International Journal of Contemporary Pediatrics | November-December 2019 | Vol 6 | Issue 6 Page 2406 International Journal of Contemporary Pediatrics Uplaonkar V et al. Int J Contemp Pediatr. 2019 Nov;6(6):2406-2412 http://www.ijpediatrics.com pISSN 2349-3283 | eISSN 2349-3291 Original Research Article Audit of neonatal congenital anomalies required surgical intervention at tertiary care centre Vinod Uplaonkar 1 , Nandkishor Shinde 2 *, Vikas Kumar 2 INTRODUCTION Congenital anomalies are structural or functional anomalies which occur during intrauterine life and can be identified antenatally, at birth or later in life. Congenital anomalies can be caused by single gene defects, chromosomal disorders, multi-factorial inheritance, environmental teratogens and micronutrient deficiencies. 1,2 Congenital anomalies account for 11% of neonatal deaths globally and 9% in India. The prevalence of birth anomalies in India is 6-7%. 3,4 Birth asphyxia and infections are major contributors to neonatal deaths. 5 However there are other silent contributors to these deaths which are usually not highlighted. Amongst these, are surgical diseases in the newborn. 6 1 Department of Pediatric, 2 Department of Pediatric Surgery, Khaja Banda Nawaz Institute of Medical Sciences, Gulbarga, Karnataka, India Received: 10 July 2019 Accepted: 11 September 2019 *Correspondence: Dr. Nandkishor Shinde, E-mail: drnandkishorshinde@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT Background: Nearly 10% of neonatal deaths are due to congenital malformations requiring surgical intervention. Hence our aim is to study spectrum and outcome of the different neonatal congenital anomalies requiring surgical intervention. Methods: This prospective study was conducted over a period of 2 years. 130 cases which required surgical intervention in neonatal period were included in the study. Plain x-ray abdomen was done in all the cases of our study. Ultrasound scan was done in all the cases to rule out renal and other anomalies. Contrast radiography was also performed in selected cases. All cases underwent their respective operations depending upon the diagnoses. Complication and mortalities during hospital stay were noted. Results: During the study period total 130 neonates underwent surgical intervention. Out of 130 cases 5(3.84%) neonates had trachea-esophageal fistula, 2(1.53%) had pure esophageal atresia, 5(3.84%) had duodenal atresia, 9(6.92%) had jejunal atresia, 14(10.76%) had ileal atresia, 3 had meconium ileus(2.30%), 9(6.92%) had malrotation, 15(11.5%) had HD and 5(3.84%) had Meckel's diverticulum, 10(7.69%) had Hypertrophic Pyloric Stenosis, 2(1.53%) had gastroschisis, 3(2.30%) had omphalocele, 16(12.30%) had anorectal malformation, 4(3.07%) had Patent Vitello Intestinal Duct, 3(2.30%) had persistent patent urachus, 4(3.07%) had congenital diaphragmatic hernia, 1(0.76%) had Congenital Lobar Emphysema, 4(3.07%) had Neural Tube Defects, 8(6.15%) had Inguinal Hernia, 6(4.61%) had Posterior Urethral Valve and 2(1.53%) had Pelvi-ureteric Junction Obstruction. There were 85 males and 45 females (M: F-2:1). Septicaemia (40%) was most common complication, 21 (16.15%) cases had mortality. Conclusions: There is lack of awareness regarding dog bite and its management among the rural population. Keywords: Congenital malformation, Complications, Intestinal atresia, Neonatal mortality, Septicaemia, Surgical intervention DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20194708