Surgical Interventions for Congenital Anomalies

Farmer, Diana L.; Sitkin, Nicole; Lofberg, Katrine; Donkor, Peter; Ozgediz, Doruk

doi:10.1596/978-1-4648-0346-8_ch8

Cited by 40 publications

(56 citation statements)

References 114 publications

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“…Exploratory laparotomy was done in all the cases and type of surgical intervention was carried as per the cause. 2,3,6 For duodenal and ileal atresia, duodenoplasty and enteroplasty was done. 2,3,6 Resection and anastomosis were done in jejunoileal atresia, and Ladd's procedure in malrotation of the gut.…”

Section: Initial Stabilization and Surgical Proceduresmentioning

confidence: 99%

“…2,3,6 For duodenal and ileal atresia, duodenoplasty and enteroplasty was done. 2,3,6 Resection and anastomosis were done in jejunoileal atresia, and Ladd's procedure in malrotation of the gut. 2,3,6 Hypertrophic pyloric stenosis (HPS) was treated by pyloromyotomy.…”

Section: Initial Stabilization and Surgical Proceduresmentioning

confidence: 99%

“…2,3,6 Resection and anastomosis were done in jejunoileal atresia, and Ladd's procedure in malrotation of the gut. 2,3,6 Hypertrophic pyloric stenosis (HPS) was treated by pyloromyotomy. 3,7 In postoperative period, patients were managed by nasogastric aspiration, fluids and antibiotics when needed.…”

Section: Initial Stabilization and Surgical Proceduresmentioning

confidence: 99%

“…2,3,6 Hypertrophic pyloric stenosis (HPS) was treated by pyloromyotomy. 3,7 In postoperative period, patients were managed by nasogastric aspiration, fluids and antibiotics when needed. Neonates were discharged between 10-14 days post-operatively after full feeds were achieved.…”

Section: Initial Stabilization and Surgical Proceduresmentioning

confidence: 99%

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Patterns and surgical outcome of neonatal small bowel obstruction: a single center experience from Ujjain, India

Agarwal

Pathak

et al. 2019

Int Surg J

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Background: Neonatal small bowel obstruction is the most commonly encountered paediatric surgical emergency worldwide and in India. The objective of this study was to study the prevalence and spectrum of neonatal small bowel obstruction.Methods: A retrospective chart review of all neonates aged between 1-28 days that underwent surgery for small intestinal obstruction between January 2017 to January 2019 at Department of Paediatric Surgery, R.D. Gardi Medical College, Ujjain, MP. A predesigned questionnaire was used to collect demographic, clinical and outcome related information. Exploratory laparotomy and type of surgical intervention was done as per the cause.Results: A total of 52 neonates (M: F ratio 1.74: 1) were included in the study. The most common clinical features were vomiting (92%), bilious vomiting (85%) and abdominal fullness (75%) and laboratory feature was leucocytosis (42%) and thrombocytopenia (31%). Most (66%) neonates presented between 2-7 days and belonged to rural areas (65%). The two most common final diagnosis were malrotation (56%) and intestinal atresia (23%). Associated anomalies were seen in 29% [vertebral defects, anal atresia, cardiac defects, tracheo-esophageal fistula, renal anomalies, and limb abnormalities association (8%) and congenital heart disease (8%)]. The mean (±SD) duration to reach full feeds and duration of neonatal intensive care unit stay was 6.2±1.3 and 14.1 (±5) days, respectively. Complications were seen in 20% cases, most common being early bowel obstruction. A total of 6 (11.5%) neonates died in the post-operative period, 83% because of sepsis.Conclusions: Small bowel obstruction is common neonatal surgical emergency. Most common cause is malrotation and intestinal atresia. Neonatal sepsis is the most common underlying cause of death post-operatively.

