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Neonatal surgery: changing patterns 1972-1980

J D Battaglia

    Journal of Pediatric Surgery
    |October 1, 1982
    PubMed
    Summary

    Neonatal surgery cases and procedures significantly increased from 1972-1980. Key rises included ductus arteriosus ligation and central alimentation, reflecting advancements in neonatal care and survival.

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    Area of Science:

    • Pediatric Surgery
    • Neonatal Medicine
    • Surgical Outcomes

    Background:

    • The neonatal period presents unique surgical challenges.
    • Understanding trends in neonatal surgery is crucial for resource allocation and care improvement.

    Purpose of the Study:

    • To review and classify all neonatal surgical cases and procedures performed at The Children's Hospital between 1972 and 1980.
    • To identify changes and trends in the types and volume of neonatal surgeries over the study period.

    Main Methods:

    • Retrospective review and classification of all neonatal surgical cases.
    • Data collection on patient numbers, procedures performed, and specific surgical interventions.
    • Analysis of trends in surgical procedures over a nine-year period.

    Main Results:

    • A nearly fourfold increase in both neonatal surgical patients and procedures was observed.
    • Significant increases in ligation of the ductus arteriosus in premature infants and central alimentation procedures.
    • Rising incidence of surgeries for intestinal obstruction, omphalocele/gastroschisis, and cardiovascular anomalies.
    • Shunting procedures for hydrocephalus increased at a faster rate than myelomeningocele incidence.

    Conclusions:

    • Neonatal surgery experienced substantial growth in volume and complexity during the study period.
    • Changes in surgical patterns may be attributed to population growth, increased nursery care capabilities, improved neonatal survival rates, regionalization, and evolving medical management.
    • These trends highlight advancements in neonatal intensive care and surgical interventions.

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