Does the Timing of Surgical Intervention Impact Outcomes in Necrotizing Enterocolitis?

ABSTRACT:

Objectives

The optimal time for intervention in surgical necrotizing enterocolitis (sNEC) remains to be elucidated. Surgical management varies between peritoneal drain (PD), laparotomy (LAP), and PD with subsequent LAP (PD + LAP). We propose that some infants with surgical NEC benefit from late (>48 h) operative intervention to allow for resuscitation.

Methods

A retrospective comparison of clinical information in infants with sNEC from 2012 to 2022 was performed. Early intervention was defined as less than 48 hours from time of NEC diagnosis to surgical intervention.

Results

118 infants were identified, 92 underwent early intervention (62 LAP; 22 PD; 8 PD + LAP) and 26 underwent late intervention (20 LAP; 2 PD; 4 PD + LAP). Infants with early intervention were diagnos

SUBMITTER: Rauh JL 

PROVIDER: S-EPMC12323685 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature