Journal of Neonatal Surgery最新文献_第8页

Heteropagus parasitic twins – a case of omphalopagus with major omphalocele and congenital heart disease 异斜交寄生双胞胎-脐斜交伴大脐膨出合并先天性心脏病1例

Journal of Neonatal Surgery Pub Date : 2022-07-09 DOI: 10.47338/jns.v11.1091

Sofia Morão, Filipa Marujo, P. Loureiro, D. Virella, R. Alves

引用次数: 0

Managing sacrococcygeal teratoma in a resource constrained setting 在资源有限的环境中处理骶尾部畸胎瘤

Journal of Neonatal Surgery Pub Date : 2022-06-28 DOI: 10.47338/jns.v11.1097

Jeanière Tumusifu Manegabe, Florent Tshiwid A Zeng, G. M. Balemba, Bijou Safi Matabaro, Etienne Kajibwami Birindwa, Léon-Emmanuel Mubenga Mukengeshai, Fabrice Cikomola Gulimwentuga

引用次数: 0

Large defect size is associated with 30-day mortality following surgical repair of congenital diaphragmatic hernia 先天性膈疝手术修复术后30天死亡率与缺损大小有关

Journal of Neonatal Surgery Pub Date : 2022-06-26 DOI: 10.47338/jns.v11.1098

M. Zouari, H. Ben Ameur, E. Krichen, N. Kraiem, M. Ben Dhaou, R. Mhiri

引用次数: 0

Risk factors for early surgical intervention in neonates with gastroesophageal reflux disease 新生儿胃食管反流病早期手术干预的危险因素

Journal of Neonatal Surgery Pub Date : 2022-06-24 DOI: 10.47338/jns.v11.1033

Shady S. Shokry, K. El-Asmar, M. Dahab, T. Hassan

{"title":"Risk factors for early surgical intervention in neonates with gastroesophageal reflux disease","authors":"Shady S. Shokry, K. El-Asmar, M. Dahab, T. Hassan","doi":"10.47338/jns.v11.1033","DOIUrl":"https://doi.org/10.47338/jns.v11.1033","url":null,"abstract":"Background: Surgical intervention in neonates with Gastro-esophageal Reflux Disease (GERD) is usually reserved for failure of medical management or those having life-threatening complications of GERD. The optimal timing of intervention is still debatable. We aimed to identify the high-risk neonates with GERD requiring early surgical intervention.\u0000Methods: This prospective cohort study was conducted at NICU and Pediatric Surgery Department, Ain Shams University, from June 2017 to June 2020, and enrolled the neonates and infants below 2 months with symptoms and signs suggestive of GERD. Demographic data, clinical history, medical management, need for antireflux surgery, and outcomes were recorded.\u0000Results: In this study, 40 patients were enrolled and all were started on medical treatment. After the failure of medical management or life-threatening complications, 12 of these underwent anti-reflux surgery. In the medical group, six patients suffered from major complications (bronchopulmonary dysplasia and sepsis) and four mortalities. In the surgical group, three mortalities related to the development of bronchopulmonary dysplasia due to prolonged ventilation prior to surgery were recorded. The need for surgical intervention was significantly associated with younger gestational age (p = 0.001), younger age at presentation (p = 0.006), and lower weight at presentation (p = 0.034).\u0000Conclusion: Medical treatment of more than 35 days with unsatisfactory response, low birth weight, gestational age (≤32 weeks), and NICU admission in the first 10 days of life are considered high-risk factors for early anti-reflux surgery in neonates.","PeriodicalId":34201,"journal":{"name":"Journal of Neonatal Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43528020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Coblator assisted marsupialization of vallecular cyst 裂囊器辅助小静脉囊肿有袋化术

Journal of Neonatal Surgery Pub Date : 2022-06-14 DOI: 10.47338/jns.v11.1066

Pradeep Kumar, Lakshmi Venkitaraman

{"title":"Coblator assisted marsupialization of vallecular cyst","authors":"Pradeep Kumar, Lakshmi Venkitaraman","doi":"10.47338/jns.v11.1066","DOIUrl":"https://doi.org/10.47338/jns.v11.1066","url":null,"abstract":"The lesion was misdiagnosed elsewhere as laryngomalacia and spontaneous recovery were assured without intervention. Endoscopic evaluation was not done. The baby was brought to our center due to failure to thrive, feeding difficulty, repeated choking episodes, and worsening physical findings. Preoperative fiber optic laryngoscopy was done which revealed a cystic lesion at the vallecula obstructing the laryngeal inlet, pushing the epiglottis forward (Fig. 2). MRI scan showed a well-defined nonenhancing thin-walled cystic lesion measuring 14.8x14.2mm at vallecula and the diagnosis was confirmed (Fig. 3). Surgery was planned. Intubation was attempted but failed. The baby was tracheostomized before the procedure for ventilation, anticipating postoperative surgical site edema as well. Uncuffed tracheostomy tube size 3 was used. A direct laryngoscope straight blade with zero degree endoscope was held by the anesthetist to view the cyst and the EVAC-70 coblation wand was held in the right hand by the surgeon. The settings of the coblator were maintained at 70-30, coblation and coagulation respectively. The wand was used in both coblator and coagulation mode based on need. The anterior cyst wall was completely removed by coblation, and the cyst was thus marsupialized.","PeriodicalId":34201,"journal":{"name":"Journal of Neonatal Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48799618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neonatal abdominal cocoon arising from atypical sequelae of intestinal malrotation: A case report 新生儿腹部茧引起的不典型后遗症肠旋转不良:1例报告

