Bedside Surgical Ligation of Patent Ductus Arteriosus in Very-low-birth-weight Premature Infants in the Neonatal Intensive Care Unit Outcome

Öz

Aim: The aim of this study is to retrospectively evaluate the results of patients who underwent bedside surgical PDA ligation that did not respond to the hemodynamic significant patent ductus arteriosus HAPDA medical closure therapy.Material And Methods: Twelve infants diagnosed with HAPDA in the Neonatal Intensive Care Unit and treated with bedside surgical pda ligation were included in the study. Demographic features, pre- and postoperative respiratory support, oxygen demand and duration, intraventricular hemorrhage, bronchopulmonary dysplasia, hospital stay duration and mortality data were recorded.Results: The mean age at surgery was 38 19-78 days. About 40 days after the operation one patient 8% was lost syndromic infant and 11 patients were discharged. There was no complication due to surgical treatment in our patients. All patients who were discharged were saved from oxygen after 15 days 19-60 days postoperatively.Conclusion: PDA ligation in bedside surgery should be kept in mind as a safe method in HAPDA patients who do not respond to medical treatment.

Anahtar Kelimeler

• Premature,PDA,surgical ligation

Yenidoğan Yoğun Bakım Ünitesinde Çok Düşük Doğum Ağırlıklı Prematüre Bebeklerde Yatakbaşı Cerrahi Patent Duktus Arteriosusun Ligasyonu Sonuçlarımız

Öz

Amaç: Hemodinamik anlamlı patent duktus arteriozus HAPDA medikal kapatma tedavisine cevap vermeyen yatak başı cerrahi PDA ligasyon yapılan hastaların sonuçlarının retrospektif olarak değerlendirilmesi amaçlanmıştır.Gereç ve Yöntemler: Yenidoğan Yoğun Bakım Ünitesinde HAPDA tanısı alan ve yatakbaşı cerrahi PDA ligasyonu uygulanan 12 bebek çalışmaya dahil edildi. Demografik özellikler, ameliyat öncesi ve sonrası solunum desteği, oksijen ihtiyacı ve süresi, intraventriküler kanama, bronkopulmoner displazi, hastanede kalış süresi ve mortalite verileri kaydedildi.Bulgular: Ameliyat edilme yaşı postnatal ortalama 40 19-60 gün idi. Ameliyat yaklaşık 40 gün sonra bir hasta % 8 kaybedilirken sendromik infant , 11 hasta taburcu edilebildi. Hastalarımızda izlemde cerrahi uygulamaya bağlı komplikasyon gelişmedi. Tüm hastalar oksijensiz taburcu edil.Sonuç: Yatakbaşı cerrahi PDA ligasyonu medikal tedaviye cevap vermeyen HAPDA’lı olgularda güvenli bir yöntem olarak akılda tutulmalıdır.

Anahtar Kelimeler

• Prematüre,PDA,yatak başı cerrahi ligasyon

Kaynakça

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