The role of laparoscopy in newborns affected by NEC

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Ernesto LevaMaurizio Torricelli

Abstract

For many years, laparoscopic procedures have been reported in the literature in pediatrics also. In this article, we report their experiences of the use of gasless laparoscopy in 8 newborns affected by necrotizing enterocolitis (NEC). From January 2007 to May 2008, 8 patients affected by stage 1-2 NEC were treated at the Department of Pediatric Surgery, Fondazione Policlinico Milan (Milan, Italy). Of those, 3 patients presented with a birth weight below 1.5 kg. All patients were submitted at gasless laparoscopy. In 6 of 8 patients, a covered perforation was detected; in 5 cases, the perforation was on the posterior wall of the ascending colon, and in 1, a perforation of the transverse colon was detected. In these 6 of 8 patients, the procedure was converted to formal laparotomy, with colonic resection and primary anastomosis. In 2 of 8 patients, a diffuse necrotizing enteritis of the small bowel was reported, without evidence of perforation; two drains were placed and continued abdominal washout with antibiotics solution was maintained for 48 hours, associated with systemic therapy. All patients were maintained on systemic antibiotic therapy for 7 days with regression of sepsis; all patients survived and were discharged in good...Continue Reading

References

Apr 29, 2008·Journal of Minimally Invasive Gynecology·Stjepan VisnjicBozidar Zupancic
May 28, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Philip K FrykmanGeorge Berci
May 28, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Claudio De CarliSteven Rubin
Jun 19, 2008·Journal of Pediatric Surgery·Troy L SpildeDaniel J Ostlie

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Citations

Apr 12, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·James Smith, Mandela Thyoka
Dec 3, 2014·Seminars in Pediatric Surgery·Martin LacherBenno M Ure
May 3, 2011·Seminars in Fetal & Neonatal Medicine·Joachim F Kuebler, Benno M Ure
Apr 26, 2011·Seminars in Fetal & Neonatal Medicine·Loren Berman, R Lawrence Moss
May 1, 2016·Surgical Innovation·Christine Burgmeier, Felix Schier
Feb 27, 2016·F1000Research·Augusto Zani, Agostino Pierro

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