Journal of Neonatal Surgery最新文献_第9页

Initial management of omphalocele using negative pressure wound therapy (NPWT) in Ecuador: A case series 厄瓜多尔负压伤口治疗脐膨出的初步治疗:一个病例系列

Journal of Neonatal Surgery Pub Date : 2022-02-28 DOI: 10.47338/jns.v11.1046

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

引用次数: 0

Congenital intrinsic duodenal obstruction: Clinical study and predictors of neonatal surgical mortality 先天性先天性十二指肠梗阻：新生儿手术死亡率的临床研究和预测因素

Journal of Neonatal Surgery Pub Date : 2022-02-20 DOI: 10.47338/jns.v11.1034

Prmila Sharma, N. Pawar, Arun Gupta

{"title":"Congenital intrinsic duodenal obstruction: Clinical study and predictors of neonatal surgical mortality","authors":"Prmila Sharma, N. Pawar, Arun Gupta","doi":"10.47338/jns.v11.1034","DOIUrl":"https://doi.org/10.47338/jns.v11.1034","url":null,"abstract":"Background: This study was aimed to analyze the clinical profile and the predictors of neonatal surgical mortality of congenital intrinsic duodenal obstruction (CIDO).\u0000Methods: This is a case series of 67 patients with CIDO (duodenal atresia and stenosis) admitted at our teaching institute, from October 2018 to June 2020. The demographic data, clinical presentation, diagnostic methods, location & type of duodenal atresia, the operative procedure performed, and neonatal surgical mortality (NSM) predictors such as birth weight, age on presentation, associated anomalies, duration of surgery, extubation after surgery, sepsis, and vasopressors support were analyzed.\u0000Results: Of 67 patients, 40(60%) were premature; mean weight and age at presentation were 2.06±0.6 (1-8 kg) and 6.7(1-240days), respectively. The majority of patients (59, 88%) presented with vomiting, and the most common finding on the x-ray abdomen was a double bubble sign (54, 81%). Twenty-four (36%) were associated with congenital heart disease and 19(28%) had Down’s syndrome. Type 3 duodenal atresia was the commonest finding in 43(64%) followed by type 1 in 22 (33%), and type 2 in 2(3%). In 49 (73%) Kimura’s duodenoduodenostomy, excision of web & duodenoplasty in 13 (19%), and side to side duodenoduodenostomy in 4 (6%), were performed. The mean hospital stay of survivors was 9 days. Overall survival was 63%.\u0000Conclusion: Type 3 duodenal atresia is the commonest variety observed. The prematurity, low birth weight, associated major congenital anomalies, surgery >90 minutes, delayed extubation after surgery, sepsis, and need for vasopressors support are significant predictors of NSM.","PeriodicalId":34201,"journal":{"name":"Journal of Neonatal Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45671670","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

Starting from scratch: The primary hyperacidity theory of the cause of pyloric stenosis of infancy 从零开始:婴儿期幽门狭窄病因的原发性高酸性理论

Journal of Neonatal Surgery Pub Date : 2022-01-14 DOI: 10.47338/jns.v11.1004

I. Rogers

引用次数: 0

Jejunal ectopic pancreas in a neonate 新生儿空肠异位胰腺

Journal of Neonatal Surgery Pub Date : 2022-01-14 DOI: 10.47338/jns.v11.1031

Daniel Acosta-Farina, J. Oliveros-Rivero, Manuel Cabrera-Viteri, Vicente Salinas-Salinas, Daniel Acosta-Bowen

引用次数: 0

Right retrocolic intrasaccular duodenum: Is it a novel variant of isolated duodenal nonrotation? A case report 右结肠后系囊内十二指肠:是孤立性十二指肠不旋转的新变种吗?病例报告

