2010
DOI: 10.3346/jkms.2010.25.1.24
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Patent Ductus Arteriosus Closure in Prematurities Weighing Less than 1 Kg by Subaxillary Mini-thoracotomy

Abstract: The surgical closure of patent ductus arteriosus (PDA) is provided more frequently in extremely low birth weight babies who are usually deemed unsuitable for pharmacological closure. We have adopted subaxillary mini-thoracotomy in order to lessen surgical trauma in these babies; and its clinical results were analyzed. From April 2004 to August 2008, out of 50 babies at the neonatal intensive care unit who underwent the surgical closure of PDA, 22 premature babies weighing less than 1 kg at operation were inclu… Show more

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Cited by 7 publications
(2 citation statements)
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“…VATS and conventional thoracotomy have both been proven to be safe and effective in infants including extremely premature neonates with low birth weight. [10][11][12][13] Post-operative survival between the two groups remains similar but some studies have favored VATS over open surgery as it is minimally invasive; results in lesser complications, shorter postoperative stay, rapid recovery, aesthetic cosmetic scar, and better patient and parental satisfaction. [14] In order to resolve the controversy regarding the optimal management of PDA, a comprehensive study is needed that takes into account all of the following variables: the size of the PDA shunt, the duration of exposure to symptomatic PDA, use of indomethacin including its dose and timing, and surgical ligation.…”
Section: Vanamo Et Al Published a Study Comparing Vatsmentioning
confidence: 99%
“…VATS and conventional thoracotomy have both been proven to be safe and effective in infants including extremely premature neonates with low birth weight. [10][11][12][13] Post-operative survival between the two groups remains similar but some studies have favored VATS over open surgery as it is minimally invasive; results in lesser complications, shorter postoperative stay, rapid recovery, aesthetic cosmetic scar, and better patient and parental satisfaction. [14] In order to resolve the controversy regarding the optimal management of PDA, a comprehensive study is needed that takes into account all of the following variables: the size of the PDA shunt, the duration of exposure to symptomatic PDA, use of indomethacin including its dose and timing, and surgical ligation.…”
Section: Vanamo Et Al Published a Study Comparing Vatsmentioning
confidence: 99%
“…Research has proven that the technique minimizes the risks to which babies may be exposed in the case of a surgical intervention outside the neonatal unit -transportation, hypothermia, handling, among others (15) . Early prophylactic surgery is considered to reduce the fatal complications of prematurity, such as necrotizing enterocolitis and bronchopulmonary dysplasia (23) . Thus, providing assistance to babies submitted to arterial canal ligation is also neonatal nursing care, even in a maternity ward, without specialized cardiology and/or surgery services.…”
Section: C(19)mentioning
confidence: 99%