Neonatal Surgical Emergencies At Seoul National University Hospital: Comparison Between the Pre- and Post-Children's Hospital Period

Abstract

Results of management of the neonatal surgical emergencies were analyzed and compared between 460 infants treated during the 1979-85 period (prechildrens hospital) and 471 infants treated during the 1986-92 period (post-childrens hospital). No statistical difference was noted in patients population, and average mortality rate in the pediatric surgical department which has already been functioning as an independent unit since 1978. Other surgical departments have experienced 2-3 fold increases in number of patients. Patient's age at admissionl delay in transfer} was not significantly improved. However, significant improvement in survival was noted in patients who required respiratory support such as gastroschisis, and esophageal atresia with tracheo-esophageal atresia. Changes in the general management plan are discussed.