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Friday, December 16, 2005

Peruvian mermaid baby.


7 months ago the first one of a series of surgical operations to the lower members of the Peruvian mermaid baby was carried out. This is one of 3 cases of sirenomielia (bones of lower members differentiated but united among by skin, external rotation of both feet, presence of a single kidney, fusion of genital and digestive tracts, etc), alive existing in the world. After adequate distancing of the bones of legs – See Diagrams- by means of silicone bags full of saline solution, the surgeons proceeded to the surgical separation of the fused legs -to the height of the thighs-with its corresponding portions of skin.

For the mermaid baby, that at present is 19 months of age, weighs : 9 kgs and measures 70 cms (small for its age and in whom certain disproportion between arms and legs is appreciated), is planned for the following 6 months to separate the bones of the pelvis and rotae their feet toward inside, with what expects manage to walk. Further on it will try to separate the digestive tract of the genital one. A surgical exploit that does not impede us to speak on preventive aspects and of cost-benefit: a) for an underdeveloped country like Peru, the costs of these individual cases are high b) an ultrasound scan had detected the defect in the first quarter and according to the gravity of the case they could have taken the corresponding measures c) Beeing a defect of fetal development and of a prenatal control faulty, it would be better invest in preventive aspects: to inquire and to eliminate possible environmental noxas: radiation, inadequate maternal nutrition, uncomfortable noises, inappropriate consumed medicines, etc and above all to expand the free maternal-childlike cover, throughout all Peru.

Niña sirena peruana-

Hace 7 meses se llevó a cabo la primera de una serie de operaciones quirúrgicas a los miembros inferiores de la denominada "niña sirena peruana". Uno, de 3 casos de sirenomielia (huesos de miembros inferiores diferenciados pero unidos entre si por piel, eversion externa de ambos pies, presencia de un solo riñón, fusión de tractos digestivos y genital,etc), vivos existentes en el mundo. Tras distanciar adecuadamente los huesos de las piernas –Ver Diagramas-mediante bolsas expansoras de silicona embebidas en solución salina, se procedió a la separación quirúrgica de los miembros-hasta la altura de los muslos-con sus correspondientes porciones de piel.

Para la niña sirena que actualmente tiene 19 meses de edad, pesa 9 kgs y mide 70 cms (pequeña para su edad y en la que yá se aprecia desproporción : brazos/piernas), se planea para los siguientes 6 meses separar los huesos de la pelvis y evertir sus pies hacia adentro, con lo que se espera logre caminar. Más adelante se intentará separar al tracto digestivo del genital. Una proeza quirúrgica que no nos impide reflexionar sobre aspectos preventivos y de costo-beneficio : a) para un pais subdesarrollado, los costos de estos casos individuales son elevados b) un examen de ultrasonido hubiese detectado el defecto en el primer trimestre y según la gravedad del caso pudiesen haberse tomado las medidas correspondientes c) tratándose de un defecto del desarrollo y de un embarazo controlado defectuosamente, seria necesario invertir mas en aspectos preventivos:inquirir y eliminar posibles noxas medioambientales : radiación, ruidos molestos, inadecuada nutrición materna, medicamentos inapropiados ingeridos,etc y sobre todo ampliar la cobertura materno-infantil gratuita, a lo largo y ancho de todo el Perú.

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