[Current problems of the treatment of spina bifida aperta].
Experience in the treatment of 311 children with spina bifida aperta is generalized. The authors emphasize the hazard of infectious complications, which were the cause of death of 26.3% of children who were operated on 2 days after birth and before epithelization of the meningeal cavity. Internal hydrocephalus is congenital and linked etiopathogenetically with the Arnold-Chiari malformation. Treatment of internal hydrocephalus consists in ventriculoatrial and ventriculoperitoneal shunting. Spinal draining operations are not recommended. Postoperative mortality in spina bifida aperta has reduced to 3% in the recent years.
Vetska
P
P
Tsekov
Kh
Kh
Undzhiian
S
S
D000367:Age Factors; D002557:Cerebrospinal Fluid Shunts; D002675:Child, Preschool; D006801:Humans; D006849:Hydrocephalus / Q000150:complications / Q000601:surgery*; D007223:Infant; D007231:Infant, Newborn; D008591:Meningomyelocele / Q000150:complications / Q000601:surgery*; D013530:Surgical Wound Infection / Q000209:etiology / Q000517:prevention & control
Sovremennye problemy lecheniia spina bifida aperta.