1. NEONATAL SURGICAL EMERGENCIES DANIEL A. BEALS MD, FACS, FAAP

2. DIAGNOSIS? Term male, 6 hr old, does not tolerate feed

3. TRACHEOESOPHAGEAL FISTULA

4. TEF

6. DIAGNOSIS? 3 day old 34 week gest female with increasing tachypnea

7. CPAM

8. Spectrum of abnormalities Timing of Surgery Initial and secondary workup CPAM

9. DIAGNOSIS? 38 wk gest male born NSVD APGAR 9,8. Now 2 hrs old with respiratory distress and SaO2 = 72

10. CONGENITAL DIAPHRAGMATIC HERNIA

11. CDH

12. ECMO

14. DIAGNOSIS? 25 wk gest male now 1 week old, initially tolerated feeds, now has abdominal distention, bloody stool and increased residuals

15. NEC

17. DIAGNOSIS? Term female, does not tolerate feeds x 2, then becomes acutely acidotic and hypotensive

18. MALROTATION AND MIDGUT VOLVULOUS

19. MALROTATION

20. GASTROSCHISIS

24. OMPHALOCELE

26. EXTROPHY

27. DIAGNOSIS Term infant with abdominal distention, no BM for 36 hr

28. IMPERFORATE ANUS - MALE

29. IMPERFORATE ANUS - FEMALE

30. DIAGNOSIS? 28 wk gest infant. XY karotype

31. HYPOSPADIAS

32. DIAGNOSIS? 32 week male with prenatal diagnosis of bilateral severe hydronephrosis. No urine output for 24 hr after birth

33. PUV

35. PUV – FETAL SURGERY

36. OTHER SURGICAL ISSUES Hirschprungs Disease Inguinal Hernia Hydronephrosis Ambiguous genitalia PDA Teratoma

37. QUESTIONS?