Complications after surgical intervention for XXXX : a multicenter review.

@entity1 @entity295 @entity3166 @entity260 @entity2737 @entity516
@entity3166 ( @entity3166 ) is a serious condition affecting predominantly the premature @entity1 . The purpose of this study is to report a multicenter experience of complications in 252 @entity1 requiring surgical therapy for @entity3166 . Data from eight institutions for the years 1980 through 1990 were collected and analyzed for @entity1 undergoing surgical therapy for @entity3166 . Records were reviewed for gestational age, birth weight, age at operation, indications for operation, degree of intestinal involvement, operation(s) performed, complications, and 30-day mortality rates. A total of 264 @entity1 underwent surgical intervention for @entity3166 during the study period. Complete information was available for 252 @entity1 . The mean gestational age was 31 +/- 5 weeks and the mean birth weight was 1,552 +/- 823 g. The mean age at operation was 18 +/- 35 days. @entity516 was the most common indication for operation (42%). The 30-day survival rate was 72%. Eighty-one percent of @entity1 underwent primary laparotomy, whereas peritoneal drainage was performed in 48 (19%) @entity1 . @entity260 were identified in 119 (47%) @entity1 . The most common @entity260 were @entity295 (9%), intestinal strictures (9%), and short gut (9%). @entity2737 occurred in 6%, and the incidence of intraabdominal abscess formation was only 2.3%. Gestational age < 27 weeks (P < .005) and birth weight < 1,000 g (P < .005) were associated with significantly increased mortality but no increase in postoperative morbidity. The incidence of complications was similar in the very low birth weight (< 1,000 g) @entity1 (51%) compared with @entity1 > or = 1,000 g (46%).(ABSTRACT TRUNCATED AT 250 WORDS)
