What to do if your newborn has intestinal malformations

Everyone hopes that their children are particularly healthy, especially for newborn babies. Once a problem occurs, parents will always panic. Among them, neonatal intestinal malformation is a more serious symptom, which often causes newborns to have symptoms of vomiting, nausea or abdominal distension. This is particularly detrimental to the child’s physical health, so we must pay great attention to it. Let’s learn about what to do with neonatal intestinal malformations.

What to do if your newborn has intestinal malformations

1. Place the patient in a supine position with the head lowered, insert a urinary catheter, and disinfect the abdomen, perineum, and lower limbs.

2. Selection of puncture hole location: The first 5 mm Trocar is placed 1 to 2 cm away from the navel on the midline between the navel and the xiphoid process, and then two 5 mm Trocars are placed on both sides of the abdomen. Sometimes a fourth Trocar needs to be placed in the left lower abdomen for easy operation.

3. For newborns who have not undergone colostomy, the blind end of the rectum is significantly dilated. Decompression can be achieved by puncturing the intestinal cavity through the abdominal wall, or by inserting a tube through the urethra or vagina through the fistula into the rectum for colon cleansing to reduce pressure.

4. Under laparoscopy, incise the peritoneal folds of the rectum and sigmoid colon mesosomes, use an ultrasonic scalpel or an electric scalpel to cauterize and separate the intestinal mesosomes, ligate and separate the superior rectal artery and vein and the sigmoid colon artery and vein near the root of the mesosomes; lift the rectum and separate it toward the distal end close to the rectal wall. When the rectum gradually becomes thinner and tapers into a cone, the fistula to the urethra or vagina can be seen.

5. Close to the urethra or vaginal wall, cut the tube (suture ligation, incision suture or titanium clip)

6. Direct the camera from the center trocar, look directly at the pelvic floor, separate the fat tissue of the pelvic floor, and expose the pubococcygeus muscle belly on both sides of the pelvic floor.

7. Use electroacupuncture to find the center of the external sphincter and make a 1.5 cm longitudinal incision in the skin through the center of the external anal sphincter. While stimulating the muscles, the contraction reaction of the pelvic floor muscles can be clearly seen under the laparoscope, and the center of muscle contraction can be identified.

8. Use Trocar to puncture the pelvic floor from the contraction center of the perineal muscles, and exit from the center between the two muscle bellies of the pubococcygeus muscles of the pelvic floor under laparoscopic monitoring. Withdraw the needle core and use 10mm Trocar to form a pelvic floor tunnel

9.Introduce the grasping forceps through the tunnel and pull the rectum (colon) out of the tunnel. For patients who undergo sigmoid colostomy, if the distal and proximal intestinal tracts have poor dilatation and peristaltic function and need to be resected, or the rectum distal to the fistula is too short, the proximal intestinal tract can be freed under laparoscopy, the fistula can be resected, and the proximal normal colon can be dragged out from the center of the pelvic floor muscles. The rectum and perineal skin were sutured with 6-0 absorbable sutures.

The above is an introduction to what to do if newborns have intestinal malformations. After understanding the situation, we must pay great attention to the appearance of such symptoms and take the baby to the hospital for examination and treatment in time. In addition, in order to detect such symptoms early, parents must observe the baby carefully while taking care of the baby. This will also facilitate timely detection of the disease and early treatment.