Retrospective Analysis of Neonatal Surgery at Tottori University over the Past Ten Years

Retrospective Analysis of Neonatal Surgery at Tottori University over the Past Ten Years

[ABATRACTS] [Background] In recent years, the number of neonatal surgeries has been on the rise despite the decline in the number of births, and we examined the actual trends and problems at Tottori University Hospital located in the Sanin region. [Methods] Medical records were retrospectively searc...

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Veröffentlicht in:YONAGO ACTA MEDICA 2023, Vol.66 (4), p.413-421, Article 2023.11.003
Hauptverfasser: Hasegawa, Toshimichi, Takano, Shuichi, Masuda, Kohga, Fujiwara, Yoshiyuki, Miyahara, Ayako, Miura, Mazumi
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container_issue 4
container_start_page 413
container_title YONAGO ACTA MEDICA
container_volume 66
creator Hasegawa, Toshimichi
Takano, Shuichi
Masuda, Kohga
Fujiwara, Yoshiyuki
Miyahara, Ayako
Miura, Mazumi
description [ABATRACTS] [Background] In recent years, the number of neonatal surgeries has been on the rise despite the decline in the number of births, and we examined the actual trends and problems at Tottori University Hospital located in the Sanin region. [Methods] Medical records were retrospectively searched for patients who underwent major surgery during the neonatal period (within 30 days of age) at the Tottori University Hospital over the past 10 years (Jan. 2011 to Dec. 2020). [Results] Sixty-five cases were included. Early birth infants (
doi_str_mv 10.33160/yam.2023.11.003
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[Methods] Medical records were retrospectively searched for patients who underwent major surgery during the neonatal period (within 30 days of age) at the Tottori University Hospital over the past 10 years (Jan. 2011 to Dec. 2020). [Results] Sixty-five cases were included. Early birth infants (&lt;37 gestational weeks) comprised 15 cases (23%) and low birth weight (&lt;2500 g) infants involved 27 cases (42%). In the latter half (2016-2020), early birth and low birth weight infants were significantly less than in the first half (2011-2015). The common diseases were anorectal malformation (14 cases), esophageal atresia (10), duodenal atresia (10), and diaphragmatic hernia (9). Prenatal diagnosis was obtained in 26 cases (40%), with high diagnostic rate obtained in duodenal atresia (100%), abdominal wall defect (100%), ileal atresia (75%), meconium peritonitis (67%), and diaphragmatic hernia (67%). Fifty-five cases (85%) were operated on within 7 days of age. Other major malformations were associated in 23 cases (35%). There were 6 deaths (9%), of which 3 cases were low birth weight infants with gastrointestinal perforation, 2 cases with severe chromosomal abnormalities (esophageal atresia, omphalocele), and 1 case with diaphragmatic hernia with severe pulmonary hypertension. Home medical care has been required with gastrostomy tube in 2 cases. [Conclusion] Neonatal surgery at Tottori University has been well performed as required with acceptable results along with the progression of other perinatal care. However, further investigation for improvements in premature delivery or organ hypoplasia may be required.</description><identifier>ISSN: 0513-5710</identifier><identifier>ISSN: 1346-8049</identifier><identifier>EISSN: 1346-8049</identifier><identifier>DOI: 10.33160/yam.2023.11.003</identifier><identifier>PMID: 38028267</identifier><language>eng</language><publisher>Japan: Tottori University Medical Press</publisher><ispartof>YONAGO ACTA MEDICA, 2023, Vol.66 (4), p.413-421, Article 2023.11.003</ispartof><rights>2023 Tottori University Medical Press.