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Related Experiment Videos

Paediatric emergencies.

R J Brereton, M D Stringer

    Bailliere'S Clinical Gastroenterology
    |December 1, 1991
    PubMed
    Summary
    This summary is machine-generated.

    Neonatal surgical outcomes have improved, but infants with multiple anomalies face long-term challenges. Future research will focus on predicting poor prognoses for these complex cases.

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    Area of Science:

    • Neonatal surgery
    • Pediatric surgery
    • Medical prognostication

    Background:

    • Neonatal surgical outcomes have significantly improved over the past decade.
    • Mortality rates for infants with single anomalies have decreased to approximately 10%.
    • An increase in survivors with multiple anomalies presents challenges with severe chronic handicaps into late childhood.

    Purpose of the Study:

    • To highlight the shift in focus towards predicting long-term prognoses for infants with complex anomalies.
    • To emphasize the need for multidisciplinary collaboration in managing these cases.
    • To discuss evolving surgical timing strategies for various neonatal surgical conditions.

    Main Methods:

    • Review of recent trends in neonatal surgical outcomes and management.

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  • Analysis of the impact of multiple congenital anomalies on long-term patient prognosis.
  • Discussion of the necessity for coordinated care pathways involving various medical specialists and parents.

    • Main Results:

    • Postoperative mortality for single anomalies has fallen, but long-term handicaps in those with multiple anomalies are increasing.
    • Urgent surgery is critical for conditions like gastroschisis, intestinal volvulus, and irreducible inguinal hernia.
    • Trends show a move away from immediate surgery for many conditions, favoring operations within 24 hours, except in specific critical cases.

    Conclusions:

    • Future efforts will concentrate on developing predictive programs for poor long-term prognoses in neonates.
    • Close collaboration among obstetricians, neonatologists, surgeons, pediatricians, general practitioners, and parents is essential.
    • Management strategies are adapting, with a nuanced approach to surgical timing based on the specific anomaly and clinical presentation.