Journal of Neonatal Surgery Pub Date : 2022-06-07 DOI: 10.47338/jns.v11.1057

L. Abdur-Rahman, OA Ojajuni, TK Raji

引用次数: 0

Pulmonary lymphangiectasia a rare cause of chylothorax: A case report 肺淋巴管扩张是乳糜胸的一种罕见病因

Journal of Neonatal Surgery Pub Date : 2022-04-10 DOI: 10.47338/jns.v11.1037

J. Conner, R. Mahon, J. Camps

引用次数: 0

Functional Intestinal Obstruction of Prematurity (FIOP): Short term management results: A case series 早产儿功能性肠梗阻(FIOP):短期管理结果:一个病例系列

Journal of Neonatal Surgery Pub Date : 2022-03-29 DOI: 10.47338/jns.v11.1048

D. Acosta Farina, Verónica Polit-Guerrero, Johan Aguayo-Vistin, Cristhian Cedeño-Moreira, Vicente Salinas-Salinas, Daniel Acosta-Bowen, J. Oliveros-Rivero

引用次数: 0

The 30-day outcome of neonates operated for esophageal atresia 新生儿食管闭锁手术30天疗效观察

Journal of Neonatal Surgery Pub Date : 2022-03-17 DOI: 10.47338/jns.v11.1049

C. de Vos, L. van Wyk, D. Sidler, P. Goussard

{"title":"The 30-day outcome of neonates operated for esophageal atresia","authors":"C. de Vos, L. van Wyk, D. Sidler, P. Goussard","doi":"10.47338/jns.v11.1049","DOIUrl":"https://doi.org/10.47338/jns.v11.1049","url":null,"abstract":"Background: Despite great advances in the overall management of neonates with esophageal atresia (EA), many complications leading to morbidity still occurs. Most complications can be treated conservatively, but effective management is needed to reduce long-term morbidity. \u0000Methods: A retrospective cohort study was performed on neonates treated for EA with/without a tracheoesophageal fistula (TEF) between 2001 and 2020. Data were collected from patient records, discharge summaries, and surgical notes. The information recorded included: maternal and neonatal demographics, information regarding the diagnosis, and details surrounding the surgery.\u0000Results: During the 19-year study period, 53 neonates with a mean gestational age of 36.7 weeks were included for analysis. Forty-nine percent presented with an associated anomaly (most commonly, complex cardiac lesions). The majority (83%) had a primary repair on a median of day 3 of life. Nineteen neonates had a surgical complication 30 days post-repair: 7 minor (contained leaks and a chylothorax) and 12 major complications including anastomotic strictures, major anastomotic breakdowns, a recurrent TEF, and 5 surgery-related mortalities.\u0000Conclusions: This study showed less morbidity and mortality of neonates born with EA, despite a high incidence of associated anomalies, in a resource-restricted hospital. It is important to highlight that even with limited resources, centers in low- or middle-income countries can have good outcomes.","PeriodicalId":34201,"journal":{"name":"Journal of Neonatal Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45231609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Muscle-sparing posterolateral thoracotomy for esophageal atresia Vogt Type 3b 保留肌肉的后外侧开胸术治疗Vogt 3b型食管闭锁

Journal of Neonatal Surgery Pub Date : 2022-03-11 DOI: 10.47338/jns.v11.1074

Rahul Gupta

{"title":"Muscle-sparing posterolateral thoracotomy for esophageal atresia Vogt Type 3b","authors":"Rahul Gupta","doi":"10.47338/jns.v11.1074","DOIUrl":"https://doi.org/10.47338/jns.v11.1074","url":null,"abstract":"Background: Posterolateral muscle cutting thoracotomy is the gold standard approach to repair esophageal atresia with distal tracheoesophageal fistula. This technique is associated with morbidities in terms of poor motor and aesthetic outcomes. We aim to share our experience with muscle-sparing skin crease incision posterolateral thoracotomy for esophageal atresia Vogt type 3b. \u0000Methods: It was a retrospective observational study conducted over a period of 3 years and 6 months from January 2016 to June 2019 at two tertiary care teaching institutes. All patients with esophageal atresia having distal tracheoesophageal fistula were included. \u0000Results: Fifty-nine neonates underwent muscle-sparing thoracotomy, with 23 males and 36 females. The 34 (58%) neonates had low birth weight. Anorectal malformation (ARM) was the most common (6) associated major malformation(18). Intraoperative findings included long gap EA (6), right aortic arch (RAA, 3), aberrant vessels (1), and long upper pouch (1). Conversion to muscle cutting approach (during early learning curve) was performed in 8 cases i.e. long gap EA (3), RAA (2), Subglottic stenosis (2), others (1). No intraoperative complication was encountered; postoperative seroma formation (related to the approach) was observed in 2 (3.4%) neonates. Most of the patients achieved satisfactory functional and aesthetic outcomes. \u0000Conclusions: Muscle-sparing skin crease incision posterolateral thoracotomy is a viable approach for repair of esophageal atresia with distal tracheoesophageal fistula. The technique is easy to perform with adequate exposure and provides satisfactory functional and aesthetic outcomes with relatively minimum morbidity.","PeriodicalId":34201,"journal":{"name":"Journal of Neonatal Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45842316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0