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c590t-3c61ad60a2bc402f24b4f361a989ce2aa48a206a6ccfef0c1e97f5527bec9cf03</citedby><cites>FETCH-LOGICAL-c590t-3c61ad60a2bc402f24b4f361a989ce2aa48a206a6ccfef0c1e97f5527bec9cf03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38028267$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hasegawa, Toshimichi</creatorcontrib><creatorcontrib>Takano, Shuichi</creatorcontrib><creatorcontrib>Masuda, Kohga</creatorcontrib><creatorcontrib>Fujiwara, Yoshiyuki</creatorcontrib><creatorcontrib>Miyahara, Ayako</creatorcontrib><creatorcontrib>Miura, Mazumi</creatorcontrib><creatorcontrib>School of Medicine</creatorcontrib><creatorcontrib>Faculty of Medicine</creatorcontrib><creatorcontrib>Department of Surgery</creatorcontrib><creatorcontrib>Division of Gastrointestinal and Pediatric Surgery</creatorcontrib><creatorcontrib>Department of Pediatrics</creatorcontrib><creatorcontrib>Tottori University</creatorcontrib><title>Retrospective Analysis of Neonatal Surgery at Tottori University over the Past Ten Years</title><title>YONAGO ACTA MEDICA</title><addtitle>Yonago Acta Med</addtitle><description>[ABATRACTS] [Background] In recent years, the number of neonatal surgeries has been on the rise despite the decline in the number of births, and we examined the actual trends and problems at Tottori University Hospital located in the Sanin region. [Methods] Medical records were retrospectively searched for patients who underwent major surgery during the neonatal period (within 30 days of age) at the Tottori University Hospital over the past 10 years (Jan. 2011 to Dec. 2020). [Results] Sixty-five cases were included. Early birth infants (&lt;37 gestational weeks) comprised 15 cases (23%) and low birth weight (&lt;2500 g) infants involved 27 cases (42%). In the latter half (2016-2020), early birth and low birth weight infants were significantly less than in the first half (2011-2015). The common diseases were anorectal malformation (14 cases), esophageal atresia (10), duodenal atresia (10), and diaphragmatic hernia (9). Prenatal diagnosis was obtained in 26 cases (40%), with high diagnostic rate obtained in duodenal atresia (100%), abdominal wall defect (100%), ileal atresia (75%), meconium peritonitis (67%), and diaphragmatic hernia (67%). Fifty-five cases (85%) were operated on within 7 days of age. Other major malformations were associated in 23 cases (35%). There were 6 deaths (9%), of which 3 cases were low birth weight infants with gastrointestinal perforation, 2 cases with severe chromosomal abnormalities (esophageal atresia, omphalocele), and 1 case with diaphragmatic hernia with severe pulmonary hypertension. Home medical care has been required with gastrostomy tube in 2 cases. [Conclusion] Neonatal surgery at Tottori University has been well performed as required with acceptable results along with the progression of other perinatal care. 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[Methods] Medical records were retrospectively searched for patients who underwent major surgery during the neonatal period (within 30 days of age) at the Tottori University Hospital over the past 10 years (Jan. 2011 to Dec. 2020). [Results] Sixty-five cases were included. Early birth infants (&lt;37 gestational weeks) comprised 15 cases (23%) and low birth weight (&lt;2500 g) infants involved 27 cases (42%). In the latter half (2016-2020), early birth and low birth weight infants were significantly less than in the first half (2011-2015). The common diseases were anorectal malformation (14 cases), esophageal atresia (10), duodenal atresia (10), and diaphragmatic hernia (9). Prenatal diagnosis was obtained in 26 cases (40%), with high diagnostic rate obtained in duodenal atresia (100%), abdominal wall defect (100%), ileal atresia (75%), meconium peritonitis (67%), and diaphragmatic hernia (67%). Fifty-five cases (85%) were operated on within 7 days of age. Other major malformations were associated in 23 cases (35%). There were 6 deaths (9%), of which 3 cases were low birth weight infants with gastrointestinal perforation, 2 cases with severe chromosomal abnormalities (esophageal atresia, omphalocele), and 1 case with diaphragmatic hernia with severe pulmonary hypertension. Home medical care has been required with gastrostomy tube in 2 cases. [Conclusion] Neonatal surgery at Tottori University has been well performed as required with acceptable results along with the progression of other perinatal care. However, further investigation for improvements in premature delivery or organ hypoplasia may be required.</abstract><cop>Japan</cop><pub>Tottori University Medical Press</pub><pmid>38028267</pmid><doi>10.33160/yam.2023.11.003</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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title Retrospective Analysis of Neonatal Surgery at Tottori University over the Past Ten Years
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