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Section: Initial Stabilization and Surgical Proceduresmentioning

confidence: 99%

Section: Initial Stabilization and Surgical Proceduresmentioning

confidence: 99%

Section: Initial Stabilization and Surgical Proceduresmentioning

confidence: 99%

Section: Initial Stabilization and Surgical Proceduresmentioning

confidence: 99%

See 2 more Smart Citations

Patterns and surgical outcome of neonatal small bowel obstruction: a single center experience from Ujjain, India

Agarwal

Pathak

et al. 2019

Int Surg J

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“…Indeed congenital anomalies are a major global health problem, now listed as the 5 th leading cause of death in children under 5-years of age globally 86 . The overwhelming majority (97%) of the deaths from congenital anomalies are in LMICs and it is estimated that up to two-thirds of the disability and deaths related to congenital anomalies could be averted through the provision of surgical care 87,88 .…”

Section: Gastroschisis As a Bellwether Conditionmentioning

confidence: 99%

Care of infants with gastroschisis in low-resource settings

Wright

Sekabira

Ade-Ajayi

2018

Seminars in Pediatric Surgery

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From Measuring Disease Burden to Designing and Evaluating Solutions—Global Surgery Research in Evolution

2019

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Over the past decade, incredible advances in the field of global surgery have been made. In 2015, The Lancet Commission on Global Surgery report highlighted the significant unmet need for safe and affordable surgical care for the world's people. 1 In the same year, the authors of the third edition of Disease Control Priorities in Developing Countries outlined a plan for capacity building for essential surgery, 2 while the 68th World Health Assembly passed a resolution to strengthen emergency and essential surgical and anesthesia care as a component of universal health coverage. 3 Today, we recognize that the provision of safe and effective surgical care is necessary to meet the Sustainable Development Goals 4 by 2030. This is an exciting time to be part of the field of global surgery as we strive to achieve equity in the provision of surgical care for all. 5 Pediatric surgical conditions account for an important, yet often underrecognized, portion of the global surgical disease burden. Concepcion and colleagues 6 assessed 1503 children for surgical conditions using the Surgeons OverSeas Assessment of Surgical Need (SOSAS) survey. In this crosssectional study using a national community-based sampling survey, the authors found a pediatric surgical condition prevalence of 12.2%, with just 23.7% of these cases treated by surgery. The most common conditions found among children in Somaliland were congenital anomalies (33.8%) and wounds secondary to injury (24.6%). The findings of this study echo previous investigations of pediatric surgical disease burden in other low-and middle-income countries (LMICs), 7-9 and this article represents a significant addition to the literature on the global burden of surgical disease. For policy makers, the study results provide an important reminder that specific provisions for the surgical care of children must be part of any national surgical, obstetric, and anesthesia plan going forward.While this study was well designed and executed, the use of the SOSAS tool as administered by nonphysician surveyors introduces limitations in the utility of its results. First, the SOSAS tool does not provide information about surgical conditions that is granular enough to identify resources needed to address the conditions identified. For example, a wound secondary to injury if superficial could be repaired by an associate clinician, while a deep laceration with associated orthopedic or vascular injury would likely require a surgical specialist for optimal care. Similarly, a burn that is partial thickness involving a small body surface area may just need local wound care, while a large fullthickness burn that does not receive timely resuscitation, excision, and skin grafting could result in infection, contracture, and permanent disability or death. Because the SOSAS tool does not assess the level of disability caused by each surgical condition found, the implications of the disease prevalence demonstrated by the survey for population health are unclear.This study by Concepcion and colleagues 6 rep...

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Surgical Interventions for Congenital Anomalies

Cited by 40 publications

References 114 publications

Patterns and surgical outcome of neonatal small bowel obstruction: a single center experience from Ujjain, India

Patterns and surgical outcome of neonatal small bowel obstruction: a single center experience from Ujjain, India

Care of infants with gastroschisis in low-resource settings

From Measuring Disease Burden to Designing and Evaluating Solutions—Global Surgery Research in Evolution

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