Peritoneal drainage does not stabilize extremely low birth weight infants with perforated bowel: data from the NET Trial

Abstract Introduction Proponents of peritoneal drainage (PD) hypothesize that it allows stabilization before laparotomy. We examined this hypothesis by comparing clinical status before and after either PD or primary laparotomy (LAP). Methods In an ethically approved, international, prospective rando...

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Bibliographic Details
Published in:Journal of pediatric surgery 2010-02, Vol.45 (2), p.324-329
Main Authors: Rees, Clare M, Eaton, Simon, Khoo, A. Kate, Kiely, Edward M, Pierro, Agostino
Format: Article
Language:English
Subjects:
Drainage - methods
Enterocolitis, Necrotizing - surgery
Extremely low birth weight infant (ELBW)
Humans
Infant, Extremely Low Birth Weight - physiology
Infant, Newborn
Infant, Premature
Intestinal Perforation - surgery
Laparotomy - methods
Multiple Organ Failure - diagnosis
Multiple Organ Failure - epidemiology
Necrotizing enterocolitis (NEC)
Neonatal laparotomy
Pediatrics
Peritoneal drain
Peritoneum - surgery
Pneumoperitoneum
Pneumoperitoneum - surgery
Postoperative Care
Postoperative Complications - diagnosis
Postoperative Complications - epidemiology
Preoperative Care
Risk Factors
Severity of Illness Index
Surgery
Survival Analysis
Treatment Outcome
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Summary:Abstract Introduction Proponents of peritoneal drainage (PD) hypothesize that it allows stabilization before laparotomy. We examined this hypothesis by comparing clinical status before and after either PD or primary laparotomy (LAP). Methods In an ethically approved, international, prospective randomized controlled trial (2002-2006), extremely low birth weight (
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2009.10.066