Roberts, Kiera, Stalewski, Harry, and Carroll, Daniel (2023) The Neonatal Surgical Patient. In: Carroll, Daniel, Stalewski, Harry, and Rathnamma, Bhanu Mariyappa, (eds.) Paediatric Surgery: Clinical Practice in Remote and Rural Settings, and in Tropical Regions. CRC Press, Boca Raton, Florida, USA, pp. 35-55.

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Abstract

The complexity of embryological and fetal development may lead to a wide range of congenital anomalies requiring surgical correction early in life. These conditions may be seen in isolation, or often in conjunction with other conditions as part of a syndrome, sequence or association. The presence of one abnormality should prompt further detailed scans as identification of further abnormalities make the presence of surgical problems much more likely. It is often safer to transfer patients with known surgical problems prior to delivery as neonatal transport can be difficult and the early availability of neonatal intensive care and paediatric surgery has been shown to improve outcomes. Approach to the surgical repair of oesophageal atresia may be either via a right thoracotomy, or thoracoscopically, dependent on the size of the baby and surgeon preference. This approach may vary in scenario of a right-sided aortic arch identified preoperatively, where some surgeons would approach from the left, whereas others would maintain a right-sided approach.

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