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The Effect of Surgery Time on Prognosis in Newborns with Meningomyelocele
OBJECTIVE: To investigate the effect of surgery time on prognosis of newborns with meningomyelocele. METHODS: The records of neonates with meningomyelocele were retrospectively analyzed. Demographic and clinical characteristics as well as information, timing of surgery, and durations of hospital sta...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Neurosurgical Society
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3424176/ https://www.ncbi.nlm.nih.gov/pubmed/22949965 http://dx.doi.org/10.3340/jkns.2012.51.6.359 |
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author | Oncel, Mehmet Yekta Ozdemir, Ramazan Kahilogulları, Gokmen Yurttutan, Sadık Erdeve, Omer Dilmen, Ugur |
author_facet | Oncel, Mehmet Yekta Ozdemir, Ramazan Kahilogulları, Gokmen Yurttutan, Sadık Erdeve, Omer Dilmen, Ugur |
author_sort | Oncel, Mehmet Yekta |
collection | PubMed |
description | OBJECTIVE: To investigate the effect of surgery time on prognosis of newborns with meningomyelocele. METHODS: The records of neonates with meningomyelocele were retrospectively analyzed. Demographic and clinical characteristics as well as information, timing of surgery, and durations of hospital stay and antibiotic therapy were recorded. RESULTS: The records of 30 babies were included in the final analysis. Overall, the mean gestational age was 37.7±2.7 weeks, with a mean birth weight of 2967±755 g and head circumference of 35.8±3.8 cm. In terms of localization, 46.6% of the meningomyeloceles were lumbosacral, 40% were lumbar, 10% were thoracolumbar and 3.3% were thoracal. The mean size of the meningomyelocele sacs was 4.33±1.2 cm. Newborns underwent surgery on average of 8.2±5.9 days after birth, with an overall mean duration of hospital stay of 30±25.1 days. Patients were divided into two groups based on timing of surgery (group 1, ≤5 days; group 2, >5 days), and comparisons between groups revealed that earlier surgery was associated with significantly shorter durations of hospital stay (p<0.001) and antibiotic therapy (p<0.05). CONCLUSION: Early surgical intervention (≤5 days) was associated with a shorter duration of hospital stay and antibiotic therapy as well as a lower complication rate. We recommend that corrective surgery be undertaken as soon as reasonably possible. |
format | Online Article Text |
id | pubmed-3424176 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | The Korean Neurosurgical Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-34241762012-09-04 The Effect of Surgery Time on Prognosis in Newborns with Meningomyelocele Oncel, Mehmet Yekta Ozdemir, Ramazan Kahilogulları, Gokmen Yurttutan, Sadık Erdeve, Omer Dilmen, Ugur J Korean Neurosurg Soc Clinical Article OBJECTIVE: To investigate the effect of surgery time on prognosis of newborns with meningomyelocele. METHODS: The records of neonates with meningomyelocele were retrospectively analyzed. Demographic and clinical characteristics as well as information, timing of surgery, and durations of hospital stay and antibiotic therapy were recorded. RESULTS: The records of 30 babies were included in the final analysis. Overall, the mean gestational age was 37.7±2.7 weeks, with a mean birth weight of 2967±755 g and head circumference of 35.8±3.8 cm. In terms of localization, 46.6% of the meningomyeloceles were lumbosacral, 40% were lumbar, 10% were thoracolumbar and 3.3% were thoracal. The mean size of the meningomyelocele sacs was 4.33±1.2 cm. Newborns underwent surgery on average of 8.2±5.9 days after birth, with an overall mean duration of hospital stay of 30±25.1 days. Patients were divided into two groups based on timing of surgery (group 1, ≤5 days; group 2, >5 days), and comparisons between groups revealed that earlier surgery was associated with significantly shorter durations of hospital stay (p<0.001) and antibiotic therapy (p<0.05). CONCLUSION: Early surgical intervention (≤5 days) was associated with a shorter duration of hospital stay and antibiotic therapy as well as a lower complication rate. We recommend that corrective surgery be undertaken as soon as reasonably possible. The Korean Neurosurgical Society 2012-06 2012-06-30 /pmc/articles/PMC3424176/ /pubmed/22949965 http://dx.doi.org/10.3340/jkns.2012.51.6.359 Text en Copyright © 2012 The Korean Neurosurgical Society http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Article Oncel, Mehmet Yekta Ozdemir, Ramazan Kahilogulları, Gokmen Yurttutan, Sadık Erdeve, Omer Dilmen, Ugur The Effect of Surgery Time on Prognosis in Newborns with Meningomyelocele |
title | The Effect of Surgery Time on Prognosis in Newborns with Meningomyelocele |
title_full | The Effect of Surgery Time on Prognosis in Newborns with Meningomyelocele |
title_fullStr | The Effect of Surgery Time on Prognosis in Newborns with Meningomyelocele |
title_full_unstemmed | The Effect of Surgery Time on Prognosis in Newborns with Meningomyelocele |
title_short | The Effect of Surgery Time on Prognosis in Newborns with Meningomyelocele |
title_sort | effect of surgery time on prognosis in newborns with meningomyelocele |
topic | Clinical Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3424176/ https://www.ncbi.nlm.nih.gov/pubmed/22949965 http://dx.doi.org/10.3340/jkns.2012.51.6.359 |
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