Use of neonatal intensive care unit as a safe place for neonatal surgery.
Arch Dis Child Fetal Neonatal Ed
; 76(1): F51-3, 1997 Jan.
Article
em En
| MEDLINE
| ID: mdl-9059188
ABSTRACT
AIM:
To evaluate the advantages, disadvantages, and short term morbidity and mortality of major surgical interventions performed in the neonatal intensive care unit.METHODS:
A retrospective case review of 45 neonates was performed from April 1991 to September 1995. The characteristics of the patients were gestational age 29 (SD 4) weeks (range 24 to 41 weeks); birth-weight 1305 (870) g (range 540 to 4040 g); presurgical weight 1430 (895) g (range 550 to 4370 g); postconceptional age at surgery 31 (4) weeks (26 to 47 weeks). The indications for surgery were ligation of patent ductus arteriosus (n = 16); insertion of a subcutaneous ventricular catheter reservoir for hydrocephalus (n = 14); repair of congenital diaphragmatic hernia (n = 2); open lung biopsy (n = 1); and laparotomies (because of necrotising enterocolitis, anorectal malformations, and intestinal obstructions) (n = 12). The management of these neonates at laparotomy was bowel resection with stomas (n = 8) and stomas (n = 4). No specially designed area was used to perform surgery.RESULTS:
Local or systemic infection associated with surgery was not seen and no perioperative mortality was related to the surgical procedure.CONCLUSIONS:
The neonatal intensive care unit is suitable for major surgery during the neonatal period and no special area is needed to perform complication free surgery.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Unidades de Terapia Intensiva Neonatal
/
Doenças do Recém-Nascido
Tipo de estudo:
Diagnostic_studies
/
Evaluation_studies
Limite:
Humans
/
Newborn
Idioma:
En
Revista:
Arch Dis Child Fetal Neonatal Ed
Ano de publicação:
1997
Tipo de documento:
Article