Audit of neonatal congenital anomalies required surgical intervention at tertiary care centre

Vinod Uplonkar, Nandkishor Shinde, Vikas Kumar


Background: Nearly 10% of neonatal deaths are due to congenital malformations requiring surgical intervention. Hence our aim is to study spectrum and outcome of the different neonatal congenital anomalies requiring surgical intervention.

Methods: This prospective study was conducted over a period of 2 years. 130 cases which required surgical intervention in neonatal period were included in the study. Plain x-ray abdomen was done in all the cases of our study. Ultrasound scan was done in all the cases to rule out renal and other anomalies. Contrast radiography was also performed in selected cases. All cases underwent their respective operations depending upon the diagnoses. Complication and mortalities during hospital stay were noted.

Results: During the study period total 130 neonates underwent surgical intervention. Out of 130 cases 5(3.84%) neonates had trachea-esophageal fistula, 2(1.53%) had pure esophageal atresia, 5(3.84%) had duodenal atresia, 9(6.92%) had jejunal atresia, 14(10.76%) had ileal atresia, 3 had meconium ileus(2.30%), 9(6.92%) had malrotation, 15(11.5%) had HD and 5(3.84%) had Meckel's diverticulum, 10(7.69%) had Hypertrophic Pyloric Stenosis, 2(1.53%) had gastroschisis, 3(2.30%) had omphalocele, 16(12.30%) had anorectal malformation, 4(3.07%) had Patent Vitello Intestinal Duct, 3(2.30%) had persistent patent urachus, 4(3.07%) had congenital diaphragmatic hernia, 1(0.76%) had Congenital Lobar Emphysema, 4(3.07%) had Neural Tube Defects, 8(6.15%) had Inguinal Hernia, 6(4.61%) had Posterior Urethral Valve and 2(1.53%) had Pelvi-ureteric Junction Obstruction. There were 85 males and 45 females (M: F-2:1). Septicaemia (40%) was most common complication, 21 (16.15%) cases had mortality.

Conclusions: There is lack of awareness regarding dog bite and its management among the rural population.


Congenital malformation, Complications, Intestinal atresia, Neonatal mortality, Septicaemia, Surgical intervention

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World Health Organization. Section on congenital anomalies,2012. Available at: Accessed 9 May 2019.

Turnpenny P, Ellard S. Congenital abnormalities. Emery’s elements of Medical Genetics. 2005;12:1-5.

UNICEF India. Neonatal Health,2019. Available at Neonatal Health. Accessed on 6 June 2019.

Neonatal-Health, National health Portal of India. Section on congenital anomalies (birth defects). Available at Accessed on 6 June 2019.

Bryce J, Boschi-Pinto C, Shibuya K, Black RE, WHO Child Health Epidemiology Reference Group. WHO estimates of the causes of death in children. The Lancet. 2005 Mar 26;365(9465):1147-52.

Opara PI, Ujuanbi AS, Okoro PE. Surgical admissions in a newborn unit in a low resource setting, challenges in management and outcomes. J Neonatal Biol. 2014;3(2):132.

Paul VK, Singh M. Regionalized perinatal care in developing countries. In Seminars in Neonatology 2004 Apr 1 (Vol. 9, No. 2, pp. 117-124). WB Saunders.

Cragan JD, Khoury MJ. Effect of prenatal diagnosis on epidemiologic studies of birth defects. Epidemiol. 2000 Nov 1;11(6):695-9.

Khoshnood B, De Vigan C, Vodovar V, Goujard J, Lhomme A, Bonnet D, et al. Trends in prenatal diagnosis, pregnancy termination, and perinatal mortality of newborns with congenital heart disease in France, 1983–2000: a population-based evaluation. Pediatr. 2005 Jan 1;115(1):95-101.

Stoll BG: Congenital anomalies. Nelson Textbook of Paediatrics. Edited by: Kliegman RM, Jenson HB, Behrnan RE, Staton BF. 2008, WB Sanders Co, Philadephia, 711-13. 18.

Dutta HK, Bhattacharyya NC, Sarma JN, Giriraj K. Congenital malformations in Assam. J Ind Association Pediatr Surg. 2010 Apr;15(2):53-5.

Gangopadhyay AN, Upadhyaya VD, Sharma SP. Neonatal surgery: A ten year audit from a university hospital. Ind J Pediatr. 2008 Oct 1;75(10):1025-30.

Shitaye N, Dejene B. Pattern and outcome of neonatal surgical cases at Tikur Anbessa University Teaching Hospital, Addis Ababa, Ethiopia. personnel. 2016 Oct;8:10-2.

Opara PI, Ujuanbi AS, Okoro PE. Surgical admissions in a newborn unit in a low resource setting, challenges in management and outcomes. J Neonatal Biol. 2014;3(2):132.

Saha AK, Ali MB, Biswas SK, Sharif HZ, Azim A. Neonatal intestinal obstruction: patterns, problems and outcome. Bangl Med J Khulna. 2012;45(1-2):6-10.

Golalipour MJ, Ahmadpour-Kacho M, Vakili MA. Congenital malformations at a referral hospital in Gorgan, Islamic Republic of Iran. Eastern Mediterranean health J. 2005;11(4):707-15.

Bari CF. Spectrum of congenital anomalies among children attending the pediatric departments of dhaka medical college hospital. IOSR J Dent Med Sci. 2014;13(2):20-46.

Shah Z, Kalathia M, Patel S, Parikh Y. Profile of congenital surgical anomalies in neonates admitted to tertiary care neonatal intensive care unit of Saurashtra region. Nat J Med Res. 2016:168-70.

Sharif MU, Abood HA, Elsiddig IE, Atwan F. Pattern and Outcome of Neonatal Surgery: Experience at King Fahad Hospital Al-Baha. Pakistan J Med Heal Sci. 2014;8(2):262-7.