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Experience of Minimally Invasive Surgery in Neonates with Congenital Malformations in a Tertiary Care Pediatric Hospital

AIM: The aim of this study is to report the experience with minimally invasive surgery (MIS) in neonates with congenital malformations in a tertiary care pediatric hospital. MATERIALS AND METHODS: Design: descriptive study. All neonates undergoing MIS from 2013 to 2018 were included in the study. Pe...

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Autores principales: García, Heladia J., Licona-Islas, Carmen, López-García, Nadia, Cabello, Héctor González, Galván-Sosa, Vladimir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7815036/
https://www.ncbi.nlm.nih.gov/pubmed/33487941
http://dx.doi.org/10.4103/jiaps.JIAPS_169_19
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author García, Heladia J.
Licona-Islas, Carmen
López-García, Nadia
Cabello, Héctor González
Galván-Sosa, Vladimir
author_facet García, Heladia J.
Licona-Islas, Carmen
López-García, Nadia
Cabello, Héctor González
Galván-Sosa, Vladimir
author_sort García, Heladia J.
collection PubMed
description AIM: The aim of this study is to report the experience with minimally invasive surgery (MIS) in neonates with congenital malformations in a tertiary care pediatric hospital. MATERIALS AND METHODS: Design: descriptive study. All neonates undergoing MIS from 2013 to 2018 were included in the study. Perinatal data, characteristics of surgery, type and duration of analgesia, postoperative mechanical ventilation duration, postoperative hospitalization, and postoperative morbidity and mortality surgery-related rates were recorded. RESULTS: Seventy-one neonates were included. Gestational age and weight at surgery ranged from 24 to 41 weeks and from 1350 g to 4830 g, respectively. Procedures performed were esophageal atresia/tracheoesophageal fistula repair, congenital diaphragmatic hernia repair, diaphragmatic plication, fundoplication/gastrostomy, intestinal atresia repair, and pancreatectomy. The median follow-up period was 14 months. Five neonates (7%) were converted to open, for surgical difficulties. Nine (12.6%) neonates had intraoperative complications, with decreased oxygen saturation as the most common complication. The median duration of analgesia and postoperative mechanical ventilation was 3 days in most procedures. The morbidity and mortality rates were 36.6% and 2.8%, respectively. CONCLUSIONS: In this first experience with MIS in neonates, the duration of analgesia and hospitalization was shorter for some procedures. However, intraoperative and postoperative complications were still high, which was possibly attributed to the learning curve. Thus, it is expected that the frequency of the complications presented in this study will be reduced in future.
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spelling pubmed-78150362021-01-22 Experience of Minimally Invasive Surgery in Neonates with Congenital Malformations in a Tertiary Care Pediatric Hospital García, Heladia J. Licona-Islas, Carmen López-García, Nadia Cabello, Héctor González Galván-Sosa, Vladimir J Indian Assoc Pediatr Surg Original Article AIM: The aim of this study is to report the experience with minimally invasive surgery (MIS) in neonates with congenital malformations in a tertiary care pediatric hospital. MATERIALS AND METHODS: Design: descriptive study. All neonates undergoing MIS from 2013 to 2018 were included in the study. Perinatal data, characteristics of surgery, type and duration of analgesia, postoperative mechanical ventilation duration, postoperative hospitalization, and postoperative morbidity and mortality surgery-related rates were recorded. RESULTS: Seventy-one neonates were included. Gestational age and weight at surgery ranged from 24 to 41 weeks and from 1350 g to 4830 g, respectively. Procedures performed were esophageal atresia/tracheoesophageal fistula repair, congenital diaphragmatic hernia repair, diaphragmatic plication, fundoplication/gastrostomy, intestinal atresia repair, and pancreatectomy. The median follow-up period was 14 months. Five neonates (7%) were converted to open, for surgical difficulties. Nine (12.6%) neonates had intraoperative complications, with decreased oxygen saturation as the most common complication. The median duration of analgesia and postoperative mechanical ventilation was 3 days in most procedures. The morbidity and mortality rates were 36.6% and 2.8%, respectively. CONCLUSIONS: In this first experience with MIS in neonates, the duration of analgesia and hospitalization was shorter for some procedures. However, intraoperative and postoperative complications were still high, which was possibly attributed to the learning curve. Thus, it is expected that the frequency of the complications presented in this study will be reduced in future. Wolters Kluwer - Medknow 2020 2020-10-27 /pmc/articles/PMC7815036/ /pubmed/33487941 http://dx.doi.org/10.4103/jiaps.JIAPS_169_19 Text en Copyright: © 2020 Journal of Indian Association of Pediatric Surgeons http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
García, Heladia J.
Licona-Islas, Carmen
López-García, Nadia
Cabello, Héctor González
Galván-Sosa, Vladimir
Experience of Minimally Invasive Surgery in Neonates with Congenital Malformations in a Tertiary Care Pediatric Hospital
title Experience of Minimally Invasive Surgery in Neonates with Congenital Malformations in a Tertiary Care Pediatric Hospital
title_full Experience of Minimally Invasive Surgery in Neonates with Congenital Malformations in a Tertiary Care Pediatric Hospital
title_fullStr Experience of Minimally Invasive Surgery in Neonates with Congenital Malformations in a Tertiary Care Pediatric Hospital
title_full_unstemmed Experience of Minimally Invasive Surgery in Neonates with Congenital Malformations in a Tertiary Care Pediatric Hospital
title_short Experience of Minimally Invasive Surgery in Neonates with Congenital Malformations in a Tertiary Care Pediatric Hospital
title_sort experience of minimally invasive surgery in neonates with congenital malformations in a tertiary care pediatric hospital
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7815036/
https://www.ncbi.nlm.nih.gov/pubmed/33487941
http://dx.doi.org/10.4103/jiaps.JIAPS_169_19
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