High-tech medical equipment donated by Children’s Hospital of the Future Charitable Foundation saves hundreds of newborn lives

29.04.2013, 18:05 Print version
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For at least two years now the experts of the Institute of Pediatrics, Obstetrics and Gynecology of Ukraine have been saving hundreds if not even  thousands of newborn lives working with the latest high-tech medical equipment donated by  the “Children’s Hospital of the Future” Charitable Foundation.

In 2011-2012, the “Children’s Hospital of the Future” CF delivered the cutting edge medical equipment to save newborn lives to the Institute of Pediatrics, Obstetrics and Gynecology of Ukraine. For the first time in its history, the Institute obtained such much-needed equipment as video endoscopy systems, cytogenetic laboratory, the newest 3D /4D ultrasound machines, equipment for fetal surgeries, resuscitation equipment for neonatal and pediatric patients etc. Overall the Institute received over 25 equipment items which were installed and are operating in 5 departments.

For instance, only in 2012 the advanced equipment was used to provide care for 178 patients with life threatening birth-defects at the anesthesiology department and its intensive care wards. Conditions that were successfully treated include congenital defects of the intestinal system (Hirschprung disease, dolichokolon, small-bowel obstruction, anus obstruction, esophageal obstruction), thoracic benign and abdomen tumors, vascular ring (aortal arch and its branch), gastrochisis, ompahalocele, oral teratoma  etc. The patients were placed in resuscitation systems and incubators.  

Two lates apparatus for artificial lung ventilation functioned for the total of 2 851 and 1 802 hours, including high frequency modes, to treat 18 newborn and 2 pediatric patients. The bedside monitors Infinity Gamma XL (4 monitors) and InfinityDelta 1 operate uninterruptedly providing continuous surveillance of all the patients. The Infinity Central Station works day and night gathering and displaying information from all the bedside monitors and provides the data rapidly to the hospital staff. The volumetric and syringe infusion pumps are also applied frequently.

For today, over 300 children from all over the country were screened with a new video endoscopy system comprising a gastro- and colonoscope. The diagnosed conditions include reflux esophagitis, gastritis, portal hypertension, esophagostenosis, peptic ulcer, esophageal varices, hiatal hernia, gastric polyps, colorectal polyps, ulcerative colitis, anastomosis, fistulas etc.

The artificial lung ventilation apparatus is applied to perform diagnostic and therapeutic tracheobronchoscopy at the pulmonary department. 15 tracheobronccopies were performed for children aged from 6 months to 4 years.

At the observation department 418 maternal ultrasounds were performed with the ACCUVIX V 20 ultrasound device, including examinations of women in early pregnancy (before the 11th week), screening to determine chromosome abnormalities between 11 and 14 weeks, obstetric examinations between 17 and 40 weeks, the Doppler velocimetry, fetal biophysical profile testing etc. Serious conditions were detected, such as cervical tumors, endometrium hyper- and  hypoplasy, polyps, cysts, cystic diseases, fybromiomas, inflammations, fetal hypoxia, prenatal hydronephrosis of 4 degree, fetal growth retardation etc. In many of these cases the usage of the donated equipment has enabled the accurate diagnosis.

At the children’s surgical department the new equipment was used to treat 171 pediatric patients suffering from chronic cicatrizing enteritis, Hirschprung disease, abnormal craniofacial development, dermoid cysts of the neck, lipomas of the thighs, dolichokolon, gastrochisis, ompahalocele, congenital lung cyst, intestinal obstruction, ventral hernia, congenital pyloric stenosis, cystic hygroma, hemangioma, cavernous hemangioma, enterocolitis, Ladd’s syndrome, multiple congenital anomalies, anorectal atresia etc.

In the maternal-fetal medicine department the expert and premium class ultrasound machines are operating at full capacity. Only last year 2 858 expert ultra sound examinations were performed. The full-scale prenatal testing was carried out for 2 707 pregnant women aged from 15 to 48. The equipment enabled the detection of prenatal and inherited anomalies in 476 cases. In 87 cases chromosome anomalies were diagnosed. The detected anomalies include cardiovascular defects, such as Tetralogy of Fallot, complex heart diseases, ventricular septal defects; other fetal anomalies include arteriostenosis, Ebstein’s anomaly, hypoplastic left and right heart syndromes, transposition of the great vessels, cardiac rhabdomyoma, coarctation of the aorta, cardiomyopathy etc. The early diagnosis of these conditions, performed with the latest equipment, enables effective treatment (cardiac surgery) in specialized clinics and subsequent recovery of the infants.

The chromosomal abnormalities detected for the first time with the new equipment include the Down syndrome, trisomy 18 syndrome, triploid syndrome, Turner syndrome, trisomy 13 syndrome, trisomy of X chromosome, Klinefelter’s syndrome, chromosomal deletion and others. For the first time the early diagnosis of congenital urinary system anomalies (58 cases) was performed, detecting  complex kidney diseases, Potter disease, cystic degeneration, multicystic dysplastic kidney, hydronephrosis, urethral hydronephrosis of various degrees, dystonia etc. Early diagnosed fetal nervous system anomalies (42 cases) included Arnold-Chiari malformation, Dandy-Walker malformation, exencephaly, myelocele etc. In 29 cases thorax, lung and diaphragm development anomalies were diagnosed (diaphragmatic hernia, bronchogenic cyst, lung aplasia, lung sequestration, bronchial atresia etc.). By 13 fetuses skeletal and locomotor systems diseases were discovered, in ten cases malformations of face development (cleft lip, cleft jaw, cleft palate, dismorphia). 25 tumors were discovered before birth (cyst of abdominal cavity, tumor of suprarenal capsule, hygroma, teratoma, lymphangioma, liver cyst or tumor, teratomas of various locations), 20 cases of congenital abnormalities of digestive tract (atresia of esophagus, intestines, atresia of anus, Hirschpung’s disease, etc.). 14 children were diagnosed with congenital front abdominall wall defects (gastroschisis, omphalocele).

Nearly all the babies received surgical treatment right after birth.

The total of 476 birth defects was detected in utero. In 177 cases (37,2%) successful fetal surgeries were performed at cardiac surgical, urologic and other clinics.

“Birth defects are one of the leading causes of perinatal and infant mortality, the top cause of children’s disabilities in Ukraine”, says Dr. Oleksii Slepov, Chief Surgeon of the Surgical Department for Congenital Defects. “And in the first line, this equipment enables us to help more infants. Secondly, the quality of medical service has improved significantly. Last but not least, the full-recovery rates increased, for to perform a surgery on a newborn is one story, providing successful follow-up treatment is another”.

“We are happy that the equipment donated to the Institute of Pediatrics and Obstetrics made such a difference in saving the patients’ lives”, says Oleksandr Maksymchuk, Head of the “Children’s Hospital of the Future” Foundation. “Providing the hospitals with the latest equipment and training of Ukrainian doctors are the major areas of our activities. We are planning to further improve children’s healthcare services in Ukraine”.

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