Tuesday, February 9, 2010

Open Nissen or Laparoscopic fundoplicaton in Newborns?

Journal of Pediatric Surgery- 25 laparoscopic and 32 open. The time to goal feeds was significantly shorter for the laparoscopic group (4.3 ± 0.4 vs 6.1 ± 0.6 days, P = .04). The 24-hour postoperative narcotic requirement was significantly lower in the laparoscopic group (0.24 ± 0.05 vs 0.55 ± 0.08 mg/kg, P = .007). Operation times (111 ± 5 [open] vs 113 ± 5 minutes, P = .76) and estimated blood loss (13 ± 2 [open] vs 11 ± 1 mL, P = .33) were comparable for both groups. http://www.jpedsurg.org/article/PIIS0022346809008720/abstract?rss=yes

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