Backgrounds: Post-operative complications in pediatric surgery
are important issues, especially that after major abdominal surgery for preterm
infants: complications sometimes lead to mortality/morbidity even though the
surgical procedures were successful. We here attempted to demonstrate and
record post-operative complications in preterm infants after major abdominal
surgery. This is a secondary analysis of our cohort (n = 594) previously
reported regarding pediatric postoperative complications (not confined to
preterm infants). Methods: Of 594 patients, 25 preterm (born <37
weeks of gestation) infants underwent major abdominal surgery. We identified
their characteristics, especially the postoperative complications. The Ethics
Committee approved this study. Results: The mean weight was 2.43 ± 0.75
kg. Of 25, nine suffered postoperative complications: postoperative respiratory
failure (n = 4), pulmonary sepsis (n = 2), and the followings were observed in
one patient: intra-operative cardiac arrest, wound sepsis, septicemia, and
multi-organ sepsis. There was no in-hospital mortality. Conclusion: In
preterm infants undergoing major abdominal surgery, the most common
postoperative complication was respiratory; respiratory failure and pulmonary
sepsis. This data is roughly the same as that observed in the previous studies,
which made us reconfirm the importance of the vigilance on respiratory
complications in this population.
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