Surgical management of neonatal XXXX .

@entity1 @entity4530 @entity1457 @entity2415 @entity519 @entity1986 @entity2542
In the past 6 years, 50 @entity1 with @entity1986 in our newborn nursery were treated with open operative procedures to remove interstitial air. Thirty-one were critically ill newborns with severe progressive @entity2542 treated with pleurotomies. Five underwent pleurotomies on both sides, for a total of 36 operations in the 31 @entity1 . All of the 31 @entity1 underwent aggressive medical management to reduce airway pressure before resorting to operation. Ventilator manipulations, selective bronchial intubation, Forgerty catheter occlusion of the bronchus, and percutaneous lung needling were among the methods used to reduce @entity2415 in these @entity1 . The operation for all 31 @entity1 consisted of multiple linear @entity4530 . The hilum was skeletonized to release perihilar blebs. A downhill course was reversed by the operation in over 50% of @entity1 . The operation almost always permanently cured the tension @entity2415 on that side. Seventeen of the 31 @entity1 lived. Eight of ten @entity1 with unilateral disease lived. All of those @entity1 who died had either very low birth weight, severe preoperative @entity519 , @entity1457 , or a combination of these problems.
