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Published byBridget Russell Modified over 8 years ago
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NEONATAL SURGICAL EMERGENCIES DANIEL A. BEALS MD, FACS, FAAP
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DIAGNOSIS? Term male, 6 hr old, does not tolerate feed
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TRACHEOESOPHAGEAL FISTULA
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TEF
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DIAGNOSIS? 3 day old 34 week gest female with increasing tachypnea
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CPAM
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Spectrum of abnormalities Timing of Surgery Initial and secondary workup CPAM
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DIAGNOSIS? 38 wk gest male born NSVD APGAR 9,8. Now 2 hrs old with respiratory distress and SaO2 = 72
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CONGENITAL DIAPHRAGMATIC HERNIA
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CDH
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ECMO
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DIAGNOSIS? 25 wk gest male now 1 week old, initially tolerated feeds, now has abdominal distention, bloody stool and increased residuals
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NEC
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DIAGNOSIS? Term female, does not tolerate feeds x 2, then becomes acutely acidotic and hypotensive
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MALROTATION AND MIDGUT VOLVULOUS
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MALROTATION
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GASTROSCHISIS
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OMPHALOCELE
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EXTROPHY
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DIAGNOSIS Term infant with abdominal distention, no BM for 36 hr
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IMPERFORATE ANUS - MALE
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IMPERFORATE ANUS - FEMALE
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DIAGNOSIS? 28 wk gest infant. XY karotype
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HYPOSPADIAS
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DIAGNOSIS? 32 week male with prenatal diagnosis of bilateral severe hydronephrosis. No urine output for 24 hr after birth
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PUV
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PUV – FETAL SURGERY
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OTHER SURGICAL ISSUES Hirschprungs Disease Inguinal Hernia Hydronephrosis Ambiguous genitalia PDA Teratoma
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QUESTIONS?
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