2024-03-28T18:30:45Z
https://nagoya.repo.nii.ac.jp/oai
oai:nagoya.repo.nii.ac.jp:02004199
2023-04-28T06:33:41Z
499:508:509:1669094631719
Circumumbilical incision for neonatal abdominal surgery : additional skin incision when there is difficulty in manipulating the intestine
Nakagawa, Yoichi
Hinoki, Akinari
Amano, Hizuru
Uchida, Hiroo
Shirota, Chiyoe
Tainaka, Takahisa
Sumida, Wataru
Yokota, Kazuki
Makita, Satoshi
Okamoto, Masamune
Takimoto, Aitaro
Yasui, Akihiro
Takada, Shunya
Kato, Daiki
open access
Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
circumumbilical incision
neonates
intestinal atresia
meconium peritonitis
This study aimed to evaluate the safety and effectiveness of circumumbilical incision (CUI) for neonates requiring intestinal anastomosis. Seventy neonates requiring intestinal anastomosis at our institution between 2003 and 2020 were included in this retrospective case-control study. Patients were classified into the CUI (25 patients: 36%) and transverse incision (TI) groups (45 patients: 64%). Postoperative complications and surgical outcomes were compared between the two groups. Intestinal perforation at the non-anastomotic site occurred significantly more often in the CUI group than in the TI group (3 patients: 12%, and 0 patients: 0%, respectively (p = 0.042)). There were no between-group differences regarding anastomotic leakages, anastomotic strictures, time to enteral feeding, operative time, and blood loss. Neonatal intestinal surgery employing CUI might be associated with increased intestinal perforation at the non-anastomotic site. Hesitating to enlarge the skin incision to maintain favorable cosmetic outcomes might cause severe injury to the delicate neonatal intestine during the surgical procedure owing to the restricted surgical field. When performing CUI, we suggest that the skin incision should be extended without hesitation whenever there is difficulty in manipulating the intestine.
Nagoya University Graduate School of Medicine, School of Medicine
2022-11
eng
departmental bulletin paper
VoR
https://doi.org/10.18999/nagjms.84.4.716
http://hdl.handle.net/2237/0002004199
https://nagoya.repo.nii.ac.jp/records/2004199
10.18999/nagjms.84.4.716
https://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/844.html
0027-7622
2186-3326
Nagoya Journal of Medical Science
84
4
716
722
https://nagoya.repo.nii.ac.jp/record/2004199/files/03_Nakagawa.pdf
application/pdf
434 KB
2022-11-24