Percutaneous needle aspiration in management of pneumoperitoneum in neonatal NEC perforation;A prospective study

Dr Richa Jaiman; Dr Puneet Srivastava

Volume : VIII, Issue : II, February - 2018

Percutaneous needle aspiration in management of pneumoperitoneum in neonatal NEC perforation;A prospective study

Dr Richa Jaiman, Dr Puneet Srivastava

Abstract :

Introduction: Necrotizing enterocolitis (NEC) is a common in neonatal age groups specialy in premature and low birth weight neonates. Surgery is indicated when there is pneumoperitoneum or free gas in peritoneal cavity. Other modes of treatment include conservative observation or primary peritoneal drainage under local anaesthesia . This study was to evaluate primary peritoneal needle aspiration by 22fr IV canula, rather than primary peritoneal drain as a treatment of NEC.

Material and Methods: This prospective observational study started from Jan 2011 to Jan 2017 and including all patients of NEC having pneumoperitoneum with gas under diaphragm on X–ray abdomen.

Results: There were 30 patients of NEC. Seventeen patients responded to single peritoneal needle aspiration. Three patients needed repeat aspiration. Laparotomy was done in seven patients. Three patients expired due to severe sepsis. The mean duration of follow up was 3.43 months (range 2 to 8).

Conclusion: Percutaneos needle aspiration of peritoneal cavity is effective method for NEC who develops pneumoperitoneum without sepsis and ascitis