Audit of neonatal congenital anomalies required surgical intervention at tertiary care centre

Background: Nearly 10% of neonatal deaths are due to congenital malformations requiring surgical intervention. Hence our aim is to study spectrum and outcome of the different neonatal congenital anomalies requiring surgical intervention.Methods: This prospective study was conducted over a period of 2 years. 130 cases which required surgical intervention in neonatal period were included in the study. Plain x-ray abdomen was done in all the cases of our study. Ultrasound scan was done in all the cases to rule out renal and other anomalies. Contrast radiography was also performed in selected cases. All cases underwent their respective operations depending upon the diagnoses. Complication and mortalities during hospital stay were noted.Results: During the study period total 130 neonates underwent surgical intervention. Out of 130 cases 5(3.84%) neonates had trachea-esophageal fistula, 2(1.53%) had pure esophageal atresia, 5(3.84%) had duodenal atresia, 9(6.92%) had jejunal atresia, 14(10.76%) had ileal atresia, 3 had meconium ileus(2.30%), 9(6.92%) had malrotation, 15(11.5%) had HD and 5(3.84%) had Meckel's diverticulum, 10(7.69%) had Hypertrophic Pyloric Stenosis, 2(1.53%) had gastroschisis, 3(2.30%) had omphalocele, 16(12.30%) had anorectal malformation, 4(3.07%) had Patent Vitello Intestinal Duct, 3(2.30%) had persistent patent urachus, 4(3.07%) had congenital diaphragmatic hernia, 1(0.76%) had Congenital Lobar Emphysema, 4(3.07%) had Neural Tube Defects, 8(6.15%) had Inguinal Hernia, 6(4.61%) had Posterior Urethral Valve and 2(1.53%) had Pelvi-ureteric Junction Obstruction. There were 85 males and 45 females (M: F-2:1). Septicaemia (40%) was most common complication, 21 (16.15%) cases had mortality.Conclusions: There is lack of awareness regarding dog bite and its management among the rural population.