{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:26:56Z","timestamp":1787772416791,"version":"build-2784847793"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>The aim is to study the complications of neonatal thoracotomy and its preventive measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We retrospectively reviewed 53 neonates who underwent thoracotomy from January 2017 to December 2019 for a period of 3 years. Patient demographic data, primary disease for which they underwent thoracotomy, postoperative complications (immediate and delayed) during follow-up were documented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      During 3-year period, 53 neonates underwent thoracotomy for various surgical pathologies. The indications were esophageal atresia with tracheoesophageal fistula (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 49), eventration of diaphragm (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 3), congenital lobar emphysema of left upper lobe of lung (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1). Most of them were right posterolateral thoracotomies (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 48, 90.56%) and left posterolateral thoracotomy was done in only 5 cases (9.43%). Associated anomalies were seen in 22 cases, such as cardiac (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 19), renal (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 4) and gastrointestinal (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 5). Associated comorbidities seen in 14 cases; preterm (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 4), low birth weight (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 13), delayed presentation (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 6). Early postoperative complications such as pneumonia (34%, n = 18) and wound infection (11.3%, n = 6) were noted. Delayed complications include musculoskeletal abnormalities (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 19, 35.8%) and esthetic complications such as asymmetry of chest (5.6%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Neonatal thoracotomy is associated with complications such as pneumonia, wound infections, and musculoskeletal abnormalities such as asymmetry of chest and scoliosis. These can be prevented by adequate postoperative pain relief, muscle-sparing thoracotomies, avoiding tight closures, and nerve injuries. Long-term follow-up is required because these complications may manifest later on also. Early detection and institution of physiotherapy may help.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jiaps.jiaps_19_21","type":"journal-article","created":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T10:15:56Z","timestamp":1716545756000},"page":"293-296","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Musculoskeletal and Esthetic Complications after Neonatal Thoracotomy"],"prefix":"10.4103","volume":"27","author":[{"given":"Gali","family":"Divya","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijay Kumar","family":"Kundal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pinaki Ranjan","family":"Debnath","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raja Sekhar","family":"Addagatla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil Kumar","family":"Garbhapu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnab Kumar","family":"Saha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atul Kumar","family":"Meena","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shalu","family":"Shah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amita","family":"Sen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-4-20240905","doi-asserted-by":"crossref","first-page":"136","DOI":"10.4103\/0971-9261.121113","article-title":"A survey of musculoskeletal and aesthetic abnormalities after thoracotomy in pediatric patients","volume":"18","author":"Panda","year":"2013","journal-title":"J Indian Assoc Pediatr Surg"},{"key":"R2-4-20240905","doi-asserted-by":"crossref","first-page":"e1198","DOI":"10.1542\/peds.2008-3704","article-title":"Natural history of spinal anomalies and scoliosis associated with esophageal atresia","volume":"124","author":"Sistonen","year":"2009","journal-title":"Pediatrics"},{"key":"R3-4-20240905","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1017\/S1047951103000519","article-title":"Thoracic sequels after thoracotomies in children with congenital cardiac disease","volume":"13","author":"Bal","year":"2003","journal-title":"Cardiol Young"},{"key":"R4-4-20240905","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1016\/j.athoracsur.2008.08.069","article-title":"Thoracoscopy versus thoracotomy improves midterm musculoskeletal status and cosmesis in infants and children","volume":"87","author":"Lawal","year":"2009","journal-title":"Ann Thorac 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Dig"},{"key":"R15-4-20240905","doi-asserted-by":"crossref","first-page":"1050","DOI":"10.1016\/S0003-4975(03)00565-4","article-title":"The effect of standard postero-lateral versus muscle-sparing thoracotomy on multiple parameters","volume":"76","author":"Akcalli","year":"2003","journal-title":"Ann Thorac Surg"}],"container-title":["Journal of Indian Association of Pediatric 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