Clinical Pattern and Outcome of Neonates with Surgical Problems in Dhaka Medical College Hospital

Background: Although the global number of newborn deaths declined from 5 million (1990) to 2.4 (2020), children face greatest risk death within their first 28 days life. Dhaka Medical College Hospital (DMCH) is biggest tertiary hospital in Bangladesh serving all incoming patients free cost. Objectives: We studied here clinical patterns and outcomes neonatal surgeries DMCH July 2014 June 2016. Materials Methods: This prospective descriptive study included 500 neonates with surgical problems who had attended Data were collected at admission thereafter by predesigned data collection sheet. Results: Male female ratio was 1.5: 1. Majority (346) presented during week life (69.2%). Presented 1 hour (mean 7.1 ± SD 8.8), weighing 1.5 - 5.0 kilogram 2.6 kg 0.5). Surgical indications order sequences Neonatal Intestinal Obstruction (NIO), gastroschisis, omphalocele, abscess/cellulitis, hydronephrosis, congenital diaphragmatic hernia, Tracheo esophageal atresia or fistula (TEF), bladder exstrophy, malignancy, Infantile Hypertrophic Pyloric Stenosis (IHPS), cloacal injury, patent urachus, prune belly syndrome, amniotic band syndrome. NIO form Anorectal Malformations (ARM), Hirschsprung disease, septicemia, intestinal atresia, meconium ileus, volvulus neonatorum, multiple anomalies, obstructed inguinal hernia. Total 384 managed surgically. 125 (25.0%). 33 (6.6%) died preoperatively 92 (18.4%) postoperatively. Conclusion: Early diagnosis, resuscitation, skilled staff, ICU facilities etc. are crucial for best problems. KYAMC Journal Vol. 13, No. 02, 2022: 86-93