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Updated: Feb 19, 2026
Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair
Published on: November 12, 2021
Management of neonatal spontaneous intestinal perforation by peritoneal needle aspiration
M Gébus1, J-L Michel2, S Samperiz1
1Service de Réanimation Néonatale et Infantile, CHU Felix Guyon de la Réunion, Saint-Denis, France.
Objective:
To describe conservative management of spontaneous intestinal perforation (SIP) in preterm infants using peritoneal needle aspiration (PNA).
Study Design:
Monocentric retrospective review of SIP cases treated primarily by PNA between 1999 and 2015 (n=31).
Results:
Mean gestational age was 29.2±2.4 weeks and birthweight 1149±428 g. SIP occurred at 3.7±2.2 days of life. PNA achieved definitive treatment in 18 patients (60%) with a mean of 1.8 (±0.8) procedures. All patients requiring more than three PNAs had secondary laparotomy. Two patients died and five presented severe cerebral lesions. Full enteral feeding was achieved 42±18 days after SIP. Intestinal morbidity included cholestasis (n=6), intestinal stricture (n=1) and growth restriction (n=22). On follow-up (n=25, median=4 years), no severe impairment was noted. Seventeen children (68%) had a normal development.
Conclusion:
PNA as primary therapy for SIP is a viable option, resulting in definitive treatment in 60% of cases, with limited mortality and morbidity.
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