|
第57卷 第2期 2024-3
Necrotizing fasciitis resulted from foreign body ingestion and intestinal perforation in an incisional hernia: Report of a case |
......................... |
|
第57卷 第2期 2024-3
Application of artificial intelligence in endodontic microsurgery |
......................... |
|
第57卷 第2期 2024-3
A rare case of cerebral metastasis of malignant peripheral nerve sheath tumor in a patient with neurofibromatosis type 1 |
......................... |
|
第57卷 第2期 2024-3
Ethic in commenting and clinical surgery journal publication: Emerging issue in the era of social media—A story from “Beall” to “Jaime” and independent researcher |
......................... |
|
第57卷 第2期 2024-3
Ophidascaris robertsi, the new emerging human parasite and neurosurgery |
......................... |
|
第57卷 第2期 2024-3
Tetanus toxoid IgG, usefulness in clinical surgery, and diagnostic property limitation |
......................... |
|
第57卷 第2期 2024-3
Deaths among surgeons while on duty: An important issue in surgery and occupational medicine that should not be disregarded |
......................... |
|
第57卷 第2期 2024-3
ChatGPT and its use in clinical surgery: A comment on its pro and con |
......................... |
|
第57卷 第2期 2024-3
Isolated spinal neurocysticercosis and pseudotumor cerebri: Tropical problem to be noted |
......................... |
|
第57卷 第2期 2024-3
Management of massive hemothorax resulting from traumatic diaphragm rupture with kidney avulsion injury by combined anterior thoracoabdominal approaches |
......................... |
|
第57卷 第2期 2024-3
Laparoscopic partial splenectomy for sclerosing angiomatoid nodular transformation: A case report and literature review |
......................... |
|
第57卷 第2期 2024-3
Using three-dimensional versus two-dimensional laparoscopy in sleeve gastrectomy: A case matched comparison |
......................... |
|
第57卷 第2期 2024-3
Effectiveness of placing prophylactic mesh with the Sugarbaker technique via laparoscopic abdominoperineal resection for rectal cancer: 1-year results |
......................... |
|
第57卷 第2期 2024-3
Nylon cable ties–assisted delay primary closure of fasciotomy wound in patients of forearm compartment syndrome |
......................... |
|
第57卷 第2期 2024-3
Prefabricated venous fl ap, an advanced free venous fl ap for distant transfer: An experimental rat study |
......................... |
|
第57卷 第1期 2024-1
Isolated lower leg monoplegia due to traumatic intraparenchymal hemorrhage |
......................... |
|
第57卷 第1期 2024-1
Reflections on the association between cholecystectomy, cholelithiasis, and colorectal cancer |
......................... |
|
第57卷 第1期 2024-1
Molluscum contagiosum, false positive, and incidence: Concern in surgery |
......................... |
|
第57卷 第1期 2024-1
New form of COVID-19 vaccine: A new advanced technology for fighting the remained problem |
......................... |
|
第57卷 第1期 2024-1
COVID-19 vaccination, acute appendicitis, interrelationship, and jointed probability: A concern |
......................... |
|
|
篇名 |
Initial Percutaneous Peritoneal Drainage for Newborn Intestinal Perforation in Very-Low-Birth-Weight Infants |
作者 |
Chau-Jing Chen, Kai-Hsi Hsu |
卷期/出版年月 |
43卷4期 (2010/8) |
頁次 |
174-180 |
摘要 |
Objective: Newborn intestinal perforation (NIP) in very-low-birth-weight (VLBW)
premature neonates is a complex disease that includes focal intestinal perforation
(FIP) and necrotizing enterocolitis (NEC) causing perforation. Surgical procedures
for managing VLBW neonates with NIP generally include percutaneous peritoneal
drainage (PPD) and laparotomy. The optimal choice between these two procedures
remains controversial. The aim of this study is to evaluate the value of PPD as the
initial management for patients with VLBW and NIP.
Methods: Between 1989 and 2005, a total of 36 VLBW infants with NIP undergoing
either laparotomy or PPD at National Cheng-Kung University Hospital (NCKUH)
were included in this study for evaluation and comparison of the clinical effects in
relation to these two methods of surgical intervention.
Results: There were 19 patients with FIP and 17 patients with NEC. In all 36
VLBW patients with NIP, those undergoing PPD, as compared with those
undergoing laparotomy alone, were associated with a better survival rate and a
lower complication rate (P=0.036 and 0.015, respectively). Patients with NEC,
compared to those with FIP, treated with either procedures, were significantly
associated with an increased rate of complication (P<0.0001).
Conclusions: This study demonstrates that initial PPD, compared with
laparotomy, is a less radical procedure that is associated with better outcomes and
less complications in VLBW neonates with NIP. However, a larger-scale study may
be necessary for justifying PPD as the optimal initial surgical treatment of choice in
these patients, especially those with NEC. |
關鍵詞 |
focal intestinal perforation, necrotizing enterocolitis, laparotomy,newborn intestinal perforation, percutaneous peritoneal drainage |
分類 |
Original Article |
|