The mortality of the neonates undergoing surgery: A series of 275 cases from a single-center

OBJECTIVE: Background: The surgical interventions performed by the pediatric surgeons during the neonatal period are usually life-saving. The aim of this study is to evaluate the factors those may have influence on the mortality of the newborns who required surgical intervention.
METHODS: Patients and Methods: The hospital records of 275 pediatric patients ( age ≤ 1 month), who were opereated during newborn period by two pediatric surgeons between December 2008 and November 2012, were reviewed retrospectively.
RESULTS: Results: Among the 275 neonates underwent 341 operations. The average of weights of the patients were 2508.24 ± 786.82 (950-5500) grams. One-hundred-fifty-six patients (56.7%) were male. The esophageal atresi was the most frequent abnormality (22.9 %, n=63). Sixty-one patients, and (22.5 % n=62) patients had anal atresia. The average time of hospital stay was 10.15±9.97 (1-62) days. The overall mortality rate was 25.1%.
CONCLUSION: Conclusion: Surgical procedures can be life-saving in the neonatal period even if the risks related to the newborns are well determined and prevented. Thus, survival rates of the newborns those undergone surgery can be increased.

Ameliyat edilen yenidoðanlardaki mortalite: Tek bir merkezdeki 275 vakalýk seri

AMAÇ: Amaç: Yenidoðan döneminde, çocuk cerrahlarý tarafýnda doðumsal anomaliler ve komplikasyonlardan dolayý uygulanan cerrahi iþlemlerin sýklýkla hayati önemi vardýr. Bu çalýþmada, cerrahi giriþim uygulanan yenidoðan olgularýn genel özellikleri ve mortalitesinin deðerlendirilmesi amaçlandý.
YÖNTEMLER: Hasta ve yöntemler: Aralýk 2008 ile Ekim 2012 tarihleri arasýnda iki çocuk cerrahý tarafýndan, yenidoðan döneminde ameliyat edilen 275 hastanýn kayýtlarý geriye dönük olarak incelenmiþtir.
BULGULAR: Bulgular: Toplam 275 yenidoðana 341 ameliyat uygulandý. Hastalarýn ortalama aðýrlýklarý 2508,24 ± 786,82 (950-5500) gramdý. Olgularýn 156 (% 56,7)’i erkekti. En sýk görülen doðumsal anomali % 22,9 oraný (n=63 ) ile özofagus atrezisi idi. Bunu % 22,5 (n=62) anal atrezi, izlemekte idi. Ortalama olarak hastanede kalýþ süresi 9,29±9,78 (1-62) gündü. Olgularýn % 25,1’i (n=69) kaybedildi
SONUÇ: Sonuçlar: Yenidoðan döneminde, uygulanan cerrahi giriþimler hayat kurtarýcýdýr. Yenidoðan hastalarý etkileyen olasý riskler azaltýlmasý ile hayatta kalým oraný artýrýlabilir.