BACKGROUND: Gastric perforation is a rare, life-threatening condition in neonates. To avoid deterioration, prompt surgical treatment is mandatory. PATIENTS: We report on 2 neonates (1 and 8 days old) with feeding tube associated gastric perforation managed laparoscopically by single layer suture repair. Both children suffered from severe peritonitis. Operative time was 60 minutes in both cases. Oral feeding was started on postoperative day 3 and 7, respectively. No complications regarding the gastric perforation were encountered on follow-up (11 and 8 months, respectively) in both cases. CONCLUSIONS: We recommend laparoscopic suture repair as a safe and feasible method for surgical treatment of gastric perforation in neonates. These appear to be the first reported cases using this procedure for treatment of neonatal gastric perforation.
BACKGROUND: Gastric perforation is a rare, life-threatening condition in neonates. To avoid deterioration, prompt surgical treatment is mandatory. PATIENTS: We report on 2 neonates (1 and 8 days old) with feeding tube associated gastric perforation managed laparoscopically by single layer suture repair. Both children suffered from severe peritonitis. Operative time was 60 minutes in both cases. Oral feeding was started on postoperative day 3 and 7, respectively. No complications regarding the gastric perforation were encountered on follow-up (11 and 8 months, respectively) in both cases. CONCLUSIONS: We recommend laparoscopic suture repair as a safe and feasible method for surgical treatment of gastric perforation in neonates. These appear to be the first reported cases using this procedure for treatment of neonatal gastric perforation.
Authors: Theodore J Cios; Kevin M Reavis; David R Renton; Jeffrey W Hazey; Dean J Mikami; Vimal K Narula; Matthew T Allemang; S Scott Davis; W Scott Melvin Journal: Surg Endosc Date: 2007-08-19 Impact factor: 4.584
Authors: Jing Chen; Julia S Caserto; Ida Ang; Kaavian Shariati; James Webb; Bo Wang; Xi Wang; Nikolaos Bouklas; Minglin Ma Journal: Bioact Mater Date: 2021-12-17