 2014 – 4.8 ± 1.2 and 14.7 ± 3.4 days, respectively (χ2 = 1.256, p = 0.429 and χ2 = 1.1694,
p = 0.919). The number of re-operations is reduced from 20  % (1980) to 5  % (2014).

About the Authors

Ju. G. Degtyarev
Belarusian State Medical University
Belarus
Associate Professor


J. F. Abu Varda
Belarusian Medical Academy of Postgraduate Education
Belarus
доцент кафедры детской хирургии


O. J. Fomin
1st City Hospital, Minsk
Belarus
the Chief Doctor


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Review

For citations:


Degtyarev J.G., Abu Varda J.F., Fomin O.J. SYSTEM CARE FOR CHILDREN WITH CONGENITAL ANORECTAL PATHOLOGY IN BELARUS. Proceedings of the National Academy of Sciences of Belarus, Medical series. 2016;(4):32-43. (In Russ.)

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ISSN 1814-6023 (Print)
ISSN 2524-2350 (Online)