We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Complications of Prematurity That May Require Surgical Intervention

Marshall Z. Schwartz, MD; Steven B. Palder, MD; Kenneth R. T. Tyson, MD; Clifford C. Marr, MD
Arch Surg. 1988;123(9):1135-1138. doi:10.1001/archsurg.1988.01400330115017.
Text Size: A A A
Published online


• Many complications related to prematurity may require surgical intervention. Between July 1981 and July 1987, treatment of patent ductus arteriosus (PDA) (228 patients), necrotizing enterocolitis (NEC) (49 patients), and complications of high-pressure ventilation (eight patients) was reviewed. A PDA was ligated in 136 patients, with one death and one complication. Ninety-two patients had treatment with indomethacin, with 35 failures. A PDA was associated with NEC in 37 of the 49 patients, with a 73% mortality when they occurred within 72 hours of each other. Two patients died following pulmonary resection for lung cysts. The two patients with pneumoperitoneum and pneumopericardium were successfully treated with tube drainage. A PDA ligation was successful, with low mortality and morbidity. Treatment with indomethacin was unsuccessful in 38% of patients. There is a high mortality when NEC and PDA occur within 72 hours of each other.

(Arch Surg 1988;123:1135-1138)


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.