நர்சிங் & நோயாளி பராமரிப்பு இதழ்

The Incidence of Operated Children with Meningomyelomeningocele

Gjonbalaj FF

Meningo/myelomeningocele is the most common malformation of medulla spinalis. When people talk for Spina Bifida, often they refer to it as myelomeningocele, which is known as the most serious form. Research objectives Our research is the creation of some statistics for the incidence of children operated with meningo/myelomeningocele, gender, age, place of residence, and the incidence of complicated cases in Hydrocephaly, in the period from April 2010 to April 2014. Hypothesis H1: The incidence of children operated with meningo/myelomeningocele. H2: Complications of meningo/myelomeningocele with Hydrocephaly. Purpose The aim of this study is to raise health commitment, public attention for patients affected by meningo/myelomeningocele, to analyze the incidence of these children who have been operating in our hospital, also treatment and postoperative complications. Material and Methods In this study, we have used extracts from the protocol of neurosurgical operative hall in UCCK in Pristina. It is a retrospective study of the incidence of operated children with Meningo/Myelomeningocele. We have analyzed in a retrospective form all clinical data. The samples are 75 children operated with meningo/myelomeningocele in the hall of Neurosurgery at UCCK in Pristina, during the period from April 2010 to April 2014. Results The general number of children being born with defects and different pathologies of the neural tube from April 2010 to April 2014 is 133. The incidence of operating children with Meningo/Myelomeningocele, in the period from April 2010 to April 2014 in the hall of neurosurgery at UCCK in Pristina is 75 cases, of which 48 (64%) are diagnosed with Meningocele (DS=5.31), 27 (36%) are diagnosed with Myelomeningocele (DS=1.94). From these cases, 31 (38%) were registered from urban areas (r=.371,p<0.01), 44 (62%) were registered from rural areas (r=.536,p<0.01), 48(67%) cases were females, while 27(33%) were males. Out of the 75 children operated with Meningo/Myelomeningocele 10(14%) cases have suffered complications accompanied with Hydrocephaly (DS=1.22). The average age of operated children was 4-5 days. By making correlation analysis, it was found a significant report in the structure of operated children with meningo/Myelomeningocele, and the incidence of children with complications with hydrocephaly. Conclusion Out of the 75 operated children with Meningo/myelomeningocele, 10 cases have suffered complications accompanied with Hydrocephaly; time of intervention was after 7-20 days. 3 (30%) cases were from urban areas, 7 (70%) cases were from rural areas. 7 (70%) cases were females and 3 (30%) were males. By making a correlation analysis and standard deviation, we have reached the following values: The incidence of operated children with Meningocele: DS=5.31, The incidence of operated children: DS=1.94 The incidence with complications in Hydrocephaly: DS= 1.22, r=.961, p=.009 (p<0.01) Complications according to residence: DS= .707 Village: DS= 1.14, r=.539,p<.0.01 City: DS=.894, r=.371,p<0.01 Complications according to gender: r=.920, p<0.01 Based on these statistical analysis we see that the correlation of this data is significant.