Pattern of Neonatal Surgical Presentation and Outcome in Sinnar Hospital (2013-2014)
Background: The neonatal period is a highly vulnerable time for an infant, who is completing many of the physiologic adjustments required for extra- uterine existence. If the neonate suffered a problem which needs surgery this challenge is magnified. In this study we tried to assess those surgical neonates presented and managed in Sinnar Teaching Hospital in south of Sudan from february2013 to February 2014 and to describe the outcome of this management. Results: 145 neonates were managed. Out of them, 83 were males (57.2%), 61 (42.1%) were females while one neonate was intersex (0.7%%). The majority of cases are congenital in nature. Gastro-intestinal tracts diagnoses constitutes more than third of cases with.anorectal malformations predomining all diagnoses. 114 patients (78.6%) underwent surgical treatment,while 19 (13.1%) patients were managed conservatively. 57.2% completedtheir treatment successfully 19 (13.1) were ongoing management at the time of data collection. Eighteen died amounting for 12.4% hospital mortality. There was significant correlation between the diagnosis, including gastrointestinal diagnosis and outcome (P<0.001) as well as for the type of surgical procedures and outcome (p<0.001) also relationship is significant between outcome and duration of illness in the study population.
