‘Impact of a Regional Damage Control Surgery Pathway on Time to Surgery for Neonates with Severe Necrotising Enterocolitis. A prospective cohort study.’
Topic overview
This prospective cohort study evaluates whether implementing a standardised regional referral pathway combined with damage control surgery can reduce the time from diagnosis to surgical intervention in neonates with perforated necrotising enterocolitis, addressing the baseline 23.5-hour delay documented in UK practice.
Key takeaways
- UK baseline: median 23.5 hours from NEC perforation diagnosis to surgery—a critical delay for unstable neonates.
- Standardized regional referral pathways can streamline transfer logistics and reduce time to surgical intervention.
- Damage control surgery (DCS) approach prioritizes rapid initial intervention over definitive repair in unstable NEC patients.
- Reducing time to surgery in perforated NEC may improve outcomes by limiting peritoneal contamination and hemodynamic compromise.
- Regional coordination between NICUs and pediatric surgery centers is essential for timely NEC management.
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How to cite: GlobalCastMD. ‘Impact of a Regional Damage Control Surgery Pathway on Time to Surgery for Neonates with Severe Necrotising Enterocolitis. A prospective cohort study.’. GlobalCastMD Medical Library. 2025-09-26. https://library.globalcastmd.com/article/11045
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