Laparotomy or drain for perforated necrotizing enterocolitis: who gets what and why?

Abstract:

:Between 1974 and 1988, 86 newborns with perforated necrotizing enterocolitis (NEC) were treated by either laparotomy (usually involving a bowel resection and a temporary stoma) or a peritoneal drain under local anesthesia. The survival of babies in the laparotomy group was 57% versus 59% in the drained group. However, for neonates less than 1,000 g survival in the drained group was 69% compared to 22% for the laparotomy group (P <.01). As the weight of the babies increased over 1,000 g, the survival in the laparotomy group increased to 67%. There was no significant increase in survival in infants over 1,500 g. The highest neonatal mortality risk is generally found among babies weighing less than 1,000 g at birth with a gestational age of less than 30 weeks. This risk increases even more when perforated NEC is added to the prematurity. With the use of peritoneal drainage, survival in this group can approach that of larger neonates.

journal_name

Pediatr Surg Int

authors

Azarow KS,Ein SH,Shandling B,Wesson D,Superina R,Filler RM

subject

Has Abstract

pub_date

1997-02-01 00:00:00

pages

137-9

issue

2-3

eissn

0179-0358

issn

1437-9813

journal_volume

12

pub_type

杂志文章
  • Formula feeding and systemic hypoxia synergistically induce intestinal hypoxia in experimental necrotizing enterocolitis.

    abstract:PURPOSE:Feeding and systemic hypoxia are major stresses inducing necrotizing enterocolitis (NEC). This study aims to investigate the role of systemic hypoxia in NEC and its effect before and after feeding. METHODS:Neonatal mice were studied in three groups. Control (N = 9): breast feeding; NEC A (N = 8), gavage feedin...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-016-3997-8

    authors: Chen Y,Koike Y,Miyake H,Li B,Lee C,Hock A,Zani A,Pierro A

    更新日期:2016-12-01 00:00:00

  • T-cryptantigen (TCA) activation in surgical neonates: a hidden problem.

    abstract::The Thomsen-Friedenreich cryptantigen (TCA) is located on the surface of all red cells, but is concealed by a layer of neuraminic acid. When bacteria that produce neuraminidase disrupt this coating, the TCA can be exposed and activated. If blood products containing antibody to the TCA are subsequently administered, ha...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003830050488

    authors: Grant HW,Hadley GP,Adhikari M,Fernandes-Costa F

    更新日期:1998-12-01 00:00:00

  • Surgical complications, especially gastroesophageal reflux disease, intestinal adhesion obstruction, and diaphragmatic hernia recurrence, are major sequelae in survivors of congenital diaphragmatic hernia.

    abstract:PURPOSE:This study aimed to characterize the surgical complications, especially gastroesophageal reflux disease (GERD), intestinal adhesion obstruction (IAO), and diaphragmatic hernia recurrence, in patients with congenital diaphragmatic hernia (CDH). METHODS:Between January 1995 and December 2013, we determined the i...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-014-3575-x

    authors: Yokota K,Uchida H,Kaneko K,Ono Y,Murase N,Makita S,Hayakawa M

    更新日期:2014-09-01 00:00:00

  • Endoscopic treatment of primary grade V vesicoureteral reflux using hyaluronic acid copolymer (DX/HA).

    abstract:PURPOSE:Since DX/HA was approved by the Food and Drug Administration in 2001 as an acceptable tissue-augmenting substance for subureteral injection, endoscopic treatment has become increasingly popular for treating vesicoureteral reflux (VUR). However, most paediatric urologists still continue to recommend ureteral rei...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-010-2650-1

    authors: Hunziker M,Mohanan N,D'Asta F,Puri P

    更新日期:2010-10-01 00:00:00

  • Limb-body wall complex: a compound anomaly pattern in body-wall defects.

    abstract::Our presentation of four cases demonstrates the essential features of limb-body wall complex (LBWC), representing a compound anomaly pattern in body-wall defects. The diagnosis of this entity is based on two of the three following characteristics: (1) exencephaly/encephalocele and facial clefts; (2) thoraco- and/or ab...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003830000497

    authors: Pumberger W,Schaller A,Bernaschek G

    更新日期:2001-07-01 00:00:00

  • Pulmonary sequestrations detected by antenatal ultrasound.

    abstract::We present three cases of abdominal and abdomino-thoracic extra-lobar pulmonary sequestrations detected by antenatal ultrasound (US) over a 12-month period. In addition, we briefly refer to a case previously described. A cystic mass was demonstrated in the left upper abdomen of the fetus in all four cases, with two ex...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/BF00183739

    authors: Crameri JA,Ford WD,Furness ME

    更新日期:1996-03-01 00:00:00

  • Currarino's triad: an unusual cause of constipation in children.

    abstract::A 6-year-old girl presented with intractable constipation. On investigation, she was found to have an association of anorectal stenosis, anterior sacral defect, and anterior meningocoele (Currarino's triad). The meningocoele was excised and a Duhamel pull-through procedure performed after resection of a massively dist...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章,评审

    doi:10.1007/s003830050362

    authors: Zia-ul-Miraj M,Brereton RJ

    更新日期:1998-07-01 00:00:00

  • Effect of leflunomide on liver regeneration after partial hepatectomy in rats.

    abstract:PURPOSE:Partial hepatectomy (PH) can be an inevitable surgical therapy in some conditions, such as hepatic malignancies, trauma or partial liver transplantation. Its capacity for regeneration distinguishes the liver from other essential organs. Regeneration is a complex process involving growth factors, cytokines, tran...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-009-2529-1

    authors: Karaman A,Kirimlioglu H,Tas E,Karadag N,Gülsul C,Fadillioglu E,Demircan M

    更新日期:2010-02-01 00:00:00

  • Anorectal injuries in children.

    abstract::Anorectal injuries (ARI) are uncommon in children in civil practice. In developed countries the injuries are mainly due to sexual abuse and firearms. This report reviews the experience in tropical Africa. A retrospective study of children aged 12 years or less managed for ARI over 10 years was undertaken. There were s...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003830000347

    authors: Ameh EA

    更新日期:2000-01-01 00:00:00

  • Protocol-based management of 154 cases of pediatric liver abscess.

    abstract:AIM:Although liver abscess (LA) is prevalent worldwide, especially in developing countries, there is a paucity of data regarding the protocol for management of LA in children. The aim of this study was to analyze the outcome of a protocol-based management of pediatric LA from a single institution. MATERIALS AND METHOD...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-016-4009-8

    authors: Roy Choudhury S,Khan NA,Saxena R,Yadav PS,Patel JN,Chadha R

    更新日期:2017-02-01 00:00:00

  • Colonic atresia and choledochal cyst: a rare combination.

    abstract::Colonic atresia and choledochal cyst are rare congenital abnormalities and there are few cases of their coexistence reported in the literature. We report a case of choledochal cyst and colonic atresia in a term neonate. Our prenatal ultrasonographic and intraoperative findings support the idea that these two entities ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-008-2280-z

    authors: Nijagal A,Ozgediz D,Feldstein VA,Lee H,Harrison MR

    更新日期:2009-01-01 00:00:00

  • Spontaneous scrotal faecal fistula in infants.

    abstract::Two infants aged 29 and 43 days, respectively, presented with a spontaneous scrotal faecal fistula from a strangulated inguinal hernia. There was associated necrotising fasciitis of the scrotum in both patients, but the testes were spared. Resection and anastomosis along with debridement of the scrotal fasciitis was s...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-002-0754-y

    authors: Ameh EA,Awotula OP,Amoah JN

    更新日期:2002-09-01 00:00:00

  • Multicystic dysplastic kidney detected by fetal sonography: conservative management and follow-up.

    abstract::The most common cystic lesion recognized antenatally is multicystic dysplastic kidney (MCDK). Recently, conservative management without nephrectomy has been advocated. The purpose of this study was to report our experience in the conservative management of unilateral MCDK. Between 1989 and 1997, 20 children with MCDK ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003830000449

    authors: Oliveira EA,Diniz JS,Vilasboas AS,Rabêlo EA,Silva JM,Filgueiras MT

    更新日期:2001-01-01 00:00:00

  • An adrenal cyst in a newborn.

    abstract::Adrenal cysts (AC) are rare, particularly in the newborn period. Almost all ACs in newborns were diagnosed on exploratory laparotomy or at autopsy. We report a newborn with an AC that was diagnosed after an exploratory laparotomy due to its rare presentation. This case shows that ACs should be considered in the differ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-002-0759-6

    authors: Içağasioğlu D,Caksen H,Yildiz E,Koçyiğit C,Cevit O

    更新日期:2003-06-01 00:00:00

  • Stroma-predominant Wilms tumor with teratoid features: report of a rare case and review of the literature.

