dc.creator | PINTO, Fernando Campos Gomes | |
dc.creator | MATUSHITA, Hamilton | |
dc.creator | FURLAN, Andre Luiz Beer | |
dc.creator | ALHO, Eduardo Joaquim | |
dc.creator | GOLDENBERG, Dov Charles | |
dc.creator | BUNDUKI, Victor | |
dc.creator | KREBS, Vera Lucia Jornada | |
dc.creator | TEIXEIRA, Manoel Jacobsen | |
dc.date.accessioned | 2012-10-19T17:31:40Z | |
dc.date.accessioned | 2018-07-04T15:08:24Z | |
dc.date.available | 2012-10-19T17:31:40Z | |
dc.date.available | 2018-07-04T15:08:24Z | |
dc.date.created | 2012-10-19T17:31:40Z | |
dc.date.issued | 2009 | |
dc.identifier | PEDIATRIC NEUROSURGERY, v.45, n.2, p.114-118, 2009 | |
dc.identifier | 1016-2291 | |
dc.identifier | http://producao.usp.br/handle/BDPI/22350 | |
dc.identifier | 10.1159/000209285 | |
dc.identifier | http://dx.doi.org/10.1159/000209285 | |
dc.identifier.uri | http://repositorioslatinoamericanos.uchile.cl/handle/2250/1619122 | |
dc.description.abstract | Background/Aims: To present a protocol of immediate surgical repair of myelomeningocele (MMC) after birth (`time zero`) and compare this surgical outcome with the surgery performed after the newborn`s admission to the nursery before the operation. Methods: Data from the medical files of 31 patients with MMC that underwent surgery after birth and after admission at the nursery ( group I) were compared with a group of 23 patients with MMC admitted and prospectively followed, who underwent surgery immediately after birth - `at time zero` ( group II). Results: The preoperative rupture of the MMC occurred more frequently in group I (67 vs. 39%, p < 0.05). The need for ventriculoperitoneal shunt was 84% in group I and 65% in group II and 4 of them were performed during the same anesthetic time as the immediate MMC repair, with no statistically significant difference. Group I had a higher incidence of small dehiscences when compared to group II ( 29 vs. 13%, p < 0.05); however, there was no statistically significant difference regarding infections. After 1 year of follow-up, 61% of group I showed neurodevelopmental delay, whereas only 35% of group II showed it. Conclusions: The surgical intervention carried out immediately after the birth showed benefits regarding a lower incidence of preoperative rupture of the MMC, postoperative dehiscences and lower incidence of neurodevelopmental delay 1 year after birth. Copyright (C) 2009 S. Karger AG, Basel | |
dc.language | eng | |
dc.publisher | KARGER | |
dc.relation | Pediatric Neurosurgery | |
dc.rights | Copyright KARGER | |
dc.rights | restrictedAccess | |
dc.subject | Myelomeningocele | |
dc.subject | Neurosurgery | |
dc.subject | Hydrocephalus | |
dc.subject | Shunt | |
dc.subject | Pediatric | |
dc.title | Surgical Treatment of Myelomeningocele Carried Out at `Time Zero` Immediately after Birth | |
dc.type | Artículos de revistas | |