A clinical analysis on ninety-two surgical neonates who underwent neonatal surgery from Jan. 1981 to dec. 1990 at Kyungpook National University was carried out in observe factors which affectod the postoperative morbidity and the mortality.
Of these 92 patients, the male and female ratio was 2.9:1. Agen on admission was younger in cases with gastroschisis or with omphalocele or with jejunoileal atresia. Average body weight on admission was 2825gm and was lowest patient with
esophageal
atresia, 2338gm.
The postoperative complications appeared 29cases(31.5%) among 92 cases and the most common complication was wound infection, 12cases(13.0%).
Esophageal atresia presented highest morbidity(75%), secondly gastroschisis(66.7%) and anorectal malformation presented lowest morbidity(10.7%). The complication rate of Stage I, 41.1%(14 cases among 34 cases) seemed to be higher
than
that
of Stage II, 25.8%(15 cases among 58 cases) but statistically not significant.
The mortality rate was 17.4%(16 deaths among 92 cases) and jejunoileal atresia presented highest mortality(44%), and anorectal malformation presented lowest mortality(10.7%). The most common cause of death was sepsis, 7 cases(41.3).
The
mortality rates of Stage I, 26.4%(9 cases among 34 cases) seemed to be higher than that of Stage II 12.0%(7cases among 58 cases) but statistically not significant. The present results suggested that factors which significantly
affected
the
postoperative mortalities were prematurity, low birth weight
and hypothermia.
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