DIFFERENTIATED APPROACH TO THE SURGICAL TREATMENT OF ULCERATIVE-NECROTIC ENTEROCOLITIS IN NEWBORNS

Ulcerative-necrotic enterocolitis is one of the most severe gastrointestinal diseases in newborns, predominantly affecting premature and low-birth-weight infants. The disease is characterized by inflammatory and necrotic damage to the intestinal wall with a high risk of perforation and severe complications. This study presents a differentiated approach to the surgical treatment of ulcerative-necrotic enterocolitis in newborns based on clinical, instrumental, and morphological findings. Clinical manifestations, laboratory indicators, radiological data, and morphological changes of the intestinal wall were analyzed. Severe necrotic lesions, inflammatory infiltration, microcirculatory disturbances, and intestinal perforations were identified as the main indications for surgical intervention. The differentiated surgical approach allowed optimization of treatment tactics depending on the severity and extent of intestinal damage. The obtained results demonstrate the importance of early diagnosis and timely surgical management in reducing complications and improving survival rates in newborns with ulcerative-necrotic enterocolitis.