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Multicenter retrospective study on management and outcome of newborns affected by surgical necrotizing enterocolitis.

Authors
  • Federici, Silvana1
  • DE Biagi, Lorenzo2
  • Straziuso, Simona1
  • Leva, Ernesto3
  • Brisighelli, Giulia3
  • Mattioli, Girolamo4
  • Pio, Luca4
  • Bagolan, Pietro5
  • Totonelli, Giorgia5
  • Noccioli, Bruno6
  • Severi, Elisa6
  • Lelli Chiesa, Pierluigi7, 8
  • Lisi, Gabriele7, 8
  • Tramontano, Antonino9
  • DE Chiara, Carolina9
  • Del Rossi, Carmine10
  • Casadio, Giovanni10
  • Messina, Mario11
  • Angotti, Rossella11
  • Appignani, Antonino12
  • And 5 more
  • 1 Pediatric Surgery Unit, "Infermi" Hospital, Rimini, Italy.
  • 2 Pediatric Surgery Unit, "Infermi" Hospital, Rimini, Italy - [email protected]
  • 3 Department of Pediatric Surgery, Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico, Milan, Italy.
  • 4 Paediatric Surgery Unit, Istituto Giannina Gaslini, Genoa, Italy.
  • 5 Department of Medical and Surgical Neonatology, Bambino Gesù Children's Hospital, Rome, Italy.
  • 6 Neonatal Surgery Unit, Meyer University Children's Hospital, Florence, Italy.
  • 7 Department of Pediatric Surgery, "G. d'Annunzio" University of Chieti-Pescara, Chieti, Italy.
  • 8 Unit of Pediatric Surgery, "Spirito Santo" Hospital of Pescara, Pescara, Italy.
  • 9 Neonatal Surgical Unit, Santobono Children's Hospital, Naples, Italy.
  • 10 Pediatric Surgery, Maggiore University Hospital of Parma, Parma, Italy.
  • 11 Division of Pediatric Surgery, Department of Medical Sciences, Surgery, and Neuroscience, University of Siena, Siena, Italy.
  • 12 Pediatric Surgery Units, University of Perugia, Perugia, Italy.
  • 13 Pediatric Surgery Department "Ospedale Maggiore della Carità" Novara, Italy.
  • 14 Pediatric Surgery Department, Sant'Anna Hospital, Cona, Ferrara, Italy.
Type
Published Article
Journal
Minerva chirurgica
Publication Date
Feb 01, 2017
Identifiers
DOI: 10.23736/S0026-4733.17.07159-0
PMID: 28150915
Source
Medline
License
Unknown

Abstract

Laparotomy was the most frequent method of treatment (83%) Primary laparotomy and drainage with laparotomy groups had similar mortalities (23-24%), while the drainage alone treatment cohort was associated with the highest mortality (60%) with statistical value (p=0.043). Consequently laparotomy is highly protective in terms of survival rate. Stenosis seemed to be statistically associated with drainage. These findings could discourage the use of peritoneal drainage versus a primary laparotomy whenever the clinical conditions of patients allow this procedure.

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