Category: Surgery

Do transfusions cause NEC? Or is it the anemia?

A prospective multicenter cohort study of 600 VLBW infants studied the effect of RBC transfusions and anemia on the development of necrotizing enterocolitis and mortality. In a multivariable analysis, the rate of NEC was associated with severe anemia, but not…

Upper GI contrast for malrotation

A retrospective review of 166 neonates with bilious vomiting who underwent an upper gastrointestinal contrast study showed that only 14 (9%) had malrotation (confirmed at laparotomy). Of infants referred in the first three days of life, less than 1% had…

Spontaneous intestinal perforation, prophylactic indomethacin and early feeds

An observational study of nearly 16,000¬†extremely-low-birth-weight infants analyzed the rates of spontaneous intestinal perforation in extremely-low-birth-weight infants, some of whom were exposed to prophylactic indomethacin or early feedings, or both. In those treated with prophylactic indomethacin, the risk of SIP…

Do term infants with bilious vomiting require urgent referral?

A retrospective analysis of 163 term infants who had bilious emesis in the first week of life found that 14% had a surgical condition that required immediate management. Overall, approximately half of these infants had a surgical condition. Abnormal abdominal…

Variation in the management of post-hemorrhagic hydrocephalus

In a survey of pediatric neurosurgical units and pediatric surgery units in Germany, surgeons were asked about their management of preterm infants with post-hemorrhagic hydrocephalus. Many of the units treated less than ten such infants each year. There was wide…

Outcomes after PDA ligation

A systematic review with a meta-analysis of studies that reported outcomes after PDA ligation in babies less than 32 weeks gestation included 40 studies for analysis (one was a randomized trial and the rest were cohort studies). Compared with medical…

Routine bronchoscopy in babies with esophageal atresia

A case series of 88 infants with suspected esophageal atresia (with or without a known tracheo-esophageal fistula) who underwent a laryngotracheobronchoscopy prior to surgical repair describes the findings of this procedure. New findings were discovered in one out of five…