Surgical problems and outcome in infants less than 1000 grams at birth

This study was undertaken to identify the pathologic processes in premature infants weighing less than 1000 gm who require surgery, and the outcome of such operations. These neonates required surgery for NEC and PDA. Congenital anomalies were not encountered in our series. No increased mortality due to surgery was observed, and overall mortality was comparable for infants less than 1000 gm and for premature infants with similar diseases. We conclude that surgery in premature infants less than 1000 gm is performed for acquired diseases, and mortality is not increased by the need for surgery.