Abstract | Aim: The aim is to study the complications of neonatal thoracotomy and its preventive measures. Methods: We retrospectively reviewed 53 neonates who underwent thoracotomy from January 2017 to December 2019 for a period of 3 years. Patient demographic data, primary disease for which they underwent thoracotomy, postoperative complications (immediate and delayed) during follow-up were documented. Results: During 3-year period, 53 neonates underwent thoracotomy for various surgical pathologies. The indications were esophageal atresia with tracheoesophageal fistula (n = 49), eventration of diaphragm (n = 3), congenital lobar emphysema of left upper lobe of lung (n = 1). Most of them were right posterolateral thoracotomies (n = 48, 90.56%) and left posterolateral thoracotomy was done in only 5 cases (9.43%). Associated anomalies were seen in 22 cases, such as cardiac (n = 19), renal (n = 4) and gastrointestinal (n = 5). Associated comorbidities seen in 14 cases; preterm (n = 4), low birth weight (n = 13), delayed presentation (n = 6). Early postoperative complications such as pneumonia (34%, n = 18) and wound infection (11.3%, n = 6) were noted. Delayed complications include musculoskeletal abnormalities (n = 19, 35.8%) and esthetic complications such as asymmetry of chest (5.6%). Conclusion:
|
Authors | Gali Divya, Vijay Kumar Kundal, Pinaki Ranjan Debnath, Raja Sekhar Addagatla, Anil Kumar Garbhapu, Arnab Kumar Saha, Atul Kumar Meena, Shalu Shah, Amita Sen |
Journal | Journal of Indian Association of Pediatric Surgeons
(J Indian Assoc Pediatr Surg)
2022 May-Jun
Vol. 27
Issue 3
Pg. 293-296
ISSN: 0971-9261 [Print] India |
PMID | 35733596
(Publication Type: Journal Article)
|
Copyright | Copyright: © 2022 Journal of Indian Association of Pediatric Surgeons. |