Постнатальна діагностика та стратегія передопераційної підготовки при тератомах крижово-куприкової ділянки в новонароджених і дітей більш старшого віку

Abstract

Aim - to determine the importance of postnatal diagnosis in the perinatal care of newborns, and older children with sacrococcygeal teratomas (SCT). Materials and methods. A retrospective analysis of the medical records of 40 children with SCT who underwent surgical correction of the defect between 1981 and 2023 was performed. A study of the main criteria for postnatal diagnostic examination of newborns and older children with SCT was conducted. Results. An algorithm for postnatal examination of newborns and older children with SCT has been developed. A classification of SCTs was developed, according to their size (volume), using postnatal ultrasound. Complicated forms of SCT in the preoperative period were diagnosed in 40% (n=16) of children. There were 2 cases of tumor recurrence. Survival after surgical correction of this pathology was 97.5% (n=39). Conclusions. Delivery strategy and postnatal diagnosis are one of the main stages of perinatal care of newborns with sacrococcygeal teratomas and an important component of preoperative preparation of older children with SCT. The developed classification of SCTs according to their volume, when performing a postnatal ultrasound, has a prognostic importance in assessing the risk of developing SCT complications, depending on the volume of the tumor and its morphological structure. X-ray research methods provide a detailed description of the tumor process, contribute to effective management and the choice of optimal surgical tactics. The research was carried out in accordance with the principles of the Declaration of Helsinki. The research protocol was approved by the local ethics committee of the institutions mentioned in the work. Parents' informed consent was obtained for children's participation in the study. The authors declare no conflict of interest.