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Surgical Chylothorax in Neonates: Management and Outcomes by Karina Miura Costa; Amulya Kumar Saxena is a Medicine article available to read on EtoBox.

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## Background: Postoperative chylothorax occurs due to trauma to lymphatic vessels and can occur after any thoracic procedure. this study reviewed recent literature to evaluate the management and outcomes of surgical chylothorax in neonates. ## Methods: Pubmed database was searched for articles in english, portuguese and spanish from 2000 to 2016. data were collected for surgery, chylothorax management, complications, mortality and length of hospital stay (los). ## Results: Twenty studies offered 107 neonates: congenital diaphragmatic hernia (cdh) (n = 76, 71%), cardiac malformations (n = 25, 23.4%), esophageal atresia (n = 5, 4.7%) and cdh + extralobar sequestration (n = 1, 0.9%). medium-chain triglycerides (mct) was the initial treatment in 52 neonates (48.6%), prednisolone + mct in one (0.9%), total parenteral nutrition in 51 patients (47.7%), and three patients (2.8%) did not require any treatment. octreotide and somatostatin were used as second or third line treatment in 25 neonates (23.4%), and 15 neonates (14%) underwent 17 surgeries, including thoracic duct ligation (tdl) (n = 9); pleurodesis (n = 3) (2 patients required tdl); tdl + pleurodesis (n = 2), and tdl + placement

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Author

Karina Miura Costa; Amulya Kumar Saxena

Publisher

Springer Science and Business Media LLC

Published

2018

Language

EN

Field

Medicine (Health Sciences)