Current Status(1994) of Neonatal Surgery in Korea: Survey among the members of Korean Association of Pediatric Surgeons

Kim, WK; Kim, SY; Kim, SK; Kim, IK; Kim, JC; Park, KW; Park, YS; Park, WH; Park, JS; Song, YT; Oh, SM; Lee, OS; Lee, MD; Lee, SC; Chang, SI; Chung, ES; Jung, PM; Joe, JS; Choi, SO; Huh, YS; Hwang, EH

Abstract

To understand the current status of neonatal surgery in Korea, a suvey was made among the 27 members of Korean Association of Pediatric Surgeons. Response rate among surgeons was 78 perecnt, eighteen hospitals participated in this study. Five hundred and three cases of neonatal surgical patients were analyzed. In Korea, about 50% of cases were treated at the hospital in the capital city area. Regional number of patients were closely related to the regional population. Imperforate anus(19%), atresia/stenosis of gut(12%), and Hirschsprung's diseases(12%) were sitting at the top in the list. Majority of operation was done within the first week of life, especially during the first 24 hour period. Eighty per cent was major or so called index cases. Mortality in so-called index cases was 17%. High mortality was observed in patients with diaphragmatic hernia(47%), gastrointestinal perforation(65%) and esophageal atresia(28%). Low birth weight babies showed higher mortality in gastro -intestinal perforation, esophageal atresia and abdominal wall defect. These were compared to 1993 survey of Japanese Society of Pediatric Surgeons.