J.Jpn. Surg. Soc.. 91(9): 1291-1294, 1990
Report on the annual meeting
CURRENT STATUS OF NEONATAL SURGERY －IMPORTANCE AND ACTUAL PROBLEMS OF ANTENATAL DIAGNOSIS－
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1) Department of Pediatric Surgery, Kyushu University, Fukuoka, Japan Sachiyo Suita1), Tomoru Sakaguchi1), Hitoo Nakano2), Keiichi Ikeda3) |
With significant advances in perinatal care and meticulous neonatal support, tremendous progress has been made during the past 28 years in the treatment of neonates with congenital anomalies. On the other hand, more and more severe cases with/without multiple anomalies and immature and/or low birth weight are being diagnosed both antenatally and postnatally.
Ideally the antenatal diagnosis of congenital anomalies should improve antenatal concealing and may affect the timing, site and method of delivery and potentially allow for intrauterine surgical correction. Paradoxical results, however, have been observed in some anomalies, such as diaphragmatic hernia. Most of them were immature and/or of low birth weight and had associated lethal anomalies ; these appeared to be the unavoidable factors preventing mortality. In order to reduce the mortality, new approaches will be required for such anomalies in the future.
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