The Effect of Surgery Time on Prognosis in Newborns with Meningomyelocele
Journal of Korean Neurosurgical Society
;
: 359-362, 2012.
Article
in English
| WPRIM
| ID: wpr-45147
ABSTRACT
OBJECTIVE:
To investigate the effect of surgery time on prognosis of newborns with meningomyelocele.METHODS:
The records of neonates with meningomyelocele were retrospectively analyzed. Demographic and clinical characteristics as well as information, timing of surgery, and durations of hospital stay and antibiotic therapy were recorded.RESULTS:
The records of 30 babies were included in the final analysis. Overall, the mean gestational age was 37.7+/-2.7 weeks, with a mean birth weight of 2967+/-755 g and head circumference of 35.8+/-3.8 cm. In terms of localization, 46.6% of the meningomyeloceles were lumbosacral, 40% were lumbar, 10% were thoracolumbar and 3.3% were thoracal. The mean size of the meningomyelocele sacs was 4.33+/-1.2 cm. Newborns underwent surgery on average of 8.2+/-5.9 days after birth, with an overall mean duration of hospital stay of 30+/-25.1 days. Patients were divided into two groups based on timing of surgery (group 1, 5 days), and comparisons between groups revealed that earlier surgery was associated with significantly shorter durations of hospital stay (p<0.001) and antibiotic therapy (p<0.05).CONCLUSION:
Early surgical intervention (< or =5 days) was associated with a shorter duration of hospital stay and antibiotic therapy as well as a lower complication rate. We recommend that corrective surgery be undertaken as soon as reasonably possible.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prognosis
/
Birth Weight
/
Retrospective Studies
/
Gestational Age
/
Meningomyelocele
/
Parturition
/
Head
/
Length of Stay
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
/
Infant, Newborn
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2012
Type:
Article
Similar
MEDLINE
...
LILACS
LIS