FACTORS INFLUENCING OUTCOMES IN NEONATAL ABDOMINAL SURGERY: SURGEONS’ PERSPECTIVES

Authors

• Nimmita Srisan, Pediatric Surgery Unit, Department of Surgery, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial HospitalFollow
• Kanyarat Olarachin, Pediatric Surgery Unit, Department of Surgery, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, ThailandFollow
• Pattamon Sutthatarn, Pediatric Surgery Unit, Department of Surgery, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial HospitalFollow
• Katawaetee Decharun, Pediatric Surgery Unit, Department of Surgery, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial HospitalFollow
• Prapapan Rajatapiti, Pediatric Surgery Unit, Department of Surgery, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial HospitalFollow
• Somboon Reukvibunsi, Pediatric Surgery Unit, Department of Surgery, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial HospitalFollow
• Paisarn Vejchapipat, Pediatric Surgery Unit, Department of Surgery, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial HospitalFollow

Abstract

Neonatal abdominal surgery was often indicated by congenital conditions, presenting significant risks of morbidity and mortality. However, comprehensive surgical data and identification of complication-related risk factors still receive little attention.

Purpose: Our objectives were to characterize neonatal patients undergoing abdominal surgery and to identify prognostic factors influencing complications and mortality in those patients.

Methods: A retrospective study was conducted on newborn patients aged between 0-30 days undergoing index surgery at a university hospital from 2013 to 2021. Categorical data were compared between the without-complication group and the with-complication group using the Chi-square tests and Fisher-Exact tests. Continuous data were analyzed using Wilcoxon rank sum tests. A significance level of P < 0.05 was employed. Complications were defined as any events requiring intervention, either surgical or medical. Logistic regression was used to identify prognostic factors for complications and mortality.

Results: There were 154 neonates undergoing 173 index procedures. Nineteen patients had more than one condition. The 5 most common conditions requiring abdominal surgery included abdominal wall defect (31%), colorectal diseases (16%), intestinal atresia (14%), necrotizing enterocolitis (8%), and meconium peritonitis (7%), respectively. The incidence of patients with at least one complication was 44.8%, and the mortality rate was 7.8%. By using logistic regression, factors affecting complications included birth weight110 mins (p=0.03). Significant influences on mortality were birth weight(p=0.02), cardiovascular anomalies (p=0.02), CDH (p=0.001), and platelet count <100,000/µl (p=0.03).

Conclusion: This study provides valuable insights into factors influencing outcomes in neonatal abdominal surgery. Birth weight110 mins were identified as significant contributors to complications. Birth weight

DOI

10.56808/2673-060X.5659

Recommended Citation

Srisan, Nimmita; Olarachin, Kanyarat; Sutthatarn, Pattamon; Decharun, Katawaetee; Rajatapiti, Prapapan; Reukvibunsi, Somboon; and Vejchapipat, Paisarn (2026) "FACTORS INFLUENCING OUTCOMES IN NEONATAL ABDOMINAL SURGERY: SURGEONS’ PERSPECTIVES," Chulalongkorn Medical Journal: Vol. 70: Iss. 3, Article 1.
DOI: https://doi.org/10.56808/2673-060X.5659
Available at: https://digital.car.chula.ac.th/clmjournal/vol70/iss3/1