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11 - The evaluation of the surgical cases in neonatal intensive care unit
Muhittin Çelik, Ali Bülbül, Sinan Uslu, Mesut Dursun, Umut Zübarioğlu, Melih Akın, Ali İhsan Dokucu
Objective: To evaluate the demographic features, diagnosis, timing of the surgery and early complication in patients undergoing surgery in the neonatal period.
Material and Method: The files of the patients who were undergone surgery and followed up in neonatal intensive care unit between the January 2007 and January 2011 were investigated retrospectively. The cases were divided in three groups according to surgical performed system; central nervous systems, respiratory systems and gastrointestinal system.
Results: 3246 patients were followed up between the January 2007 and January 2011 in neonatal intensive care unit. 94 (2.8%) of these patients 51 male (54.2) and 80 of these were full-term (85%) were undergone surgery and their mean birth weight was 3053±614 g. The diagnosis of patients were central nervous system, respiration system, and gastrointestinal system in 65 patients, 14 patients, and 15 patients, respectively. The mean time of surgery was 8.4±17.1 days, and the mean length of hospital stay was 21.7±26.7 days. 43 complication (17 sepsis, 14 clinic sepsis, 6 meningitis, 2 pneumothorax, 2 pneumonitis, 2 restenosis) were occurred in the 36 of the all patients after the surgery. 12 (12.7%) patients were death in follow up. In six of the patients who died had undergone surgery due to diaphragmatic hernia. In central nervous system group, the early complication (e.g. sepsis, meningitis) were significantly lower in first three days compared with the patients who had corrective surgery after three days (p<0.001).
Conclusions: The most reason of surgery was central nervous system anomaly in neonatal period. The early complications (e.g. sepsis, meningitis) were significantly lower in patients who had corrective surgery in central nervous system group in first three days. The highest mortality rate was found in congenital diaphragmatic hernias.
Keywords: Complications, newborn, surgical results
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