NNEC Perforation: Improved Survivals with Peritoneal Drainage as Primary Management
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 11
Abstract
In this prospective study, 18 consecutive cases of neonatal necrotizing enterocolitis (NNEC) perforation were managed in two modalities. In the first group, 5 cases were treated with surgery consisting of excision of involved bowel segment and enterostomy as primary management. None of the babies survived. Peritoneal drainage was used in the second group of 13 cases as primary procedure. Seven infants (54%) survived without any further operative procedure. six infants (46%) died. Three of them required laparotomy because of progressive deterioration or ineffective drainage. The result of this study is encouraging in terms of survival with simple and cost effective primary peritoneal drainage (PPD).
Authors and Affiliations
Dr Anil K Dubey
Keywords
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