A 13-year experience with peritoneal drainage under local anesthesia for necrotizing enterocolitis perforation☆
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Cited by (111)
Necrotizing Enterocolitis and Short Bowel Syndrome
2023, Avery's Diseases of the NewbornDoes Surgical Management Alter Outcome in Necrotizing Enterocolitis?
2019, Clinics in PerinatologyCitation Excerpt :Overall, despite decades of research and dozens of studies, there remains equipoise on the use of PD as the primary surgical intervention. The use of PD as definitive therapy was introduced in a retrospective series by Ein and colleagues39 in 1990, which reported that 32% of patients undergoing primary PD recovered without requiring laparotomy. Since then, other studies have shown that 30% to 70% of patients can be treated with PD alone.9,10,13,51,53,59,61
Surgical Conditions of the Small Intestine in Infants and Children
2019, Shackelford's Surgery of the Alimentary Tract: 2 Volume SetPeritoneal drainage is associated with higher survival rates for necrotizing enterocolitis in premature, extremely low birth weight infants
2017, Journal of Surgical ResearchCitation Excerpt :These cases are particularly challenging in extremely low birth weight (ELBW) infants (<1000g), as hemodynamic instability and high ventilator settings prevent certain patients from transport to the operating room to undergo LAP with resection. In this setting, some advocate the use of PD as a temporizing measure in preparation for LAP,3-8 whereas others question its effectiveness in this role.9-12 Furthermore, the role of PD as a definitive therapy is highly controversial for complicated cases of NEC and has been heavily criticized,9,13 most recently in a large-scale randomized control trial (RCT).14
Mortality associated with laparotomy-confirmed neonatal spontaneous intestinal perforation: A prospective 5-year multicenter analysis
2014, Journal of Pediatric SurgeryCitation Excerpt :For patients undergoing peritoneal drainage, the mortality was 49%. Surgeons may employ peritoneal drainage in a dichotomous group of neonates: some who are deemed too unstable for laparotomy and some who are quite stable and have minimal disease [23,46–48]. Nevertheless, it is possible that peritoneal drainage may have been preferentially employed for more unstable patients in aggregate, potentially explaining the higher mortality in this group than in either laparotomy group.
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Presented at the 38th Annual Meeting of the Surgical Section of the American Academy of Pediatrics, Chicago, Illinois, October 21–23, 1989.