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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 14 No. 1-2 (2023)

Early intervention in NTDs in children leads to better surgical outcome

Vol. 14 No. 1-2 (2023) — cover
Cover
JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2023
CONTENTSVolume 14Number 1 & 2January - July 2023
Editorial
Gender Diversity and Disorders of Sex Development: Time for Greater Medical Awareness in Bangladesh
Md Nazrul Islam
01
Original Articles
Impact of Prematurity and Low Birth Weight on Postoperative Mortality in Neonatal Intestinal Obstruction
Manash Talukdar, Md Tawhidul Islam, Shabnam Rashedi, Dibendu Kumar Das, Md Tayef Rahman, Must Tamanna Ruksana, Towkir Ahmed, Anshua Das Trisha
04
Early intervention in NTDs in children leads to better surgical outcome
Anupam Das, Mohammad Mahabubul Alam
11
Use of Pavlik Harness in the Treatment of Infantile Femur Fracture: Clinical and Radiological Outcome
Tafhim Ehsan Kabir, Touhidul Islam, Rahma Binte Anwar, Nafeesa Mubashshira
17
Assessing the Role of Mid-day Meal (MDM) on the Nutritional Profile of School Going Children: Snapshot of a Suburban School
Arpita Biswangree, Md Fahadul Islam, Mustari Nailah Tabassum, Rahatil Asyekin Raha, Sakibul Alam, Mohammad Ismail, Md Sharif Imam, Tahmina Banu
24
Operational Diagnostic Criteria in Conjunction with the Triangular Cord Sign Enhance the Screening for Biliary Atresia
Md Jahidur Rahman, Manash Talukdar Talukdar, Md Mahbub Hossain, Shabnam Rashedi, Sabrina Rahman Mahi
31
Penile Agenesis: Demographic Characteristics and Management Experience in a Tertiary Care Teaching Hospital in Bangladesh
Md Nazrul Islam, Shoheli Alam, Mohammad Mahbubul Alam, Taslima Akter, Asma Ul Husna, Sabrina Khan Mou, Pravin Chowdhury, Mohammad Idrish Ali
36
Evaluation of Chronic Gingivitis in Response to Nickel Chromium and Gold Alloy Crown
Mohammadullah, Md Nazrul Islam, Mohammed Mahbub Zaki, Tawfiqur Rahman, Md Immamur Rashid, Mohammad Idrish Ali
39
Congenital choanal atresia - Endonasal endoscopic surgery - Bangabandhu Sheikh Mujib Medical University
Mohammad Idrish Ali, Kamrul Hasan Tarafder, Sheikh Hasanur Rahman, Rokeya Begum, Md Nazrul Islam, Asma Ul Husna, Sabrina Khan Mou
45
Case Reports
Adult Presentation of Untreated Exstrophy–Epispadias Complex with Squamous Cell Carcinoma: A Rare Case Report
Md Ruhul Amin, Md Nazrul Islam, Pravin Chowdhury
49
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Anupam DasAssistant Professor & Head, Department of Paediatric Surgery, Sylhet Women’s Medical College Hospital, Sylhet, Bangladesh
  • Mohammad Mahabubul AlamAssociate Professor, Department of Pediatric Surgery, Dhaka Medical College

Keywords

neural tube defects myelomeningocele encephalocele meningocele surgical management of NTDs outcome of NTDs

Abstract

Introduction: Neural tube defects (NTDs) are a global disease, with the largest burden falling to low-and middle-income countries. Proper management of affected children can lead to a meaningful and productive life, and poorly managed cases of NTDs can be a devastating obstacle not only for patient but also for the patient’s family. Methodology: This prospective observational study was conducted in the Department of Paediatric Surgery, Sylhet M.A.G. Osmani Medical College & Hospital during the period from March, 2018 to August, 2020. Thirty children with a neural tube defect during the study period were included. Associated with life threatening major congenital malformations were excluded. The surgical management protocol used for different sites of NTDs was studied. Results: The ages of the patients ranged from 1 day to 9 years with the median age of 3.5 days. The types of NTDs were myelomeningocele (73.3%), encephalocele (10.0%), lipomeningocele (10.0%) and meningocele (6.7%). The nature of neural tube defects was ruptured in (60.0%) and not ruptured in (40.0%). Associated birth defects in this study were hydrocephalus in 56.7%, club foot in 16.7%, cervical prolapse in 6.7% and kyphosis in 6.7% cases. Associated neurological defects were lower limb paresis and paralysis in 83.3%, Urinary incontinence in 50.0% and faecal incontinence abnormality in 40.0% of cases. Postoperative complications were wound infection in 10.0%, wound dehiscence in 16.7%, CSF leakage in 23.3% and meningitis in 10.0% cases. The overall mortality rate was 6.7% of cases. Outcome of this study was recovery without complication in 66.7%, recovery with complications in 26.7% and death in 6.7% of cases. Recovery without complication was more frequent than recovery with complications and death. Conclusion: There was recovery without complication in most cases after operation. Early operation is associated with recovery without complication.

Journal of Paediatric Surgeons of Bangladesh (2023) Vol. 14 (1 & 2): 11–16

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