Peritoneal drainage for newborn intestinal perforation: primary treatment or unnecessary delay?

Methods This is a retrospective analysis of all newborns (2004–2009) with presumed IP treated with PD irrespective of gestational age or weight. Drainage was achieved with a single Penrose drain placed between incisions in each lower quadrant. This was followed by extensive irrigation. Laparotomy was performed if needed for progressive sepsis, intestinal stricture, or persistent leak. Parameters analyzed included gestational age and weight, time before IP, findings at drain placement, and need for subsequent operations.