Laparoscopic Repair of Duodenal Atresia in a Low Birth Weight Neonate

2014 ◽  
Vol 80 (9) ◽  
pp. 834-835 ◽  
Author(s):  
Armando Rosales-Velderrain ◽  
Abraham Betancourt ◽  
Fuad Alkhoury
Keyword(s):  
Birth Weight ◽  
Gas Exchange ◽  
Laparoscopic Repair ◽  
Small Volume ◽  
Positive Pressure Ventilation ◽  
Duodenal Atresia ◽  
Positive Pressure ◽  
Knot Tying ◽  
Intracorporeal Suturing ◽  
Birth Weight Neonate

The small volume of the infant abdomen limits the application of laparoscopic procedures. We successfully repaired a duodenal atresia in a 2-kg female infant using a standard diamond-shaped anastomosis and intracorporeal suturing and knot-tying techniques. Anesthesia and positive pressure ventilation assured adequate gas exchange during pneumoperitoneum during the procedure.

scholarly journals Laparoscopic repair of congenital duodenal obstruction is feasible even in small-volume centres

2016 ◽  
Vol 98 (8) ◽  
pp. 578-580 ◽  
Author(s):  
BJ MacCormack ◽  
JPH Lam
Keyword(s):  
Laparoscopic Repair ◽  
Duodenal Obstruction ◽  
Small Volume ◽  
Duodenal Atresia ◽  
Associated Anomalies ◽  
Extensive Experience ◽  
Intracorporeal Suturing ◽  
Congenital Duodenal Obstruction ◽  
Age At Surgery ◽  
Sick Children

INTRODUCTION It has been suggested that laparoscopic repair of congenital duodenal obstruction (CDO) should be restricted to a limited number of designated centres of expertise. After gaining extensive experience with intracorporeal suturing in other procedures, we evaluated the feasibility of this approach at the Royal Hospital for Sick Children (RHFSC; Edinburgh, UK). METHODS We conducted a retrospective review of all cases of CDO presenting to the RHFSC from 2012 to 2014. Cases were identified from our electronic database using standardised codes. Data comprised: gestation; birth weight; associated anomalies; patient age and weight at surgery; operative time; complications; postoperative course. RESULTS Five consecutive non-selected cases of isolated CDO were repaired laparoscopically, and all were carried out by the senior surgeon. The male:female ratio was 4:1. Corrected gestational age at surgery was 35–38 weeks, and the weight at surgery was 1.7–3.1 kg. None of our patients had significant associated anomalies. CONCLUSIONS The present study demonstrates the feasibility of laparoscopic repair of CDO in small-volume centres, and is the first report of laparoscopically managed congenital duodenal atresia in twins.

scholarly journals Tracheoesophageal Fistula Complicated by Iatrogenic Gastric Perforation in a Low Birth Weight Neonate

2020 ◽  
Vol 18 (2) ◽  
pp. 324-326
Author(s):  
Anju Gupta ◽  
Dimple Pande ◽  
Nishtha Kachru ◽  
Ahtesham Khan
Keyword(s):  
Tracheoesophageal Fistula ◽  
Positive Pressure Ventilation ◽  
Surgical Repair ◽  
Gastric Perforation ◽  
Gastric Distension ◽  
Positive Pressure ◽  
Birth Weight Neonate ◽  
Pulmonary Pathology ◽  
Ventilatory Management ◽  
Common Manifestation

Type-III tracheoesophageal fistula is the commonest type of fistula where upper pouch is blind and distal oesophageal pouch communicates with trachea. In this condition, gastric distension is a common manifestation which can be worsened by positive pressure ventilation. Pulmonary pathology may necessitate ventilation with high peak airway pressures which may rarely lead to gastric perforation with serious consequences. We are reporting such a case of gastric perforation during ventilatory management for fistula repair which needed surgical repair. Keywords: Airway management; esophageal atresia; gastric perforation; tracheo-oesophageal fistula.

Effects of Noninvasive Positive Pressure Ventilation on Gas Exchange and Sleep in COPD Patients

CHEST Journal ◽  
1997 ◽  
Vol 112 (3) ◽  
pp. 623-628 ◽  
Author(s):  
Samuel L. Krachman ◽  
Thomas J. Berger ◽  
A.J. Quaranta ◽  
Gerard J. Cfiner
Keyword(s):  
Gas Exchange ◽  
Positive Pressure Ventilation ◽  
Noninvasive Positive Pressure Ventilation ◽  
Positive Pressure ◽  
Copd Patients
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