Journal of Neonatal Surgery Pub Date : 2022-01-14 DOI: 10.47338/jns.v11.978

M. Huseynov

{"title":"Right retrocolic intrasaccular duodenum: Is it a novel variant of isolated duodenal nonrotation? A case report","authors":"M. Huseynov","doi":"10.47338/jns.v11.978","DOIUrl":"https://doi.org/10.47338/jns.v11.978","url":null,"abstract":"Background: Almost all of the studies on anomalies of the midgut rotation and fixation in the literature and related sections in textbooks were designed according to Dott's classification. Focusing only on common rotation anomalies has led to the exclusion and neglect of other rare variants. Isolated pure duodenal nonrotation is such a variant.\u0000Case Presentation: We report a case of an unusual form of isolated pure duodenal nonrotation, in a 3-day-old newborn presenting with bilious vomiting. Ultrasonographic examination revealed the sign of 'whirlpool'. When this finding was evaluated together with bilious vomiting, midgut volvulus was considered and the patient was operated on urgently. Peroperatively, it was observed that the jejunum entered between the leaves of the terminal ileum mesentery. Proximally, the duodenum was located posterior to the right colon in a \"sack\". This \"sack\" was surrounded by thick Ladd's bands laterally, mesentery of the ascending colon medially, the posterior surface of the cecum and ascending colon anteriorly, and by the posterior abdominal wall posteriorly.\u0000Conclusion: In isolated duodenal nonrotation, the duodenum may be completely retro-colic. Consequently, the duodenojejunal junction and the ileocecal region may almost overlap. Unlike isolated duodenal nonrotation cases, in the surgical treatment of this variant, separation of Ladd bands alone is not sufficient, additionally, the right colon should be placed in a nonrotation position and care should be taken not to kink the terminal ileum under the cecum.","PeriodicalId":34201,"journal":{"name":"Journal of Neonatal Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48376601","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

Burden and outcome of neonatal surgical conditions in Nigeria: A countrywide multicenter cohort study 尼日利亚新生儿外科手术的负担和结果：一项全国性多中心队列研究

Journal of Neonatal Surgery Pub Date : 2022-01-09 DOI: 10.47338/jns.v11.1029

H. Ekwunife, E. Ameh, L. Abdur-rahman, Adesoji O. Ademuyiwa, Emem Akpanudo, F. Alakaloko

{"title":"Burden and outcome of neonatal surgical conditions in Nigeria: A countrywide multicenter cohort study","authors":"H. Ekwunife, E. Ameh, L. Abdur-rahman, Adesoji O. Ademuyiwa, Emem Akpanudo, F. Alakaloko","doi":"10.47338/jns.v11.1029","DOIUrl":"https://doi.org/10.47338/jns.v11.1029","url":null,"abstract":"Background: Despite a decreasing global neonatal mortality, the rate in sub-Saharan Africa is still high. The contribution and the burden of surgical illness to this high mortality rate have not been fully ascertained. This study is performed to determine the overall and disease-specific mortality and morbidity rates following neonatal surgeries; and the pre, intra, and post-operative factors affecting these outcomes. \u0000Methods: This was a prospective observational cohort study; a country-wide, multi-center observational study of neonatal surgeries in 17 tertiary hospitals in Nigeria. The participants were 304 neonates that had surgery within 28 days of life. The primary outcome measure was 30-day postoperative mortality and the secondary outcome measure was 30-day postoperative complication rates.\u0000Results: There were 200 (65.8%) boys and 104 (34.2%) girls, aged 1-28 days (mean of 12.1 ± 10.1 days) and 99(31.6%) were preterm. Sepsis was the most frequent major postoperative complication occurring in 97(32%) neonates. Others were surgical site infection (88, 29.2%) and malnutrition (76, 25.2%). Mortality occurred in 81 (26.6%) neonates. Case-specific mortalities were: gastroschisis (14, 58.3%), esophageal atresia (13, 56.5%) and intestinal atresia (25, 37.2%). Complications significantly correlated with 30-day mortality (p <0.05). The major risk predictors of mortality were apnea (OR=10.8), severe malnutrition (OR =6.9), sepsis (OR =7. I), deep surgical site infection (OR=3.5), and re-operation (OR=2.9). \u0000Conclusion: Neonatal surgical mortality is high at 26.2%. Significant mortality risk factors include prematurity, apnea, malnutrition, and sepsis.","PeriodicalId":34201,"journal":{"name":"Journal of Neonatal Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45583654","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: 3

The year 2021— Good for the surgical neonates in Pakistan 2021年——巴基斯坦新生儿手术顺利

Journal of Neonatal Surgery Pub Date : 2021-12-31 DOI: 10.47338/jns.v10.1052

Bilal Mirza

引用次数: 0

Neonatal intussusception secondary to intestinal duplication cyst: A case report 新生儿肠套叠继发于肠重复囊肿1例

Journal of Neonatal Surgery Pub Date : 2021-11-24 DOI: 10.47338/jns.v10.999

Haseen Fathima, Divyangi Mishra, Nishanth Rajan, Joseph Manuel, M. Phansalkar, N. Zachariah

引用次数: 0

Blueberry Muffin Syndrome 蓝莓松饼综合症

Journal of Neonatal Surgery Pub Date : 2021-10-23 DOI: 10.47338/jns.v10.1028

Rahul Gupta