Surgically Correctable Congenital Fetal Anomalies: Ultrasound Diagnosis and Management

Zaputović, Sanja; Medic, Nina

doi:10.5005/jp-journals-10009-1482

Cited by 1 publication

(3 citation statements)

References 88 publications

(101 reference statements)

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“…Following surgery, there is a motor improvement (30.5%), sensory (22.9%), and sphincteric function (14.1%). [16][17] The overall rate of problems is 16.7%. Meningitis/shunt infection (16.4%) and surgical wound infection (11%), wound dehiscence (8.3%), intraoperative cardiac (15.6%) and respiratory (11.1%) problems, postoperative ventilation (8.9%), and an average annual in-hospital mortality rate of 1.4% are among the most common postoperative complications.…”

Section: Discussionmentioning

confidence: 99%

“…The frequency of these abnormalities is quite high in the impoverished world, whereas in the western countries, it has reached a constant level where no reduction is detected despite extensive study into their prevention. [1][2] The purpose of this study was to establish the frequency of common postoperative problems when neural tube abnormalities are repaired in our setting. As no similar study has been undertaken in our setting in the previous three years, this research will provide us with up-to-date information on the prevalence of post-operative problems following postnatal surgical correction of myelomeningocele and meningocele in our setting.…”

Section: Introductionmentioning

confidence: 99%

“…Following surgery, there is a motor improvement (30.5%), sensory (22.9%), and sphincteric function (14.1%). [2][3][4][5] The most common post-operative complications are meningitis/shunt infection (16.4%), surgical wound infection (11%), and wound dehiscence (8.3%). Other investigations found that 21 patients (13.5%) exhibited evidence of surgical site infection, 135 patients (86.5%) had wounds that healed effectively, 37 patients (23.7%) experienced CSF leaking, and 119 patients (76.3%) recovered entirely.…”

Section: Introductionmentioning

confidence: 99%

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The Prevalence of Post-operative Complications Following Meningomyelocele Repair

Sahibzada Haseeb Ahmed,

Adnan Khan,

Muhammad Hassan Abid

et al. 2024

Pak J Neurol Surg

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Objective: To assess the incidence of post-operative complications after meningomyelocele repair in patients presenting with Meningocele. Materials & Methods: All the patients presenting with meningocele and myelomeningocele, age between 1 day to 5 years, both genders and patients with ASA grade I and II were included. All the baseline /routine hospital investigation was done, the lesions were assessed for age, size duration of symptoms, and location and were checked for cerebrospinal fluid leaks. The presence of associated abnormalities was evaluated. The patients were given antibiotics as per protocol before and after surgery to prevent infection. All patients were observed closely in the post-operative period for development and timely management of any complications. Results: Among 145 children, 9% of children had defects in the cranio cervical and 91% of children had defects in the lumbosacral. 15% children had myelomeningocele size ?3 cm while 85% of children had myelomeningocele size >3 cm. 83% of children were male and 17% of children were female. 18% of children had wound infection, 6% of children had wound dehiscence and 26% of children had CSF Leak. Stratification of postoperative complications concerning age, gender, location of NTD (cranio cervical/lumbo sacral), size (? 3 cm & > 3 cm), duration of symptoms (? 1 month & 1 month), malnourished (yes/no) showed the insignificant differences. Conclusion: The frequency of post-operative complications i.e. wound infection was 18%, wound dehiscence was 6% and CSF Leak was 26% after meningomyelocele repair in patients presenting with Meningocele.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%