    abstract::We describe the case of a 4-year-old boy with a unilateral right-sided Wilms tumor with stromal predominance and teratoid features, which was localized to the kidney and hence, was completely resected. The pediatric surgeon and pathologist, both should be aware of this rare appearance of nephroblastoma so as to avoid ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章,评审

    doi:10.1007/s00383-009-2333-y

    authors: Gupta R,Sharma A,Arora R,Dinda AK

    更新日期:2009-03-01 00:00:00

  • Early bougienage for relief of stricture formation following caustic esophageal burns.

    abstract::Accidental ingestion of corrosive substances remains a major health hazard in children. Most infants and children who ingest caustic substances present with very few symptoms or signs. Approximately 40% of caustic substance ingestions result in esophageal injury, but the optimal management of caustic esophageal burns ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-004-1331-3

    authors: Tiryaki T,Livanelioğlu Z,Atayurt H

    更新日期:2005-02-01 00:00:00

  • Colo-colic intussusception in Henoch-Schönlein purpura.

    abstract::Intussusception is the commonest surgical complication of Henoch-Sch onlein purpura (HSP), occurring in 1.3%-13.6% of affected children. Colo-colic intussusception is a rare occurrence in HSP, with only three other reported cases. Intussusception in HSP almost always originates in the ileum (90%) or jejunum (7%), and ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章,评审

    doi:10.1007/s003830050478

    authors: Choong CK,Kimble RM,Pease P,Beasley SW

    更新日期:1998-12-01 00:00:00

  • Concealed penis.

    abstract::A small phallus causes great concern regarding genital adequacy. A concealed penis, although of normal size, appears small either because it is buried in prepubic tissues, enclosed in scrotal tissue penis palmatus (PP), or trapped due to phimosis or a scar following circumcision or trauma. From July 1978 to January 20...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-002-0770-y

    authors: Radhakrishnan J,Razzaq A,Manickam K

    更新日期:2002-12-01 00:00:00

  • Late-onset vital complication after the Nuss procedure for pectus excavatum.

    abstract::The Nuss procedure is the most popular technique for correction of pectus excavatum recently. Life-threatening complications associated with the procedure are very rare. We report a 13-year-old boy who developed late-onset bilateral hemothorax with hypovolemic shock 5 months after the Nuss procedure. In literature rev...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-011-2936-y

    authors: Lin CW,Chen KC,Diau GY,Chu CC

    更新日期:2012-01-01 00:00:00

  • Intestinal congenital/infantile fibrosarcoma: a new clinico-pathological entity?

    abstract::Congenital/infantile fibrosarcoma (IFS) is a relatively rare form of fibrosarcoma diagnosed at birth or during early years of life and that differs from its adult counterpart because of a more favorable behavior. IFS is also known as cellular congenital mesoblastic nephroma, when it affects the kidney and is often but...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-015-3670-7

    authors: Berrebi D,Fournet JC,Boman F,Fabre M,Philippe-Chomette P,Branchereau S,Fréneaux P,Bouron-Dal Soglio D,Michon J,Peuchmaur M

    更新日期:2015-04-01 00:00:00

  • Classification and diagnostic criteria of variants of Hirschsprung's disease.

    abstract::"Variants of Hirschsprung's disease" are conditions that clinically resemble Hirschsprung's disease (HD), despite the presence of ganglion cells in rectal suction biopsies. The diagnosis and management of these patients can be challenging. Specific histological, immunohistochemical and electron microscopic investigati...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章,评审

    doi:10.1007/s00383-013-3351-3

    authors: Friedmacher F,Puri P

    更新日期:2013-09-01 00:00:00

  • Juvenile papillomatosis of the breast in a 9-year-old girl.

    abstract::Juvenile papillomatosis (JP) is a rare benign, proliferative breast tumor in children. We observed a 9-year-old girl with a large soft-tissue mass at the lower outer quadrant of the left breast. Ultrasonography showed an ill-defined, inhomogeneous mass with numerous small, hypoechoic areas. The tumor was completely ex...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003830000462

    authors: Hsieh SC,Chen KC,Chu CC,Chou JM

    更新日期:2001-03-01 00:00:00

  • Combined free autologous auricular cartilage and fascia lata graft repair for a recurrent tracheoesophageal fistula.

    abstract::Repair of recurrent tracheoesophageal fistula (TEF) after repair of congenital esophageal atresia continues to be a difficult problem. The most common re-operation for a recurrent TEF involves repair via a right thoracotomy and use of a flap as interposed tissue between the closure sites. Although several materials ha...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-012-3255-7

    authors: Sugiyama A,Urushihara N,Fukumoto K,Fukuzawa H,Watanabe K,Mitsunaga M,Aoba T,Park S

    更新日期:2013-05-01 00:00:00

  • Risk factors of infection of implanted device after the Nuss procedure.

    abstract:PURPOSE:The Nuss procedure is a minimally invasive procedure for the correction of pectus excavatum. It involves insertion of a substernal metal bar. A feared complication of any implantation procedure is infection, which often requires removal of the implanted device. This report describes the authors' experience with...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-012-3145-z

    authors: Tanaka K,Kuwashima N,Ashizuka S,Yoshizawa J,Ohki T

    更新日期:2012-09-01 00:00:00

  • Ultrasound-guided percutaneous sclerotherapy of hydatid liver cysts in children.

    abstract::To evaluate the efficacy of ultrasound (US) guided percutaneous sclerotherapy in the pediatric population, 14 hydatid liver cysts (HLC) in eight male patients whose ages ranged between 6 and 16 years (mean 9.9 years) were treated. The maximum diameter was 110 mm. Albendazole was administered orally to all patients for...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003830000356

    authors: Kabaalioğlu A,Karaali K,Apaydin A,Melikoğlu M,Sindel T,Lüleci E

    更新日期:2000-01-01 00:00:00

  • Redo transanal endorectal pull-through: a preliminary study.

    abstract::The aim of this study is to evaluate the safety and efficacy of the redo transanal endorectal pull-through (TEPT) for patients with persistent symptoms after pull-through for Hirschsprung's disease (HD). Seven children were included in the study, their ages ranged from 2.5 to 6 years (four males and three females). Th...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-006-1837-y

    authors: Gobran TA,Ezzat A,Hassan ME,O'Neill J

    更新日期:2007-02-01 00:00:00

  • The laparoscopic spectrum of inguinal hernias and their recurrences.

    abstract::In a retrospective study, intraoperative photos and video documentations of 884 children demonstrate that inguinal hernias and their recurrences are aspects of a full spectrum, which ranges from fully closed internal inguinal rings (IIR) and small openings to all-the way-down-into-the-scrotum open processus; 92% of th...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-007-2018-3

    authors: Schier F

    更新日期:2007-12-01 00:00:00

  • Ovarian and multiple lymph nodes recurrence of acute lymphoblastic leukemia: a case report and review of literature.

    abstract::Ovarian involvement of acute lymphoblastic leukemia (ALL) without relapse in the bone marrow or other extramedullary site is rare. We report a case of ovarian relapse in a 13-year-old girl who was diagnosed with ALL at the age of 11. A complete remission was induced with the Children Cancer Group 1882 protocol for hig...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章,评审

    doi:10.1007/s00383-008-2253-2

    authors: Kim JW,Cho MK,Kim CH,Kang WD,Kook H,Kim YH,Choi HS,Kim SM

    更新日期:2008-11-01 00:00:00

  • Towards the perfect ARM center: the European Union's criteria for centers of expertise and their implementation in the member states. A report from the ARM-Net.

    abstract:BACKGROUND:Pediatric surgeons and patient organisations agree that fewer centers for anorectal malformations with larger patient numbers are essential to reach better treatment. The European Union transacts a political process which aims to realize such centers of expertise for a multitude of rare diseases. All the cen...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-015-3752-6

    authors: Schmiedeke E,de Blaauw I,Lacher M,Grasshoff-Derr S,Garcia-Vazquez A,Giuliani S,Midrio P,Gamba P,Iacobelli B,Bagolan P,Brisighelli G,Leva E,Cretolle C,Sarnacki S,Broens P,Sloots C,van Rooij I,Schwarzer N,Aminoff D,Ha

    更新日期:2015-08-01 00:00:00

  • Lung surgery in children and their post-operative risk of respiratory infection.

    abstract:PURPOSE:Pediatric surgeons at our institution are often asked by families about a theoretical increased risk of severe common upper respiratory infections in children status post lung resection. No data exist on this topic. We, therefore, aimed to examine the risk of severe respiratory infection in children after pulmo...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-020-04851-5

    authors: Fleming MA 2nd,Xu TO,Gander JW,Levin DE

    更新日期:2021-01-10 00:00:00