Document Detail


Surgery without assistance in newborns and infants with hydrocephalus and neural tube defects.
MedLine Citation:
PMID:  18334843     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Standard neurosurgical procedures for hydrocephalus and open neural tube defects in newborns and infants under 6 months of age were performed by a single neurosurgeon on his own without the help of an assistant or scrub nurse. The objective of this study was to assess the outcome of these procedures in terms of operating time, the presence of bacterial infection, and wound healing. Between 2001 and 2004, a total of 126 procedures were performed on 82 patients under 6 months of age. We observed 1 bacterial and 2 fungal infections. Two infections had already been detected at the beginning of the surgical procedure in cerebrospinal fluid (CSF) specimens obtained from children with Candida ventriculitis. The other infection occurred after leakage of CSF from a myelomeningocele 10 days after initial surgery. Our study suggests that excellent results can be achieved in standard neurosurgical procedures without assistance even in high-risk newborns and infants if resource or other constraints require such an unconventional approach.
Authors:
U M Mauer; C King'ori; H Hummler; U Kunz
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2008-03-11
Journal Detail:
Title:  Pediatric neurosurgery     Volume:  44     ISSN:  1423-0305     ISO Abbreviation:  Pediatr Neurosurg     Publication Date:  2008  
Date Detail:
Created Date:  2008-04-17     Completed Date:  2008-08-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9114967     Medline TA:  Pediatr Neurosurg     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  199-203     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, German Armed Forces Hospital of Ulm, Ulm, Germany. uwe-max.mauer@dgn.de
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MeSH Terms
Descriptor/Qualifier:
Bacterial Infections / cerebrospinal fluid,  etiology
Central Nervous System Fungal Infections / cerebrospinal fluid,  etiology
Humans
Hydrocephalus / microbiology,  surgery*
Infant
Infant, Newborn
Neural Tube Defects / microbiology,  surgery*
Neurosurgical Procedures / adverse effects,  standards*,  trends*
Postoperative Complications / microbiology,  prevention & control

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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