Korean J Perinatol.
2010 Dec;21(4):333-337.
Neonatal Surgery in 21th Century
- Affiliations
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- 1Department of Pediatric Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. kimdy@amc.seoul.kr
Abstract
- Neonatal surgery has become an independent branch of general surgery and requires the expertise of dedicated pediatric surgeons. Much of the development of neonatal surgery is due to the close collaboration between pediatric surgeons, neonatologists, anesthetists, pathologists, radiologists, and nurses. There has been a steady improvement in the outcome of most neonate diseases requiring surgery, though controversies exist on the best modality of treatment of neonates with congenital diaphragmatic hernia and necrotizing enterocolitis. Applications of minimal invasive surgery in neonate seem to be associated with reduced postoperative pain, adhesion and scarring, that is, quality of life. However, the effects on morbidity and long-term functional results are less clear and there is a need for further studies.