OUTCOME OF SURGICAL TREATMENT FOR NEONATAL SACROCOCCYGEAL TERATOMA: EXPERIENCE WITH 13 CASES | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 32, Issue 1, January 2013, Page 55-61 PDF (817.03 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejsur.2013.366760 | ||||
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| Author | ||||
| Ahmed M. Gafar* | ||||
| Pediatric Surgery, Faculty of Medicine, Sohag University, Egypt | ||||
| Abstract | ||||
| Background and Objective: Sacrococcygeal teratomas (SCT) are the most common congenital tumors, occurring in 1/35000 live births. It presents a major neonatal surgical problem. The objective was to revise and describe our experience as regard diagnosis, operative management and finding, postoperative care as well as surgical outcome in neonates with SCT in our locality. Patients and Methods: Thirteen patients with SCT were treated surgically by one surgeon during the period from October 2005 to December 2011. All cases subjected to surgical treatment with the same protocol of preoperative evaluation and follow-up protocol. Perioperative data, clinical presentation, intraoperative findings, tumor characteristics, postoperative complications and outcome of surgical treatment all were reported and analyzed. Results: The mean birth weight was 3093.75±822.2 gm; mean gestational age was 37.54±2.18 weeks and mean age at time of operation was 10.92±14.87 days. There were 3 (23.1%) males and 10 (76.9%) females. Prenatal diagnosis made in one (7.7%) case and diagnosis was mainly clinical. Two cases had associated with congenital anomalies. The approach was sacrococcygeal in 12 (92.3%) cases and it was combined with abdominal approach in one (7.7%) case. Mean weight of the excised mass was 573.85±343.15 gm. Postoperative complications occurred in the form of wound infection in 3 (23.1%) cases, Poor cosmetic outcomes in 4 (30.8%) cases and clinically weak anal tone with manifest soiling in 2 (15.4 %) cases. Conclusion: Sacrococcygeal teratoma presents a major neonatal surgical problem. A good prognosis is related to several factors. Adequate surgical treatment which includes complete excision at neonatal period with coccygectomy carries good prognosis and remains the mainstay of treatment. | ||||
| Keywords | ||||
| Sacrococcygeal teratoma | ||||
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