Surgery for digestive malformations: morbidity, mortality and associated factors
Abstract
Introduction: The patient who undergoes surgery is exposed to the development of various complications during the postoperative period, and due to its physiological conditions, the neonate is one of the most vulnerable, so survival is a challenge for neonatologists and surgeons. Objectives: To identify morbidity, mortality, and associated factors in the neonate who underwent surgery for digestive malformations in the Neonatal Intensive Care Unit of the William Soler Pediatric Hospital, from January 2005 to December 2015.Methods:
A descriptive and retrospective study of mortality in neonatal surgery in the NICU was carried out. The sample consisted of 415 neonates who underwent surgery for digestive malformations. Demographic and perinatal variables, cause of surgery, diet, postoperative complications, hospital stay, condition at discharge, and predictors of mortality were analyzed. Results: Neonates of the male sex, those born at term and with normal weight predominated. Most of the surgeries were performed in the first 48 hours of life. Interventions for anorectal malformations and esophageal Atresias were highlighted. The interventions responsible for the highest number of deaths were esophageal Atresias, intestinal Atresias and digestive perforations. Congenital malformations continue to be a health problem with a contribution to neonatal mortality. Prematurity, low birth weight and infections markedly increased the risk of death
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