METHODS: A single-institution retrospective review of neonates with HD who underwent delayed or neonatal pull-through from July 2018-July 2022. Endpoints included post-pull-through HAEC incidence, recurrence at an 18-month follow-up, time to the first HAEC episode, NICU length of stay (LOS), and HAEC-related LOS.
RESULTS: Twenty-four neonates were included. Eighteen were discharged from the NICU with home irrigations. Of these, 3 (28%) developed enterocolitis preoperatively, 12 (67%) underwent a delayed pull-through. NICU LOS in the delayed cohort was 3 times shorter than in the neonatal (6 vs. 18 days, p < 0.01). The incidence of enterocolitis (82% vs. 80%), time to the first episode (43 vs. 57 days), and HAEC-related LOS (median of 3 days) were similar.
CONCLUSIONS: Delayed HD pull-through is a viable neonatal reconstruction alternative that reduces NICU stay without increasing the risk of postoperative HAEC development.
METHODS: Original Research Article.
METHODS: III.
方法:对2018年7月至2022年7月接受延迟或新生儿拉拔的HD新生儿进行单机构回顾性研究。终点包括牵拉后HAEC发生率,在18个月的随访中复发,到第一次HEC发作的时间,NICU住院时间(LOS),和HAEC相关的LOS。
结果:纳入24例新生儿。18人通过家庭灌溉从NICU出院。其中,3人(28%)术前发生小肠结肠炎,12人(67%)接受了延迟拉拔。延迟队列中的NICULOS比新生儿短3倍(6vs.18天,p<0.01)。小肠结肠炎的发病率(82%vs.80%),时间到第一集(43vs.57天),与HAEC相关的LOS(中位数为3天)相似.
结论:延迟HD牵拉是一种可行的新生儿重建替代方案,可在不增加术后HAEC发展风险的情况下减少NICU停留时间。
方法:原始研究文章。
方法:III.