Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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The Effect of Surgery Time on Prognosis in Newborns with Meningomyelocele

  • Oncel, Mehmet Yekta (Division of Neonatology, Zekai Tahir Burak Maternity Teaching Hospital) ;
  • Ozdemir, Ramazan (Division of Neonatology, Zekai Tahir Burak Maternity Teaching Hospital) ;
  • Kahilogullari, Gokmen (Department of Neuorsurgery, Ankara University School of Medicine) ;
  • Yurttutan, Sadik (Division of Neonatology, Zekai Tahir Burak Maternity Teaching Hospital) ;
  • Erdeve, Omer (Department of Pediatrics, Ankara University School of Medicine) ;
  • Dilmen, Ugur (Division of Neonatology, Zekai Tahir Burak Maternity Teaching Hospital)
  • Received : 2011.12.22
  • Accepted : 2012.06.12
  • Published : 2012.06.28
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Abstract

Objective : To investigate the effect of surgery time on prognosis of newborns with meningomyelocele. Methods : The records of neonates with meningomyelocele were retrospectively analyzed. Demographic and clinical characteristics as well as information, timing of surgery, and durations of hospital stay and antibiotic therapy were recorded. Results : The records of 30 babies were included in the final analysis. Overall, the mean gestational age was $37.7{\pm}2.7$ weeks, with a mean birth weight of $2967{\pm}755$ g and head circumference of $35.8{\pm}3.8$ cm. In terms of localization, 46.6% of the meningomyeloceles were lumbosacral, 40% were lumbar, 10% were thoracolumbar and 3.3% were thoracal. The mean size of the meningomyelocele sacs was $4.33{\pm}1.2$ cm. Newborns underwent surgery on average of $8.2{\pm}5.9$ days after birth, with an overall mean duration of hospital stay of $30{\pm}25.1$ days. Patients were divided into two groups based on timing of surgery (group 1, ${\leq}5$ days; group 2, >5 days), and comparisons between groups revealed that earlier surgery was associated with significantly shorter durations of hospital stay (p<0.001) and antibiotic therapy (p<0.05). Conclusion : Early surgical intervention (${\leq}5$ days) was associated with a shorter duration of hospital stay and antibiotic therapy as well as a lower complication rate. We recommend that corrective surgery be undertaken as soon as reasonably possible.

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