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Defining normal neonatal abdominal wall musculature with ultrasonography.
Ofri, Adam; Schindler, Tim; Dilley, Anthony; Pereira, John; Adams, Susan.
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  • Ofri A; Department of Paediatric Surgery, Sydney Children's Hospital, Randwick, New South Wales, Australia; Conjoint Lecturer, University of New South Wales, Randwick, New South Wales, Australia. Electronic address: adamofri@gmail.com.
  • Schindler T; Department of Neonatal Intensive Care, Royal Hospital for Women, Randwick, New South Wales, Australia.
  • Dilley A; Department of Paediatric Surgery, Sydney Children's Hospital, Randwick, New South Wales, Australia.
  • Pereira J; Department of Radiology, Sydney Children's Hospital, Randwick, New South Wales, Australia; Conjoint Lecturer, University of New South Wales, Randwick, New South Wales, Australia.
  • Adams S; Department of Paediatric Surgery, Sydney Children's Hospital, Randwick, New South Wales, Australia; Neuroscience Research Australia, Randwick, New South Wales, Australia; School of Women's and Children's Health, Randwick, New South Wales, Australia.
J Pediatr Surg ; 53(8): 1588-1591, 2018 Aug.
Article en En | MEDLINE | ID: mdl-29229479
INTRODUCTION: The development of new surgical approaches for the management of congenital abdominal wall defects may be facilitated by using an animal model. However, because the anatomy of the neonatal abdominal wall has not been described, a suitable model is yet to be identified. We aimed to evaluate and define the neonatal abdominal wall musculature using ultrasound, to be used as a reference to identify an appropriate animal model for the neonatal abdominal wall in the future. METHODS: Infants with a postconceptual age of less than one month weighing between 2 and 3 kg were eligible. With ethical approval, ultrasonography of three abdominal wall locations bilaterally was performed. The depth of the skin to external oblique and the thickness of the three abdominal wall muscles, external oblique (EO), internal oblique (IO) and transversus abdominis (TA), were measured. RESULTS: Ten males and seven females were recruited with median postconceptual age of 36 weeks (IQR 36-38), median postnatal age of 8 days (IQR 3-30) and median weight of 2.35kg (IQR 2.26-2.56). The mean depth of EO from skin was 2.06 mm (± 0.44). The mean thicknesses of the muscles were: EO 1.02 mm (± 0.33), IO 1.16 mm (± 0.39) and TA 1.02 mm (± 0.37). There was no statistical difference between the thickness of EO, IO or TA (p= 0.43). CONCLUSIONS: It is possible to consistently identify and measure the components of the neonatal abdominal wall musculature with ultrasonography. We hope this can aid in developing an appropriate animal model, with the ultimate aim of facilitating innovation in surgical management of neonatal abdominal wall pathology. LEVELS OF EVIDENCE: Study of Diagnostic test, Level IV.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Músculos Abdominales / Pared Abdominal Tipo de estudio: Diagnostic_studies Aspecto: Ethics Límite: Female / Humans / Male / Newborn Idioma: En Revista: J Pediatr Surg Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Músculos Abdominales / Pared Abdominal Tipo de estudio: Diagnostic_studies Aspecto: Ethics Límite: Female / Humans / Male / Newborn Idioma: En Revista: J Pediatr Surg Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos