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Factors associated with neonatal ostomy complications
Aliyah Lockhat1, Guen Kernaleguen2, Bryan J Dicken3
1Department of Pediatrics, University of Alberta, Edmonton, AB, Canada.
Journal of Pediatric Surgery
|November 25, 2015
Summary
Neonatal ostomies carry a significant risk of wound complications like dehiscence. Factors such as bowel necrosis, sepsis, and blood transfusions increase this risk in infants.
Area of Science:
- Pediatric Surgery
- Neonatal Care
- Wound Complications
Background:
- Neonatal ostomies are performed for various reasons, but risk factors for surgical wound complications remain understudied.
- Understanding these risks is crucial for improving infant surgical outcomes.
Purpose of the Study:
- To identify factors associated with significant abdominal wound complications after neonatal ostomy creation.
- Specifically investigating risks for wound dehiscence and wound infection.
Main Methods:
- Retrospective chart review of infants who underwent ostomy creation.
- Data collected from January 2009 to December 2013 at the University of Alberta Hospital.
Main Results:
- 18.2% of infants (12/66) experienced wound complications.
- Wound dehiscence was linked to intraoperative bowel necrosis, perioperative sepsis, and blood transfusion.
- No specific predictors were identified for wound infection based on collected variables.
Conclusions:
- Neonates undergoing ostomy creation face a substantial risk of wound complications.
- Strategies to prevent ostomy creation or enhance wound healing are needed for surgical infants.
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