Uncommon surgical emergencies in neonatology

  • R. Angotti Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Italy.
  • A.L. Bulotta Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Italy.
  • F. Ferrara Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Italy.
  • F. Molinaro Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Italy.
  • E. Cerchia Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Italy.
  • D. Meucci Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Italy.
  • M. Messina | mario.messina@unisi.it Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Italy.

Abstract

Objective. Over the past decade, multiple factors have changed the pattern of neonatal surgical emergencies. An increase in prenatal screenings and the development of neonatal tertiary care centres have changed the clinical approach to these kids. Materials and methods. Between 1995 to 2011 were retrospectively reviewed 34 patients with diagnosis of uncommon rare neonatal surgical emergencies at our institute. We analyzed: sex, gestational age, weight at birth, primary pathology, prenatal diagnosis, associated anomalies, age and weight at surgery, clinical presentation, start of oral feeding and hospitalization. The follow-up was performed at 6,12, 24 and 36 months. Results. There were 21 male and 13 female. The gestational age ranged between 28 and 36 weeks. The weight at birth ranged between 700 and 1400 grams. Oral feeding was started between 4th and 10th postoperative day. The average hospitalization was about 70.47 days. To date, all patients have finished the followup. They are healthy. Conclusion. The outcome of the patients with uncommon surgical emergencies is different based on the etiology. Overall survival is generally good but is influenced by the associated anomalies.

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Published
2014-12-30
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Keywords:
Gastrointestinal rare surgical emergencies, neonatal emergencies, intestinal occlusion, neonatal intestinal perforation
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How to Cite
Angotti, R., Bulotta, A., Ferrara, F., Molinaro, F., Cerchia, E., Meucci, D., & Messina, M. (2014). Uncommon surgical emergencies in neonatology. La Pediatria Medica E Chirurgica, 36(5-6). https://doi.org/10.4081/pmc.2014.99