BACKGROUND: Choosing laparotomy incision (transverse or midline) depends on the area that needs to be exposed, the urgency of the procedure, and the surgeon's preference. In the Hospital de Pediatr  a of the Centro M  dico Nacional Siglo XXI of the IMSS, the traditional approach is performed by midline in these @entity1 . Our objective was to determine if the midline approach is safe for handling neonates undergoing laparotomy for @entity1321 . METHODS: A retrospective study included all neonates who underwent laparotomy for @entity1321 by midline approach in the period from January 2010 to January 2012. RESULTS: 34 @entity1 were studied. 88.2 % were urgency procedures; surgery time was more than 120 minutes. @entity954 in all @entity1 was less than 20 milliliters. Complications were found in 44 % of @entity1 , of which the most frequent was @entity281 (29 %) and wound dehiscence (20 %). As for @entity1576 , 32.4 % had @entity891 and 14.7 %, @entity55 . 14.7 % had incisional @entity547 at one year. CONCLUSIONS: The frequency of immediate and non-immediate post-surgical complications is higher than those reported in the literature with transverse approach. The frequency of post-incisional @entity547 at one year is similar to that reported with the latter approach.

[Rethinking the surgical approach to XXXX surgery in neonates. Experience of a third-level hospital].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity55 :: ('MESH:D011014', 'Disease') :: ['pneumonia'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity891 :: ('MESH:D001261', 'Disease') :: ['atelectasis'] @entity1576 :: ('MESH:D012131', 'Disease') :: ['respiratory complications'] @entity1321 :: ('MESH:D007415', 'Disease') :: ['intestinal obstruction'] @entity954 :: ('MESH:D016063', 'Disease') :: ['Surgical bleeding'] @entity547 :: ('MESH:D006547', 'Disease') :: ['hernia']
@entity1321 :: (MESH:D007415,Disease) :: ['intestinal obstruction']
