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Problems of neonatal surgery in Malaysia


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Item type Article
Subjects 600 Technology > 610 Medicine & health > 618 Gynecology, obstetrics, pediatrics & geriatrics
Division/Agency LPPKN - National Population and Family Development Board, Malaysia: Human Reproductive Division
Keywords Congenital abnormalities, Neonatal surgery, Post-operative mortality
Additional Information The hard copy can be refer at Resource Centre, NPFDB.
Abstract From January 1970 to May 1981, there were 594 neonates admitted to the General Hospital, Kuala Lumpur for surgery. Three hundred and seventy-one cases bad major alimentary tract alimentary tract abnormalities 97.1 percent of which caused obstruction. High gut anomalies and diaphragmmatic hernia (Group A cases) were relatively uncommon and the overall post-operative mortality for this group was high (64.6 percent). Overall mortality declined from 75.0 percent in 1970 to 10.3 percent for the first six month of 1981. Death rate among the low birth weight infants and those with multiple anomalies however, remain high. Factors related to post-operative mortality are discussed. Foremost among them is the time of referral to the surgeon. Various problems of management in this hospital are also highlighted.
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