Muhammad Sharif, Hashem Abood, Isam Elamin Elsiddig, Fadi Atwan.
Pattern and Outcome of Neonatal Surgery: Experience at King Fahad Hospital Al-Baha.
Pak J Med Health Sci Jan ;8(2):262-7.

Aims: To share our experience of neonatal surgery regarding varieties of cases, management, outcome and to look into and compare the factors causing differences in morbidity and mortality. Duration: 3 years (Jan 2011 to Dec 2013). Study Design: Retrospective analysis. Setting: Depart. of pediatric surgery & neonatal intensive care unit King Fahad Hospital Al Baha KSA. Methods: A retrospective study was conducted from Jan 2011 to Dec 2013. During 3 years period 57 neonates were operated. Data was retrieved from operation theatre register, neonatal surgery register from neonatal intensive care unit and from medical record office. Neonates undergoing major surgical procedures were included in the study and minor surgical cases like inguinal hernia and circumcision were excluded from the study. Results: In our study males were predominant and majority of cases 35(64.40%) were less than 7 days of age at time of operation. Congenital diaphragmatic hernia was the most common pathology 11(19.92%), followed by NEC 10(17.54%), Hirschsprung's disease 7(12.28%), intestinal atresia 6(10.52%), anorectal malformation 5(8.77%) and Tracheoesophageal fistula 3(5.26%) etc. Out of 57 patients, 7 patients expired after surgery, our mortality was 12.28%. Two patients developed sepsis and there was one recurrence after diaphragmatic hernia. Our morbidity and mortality was minimum and there was no major bleeding, anastomotic leak and iatrogenic injury in our series. Conclusion: We conclude that variety and pattern of surgical neonates undergoing neonatal surgery in our study is similar to other developing countries but there is difference in morbidity and mortality between developed and developing countries. Developing countries should implement cost effective improvement factors like improvement in antenatal care to reduce prematurity and strict implementation of hand scrubbing and hand washing to reduce post operative morbidity and mortality.

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