Research Article
Volume 11 Issue 1 - 2022
Laparoscopic Management of Duodenal Obstruction in Neonates
Ali Raza Brohi1*, Naseem Mengal1 and Zubair Ahmed2
1Department of Pediatric Surgery, People’s University of Medical and Health Sciences, Nawabshah, Sind, Pakistan
2National Institute of Cardiovascular Diseases, Karachi, Pakistan
*Corresponding Author: Ali Raza Brohi, Department of Pediatric Surgery, People’s University of Medical and Health Sciences, Nawabshah, Sind, Pakistan.
Received: December 16, 2021; Published: December 31, 2021




Abstract

Objective: To review our early experience of laparoscopic management of duodenal obstructions in neonates.

Methods: Retrospective study included all neonates with congenital duodenal obstruction from 2015 to 2020. It included patients with duodenal atresia, malrotation of gut and annular pancreas. Those who presented with sepsis or associated severe cardiac problems were excluded. Data were collected from record and analyzed on SPSS 20 version.

Results: Total of 35 patients were analyzed; the mean age of presentation was 5.68 days+ 5.017 SD and mean weight at admission time was 2.53kg + 0.475 SD. The causes of duodenal obstruction included duodenal atresia 18 patients, annular pancreas 03 patients and malrotation of gut 14 patients. The mean operative time is 90.02 minutes + 15.1 SD. Per and Post-operative course was uneventful in majority of cases except few complications observed.

Conclusion: Laparoscopy is an effective method for managing congenital duodenal obstruction because of its superior visualization of delicate structures, benefit of early feeding and recovery than open method. Although, it’s technically challenging and demands high level of skills.

Keywords: Duodenal Obstruction; Neonates; Laparoscopyet al. “Sleep disturbances and behavioral disturbances in children and adolescents”. Psychiatric Clinics of North America 4 (2015): 705-721.

References

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  13. Li B., et al. “Laparoscopic side‐to‐side duodenoduodenostomy versus diamond‐shaped anastomosis for annular pancreas in the neonate”. ANZ Journal of Surgery7-8 (2021): 1504-1508.
Citation: Ali Raza Brohi., et al. “Laparoscopic Management of Duodenal Obstruction in Neonates”. EC Paediatrics 11.1 (2022): 29-34.

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