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The Timing o. Primary Neuro.urgical Repair and Wo.nd-Site Infectio. in Children with Myelo.eningo.ele

o.en Jo.rnal o. Mo.ern Neuro.urgery 2024年第2期14卷 137-148页

作者： joseph o. obande Paul T. Bitrus Elizabeth I. obande Divisio. o. Neuro.urgery Department of Surgery University of Abuja Teaching Hospital Abuja Nigeria Po.t-Basic Scho.l o. Critical Care Nursing University of Abuja Teaching Hospital Abuja Nigeria

Backgro.nd: The o.timal time to.clo.ure o. a newbo.n with a myelo.eningo.ele has been the fo.us o. a number o. evaluatio.s. The Timing o. primary surgery has received significant attentio. due to.its relatio.ship to.repair-site infectio. that can lead to.increased mo.bidity and pro.o.ged ho.pital stays. It is o. this basis that reco.mendatio.s have utilized 48 - 72 ho.rs po.t birth as ideal time o. clo.ure. This is no. o.ly prevent infectio. at the site but also.prevent ventriculitis and neural structure damage. We therefo.e, hypo.hesized an increase in wo.nd infectio. rates in tho.e patients with delays in myelo.eningo.ele repair. Metho.s: We retro.pectively reviewed the reco.ds o. 103 children with myelo.eningo.ele treated between 2016 and 2023. At discharge the patients were fo.lo.ed up at the po.t-o.erative clinic visit 2 weeks later. Children were assigned to.1 o. 2 gro.ps, tho.e who.underwent primary neuro.urgical repair within 72 ho.rs o. delivery (Gro.p 1) and tho.e undergo.ng repair after 72 ho.rs (Gro.p 2). We co.pared the infectio. rates. Results: 103 children who.underwent myelo.eningo.ele repair were identified, with a median time fro. birth to.treatment o. 1 day. Eight (7.8 %) patients were no.ed to.have po.t-repair surgical site co.plicatio.s. There was no.significant difference in rates o. infectio. between Gro.p 1 and Gro.p 2 repair times. The presence o. infectio. was asso.iated increased length o. stay when co.pared to.neo.ates witho.t infectio.. Co.clusio.: In children with myelo.eningo.ele, the timing o. primary neuro.urgical repair appears no. to.have a significant impact o. surgical site infectio.. Clo.ure o. the spinal lesio. within the first 72 ho.rs o. life may be mo.e favo.able fo. neural damage preventio.. These results suggest that early myelo.eningo.ele repair may no. impart significantly o. the rate o. wo.nd-site infectio..

关键词： Spina Bifida Surgical Timing Excisio. and Repair Surgical Site Infectio. Myelo.eningo.ele

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