Translation. Region: Russian Federal
Source: Moscow Government – Government of Moscow –
Doctors at the N.F. Filatov Children’s City Clinical Hospital saved a child with a heart condition and a diaphragmatic hernia by performing surgeries before and after his birth. This was reported by Anastasia Rakova, Deputy Mayor of Moscow for Social Development.
“In recent years, we have created a powerful network of high-tech perinatal centers integrated with multidisciplinary hospitals and introduced a unified standard of obstetric and gynecological care. Such an infrastructure framework, coupled with the latest equipment and professionalism of doctors, allows us not only to identify the most complex pathologies at an early stage, but also to apply unique treatment methods at the stage of intrauterine development. Thus, doctors from Filatov Hospital and the Perinatal Center of City Clinical Hospital No. 31 named after Academician G.M. Savelyeva were able to perform a high-tech operation on the child’s heart even before its birth, eliminating a critical complication and preserving the pregnancy. After birth, the baby was successfully operated on for a diaphragmatic hernia, which was also detected during screening. To perform this intervention, she needed to grow a little so that the operation would be safe. Now the healthy girl is already at home,” said Anastasia Rakova.
During the screening, doctors discovered a diaphragmatic hernia in the fetus. With this pathology, the abdominal organs move through the resulting opening into the chest cavity, which complicates their development and further correct formation. During the examination, another dangerous complication was discovered – fluid began to accumulate in the pericardium (the membrane surrounding the heart). This threatened the child’s life and could lead to a delay in the development of vital organs.
Together with obstetricians and gynecologists of the Perinatal Center of City Clinical Hospital No. 31 named after Academician G. M. Savelyeva, cardiologists of the Children’s City Clinical Hospital named after N. F. Filatov performed a high-tech intrauterine operation – through several micro punctures with the help of specialized equipment, they reached the pericardial cavity and removed the accumulated fluid from it. Immediately after the operation, doctors noted an improvement in the child’s condition – he began to move more actively. Thanks to the intervention, the threat of abnormal heart development was prevented. This made it possible to extend the pregnancy by a month. At the time of birth, the girl weighed 2.5 kilograms. The lungs, heart and other internal organs were fully formed.
Immediately after birth, the baby underwent another complex high-tech operation to remove a diaphragmatic hernia. Less than a month later, the healthy girl and her mother went home.
The Children’s City Clinical Hospital named after N. F. Filatov is a modern multidisciplinary medical institution, which includes an inpatient department, a day hospital, an outpatient surgery center, a city consultative and diagnostic center for the provision of specialized, including high-tech, medical care. The polyclinic provides preventive and outpatient treatment, primary health care, as well as specialized medical care focused on problems requiring inpatient treatment.
The inpatient and outpatient services of the N.F. Filatov Children’s City Clinical Hospital are equipped with advanced diagnostic, treatment and rehabilitation equipment, allowing us to provide assistance to children at the level of the world’s leading clinics.
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