Abstract
To clarify how many cases of surgical neonates there were in the perinatal deaths who were not referred to pediatric surgeons, and why they were not consulted, we checked up the autopsy records of the perinatal death in our perinatal center during the past ten years. We analyzed autopsy records and clinical records of mothers and babies who were not registered to our surgical clinic although whose diagnosis was established as abdominal wall defect, congenital diaphragmatic hernia or tracheoa-esophageal fistula. As corresponding cases, we found 13 cases of omphalocele, 8 cases of diaphragmatic hernia and 3 cases of esophageal atresia with tracheo-esophageal fistula. Total 24 corresponding cases were equal to 4% of 593 registered surgical neonates during the same peroid. Only 4 fetus were died in the early neonatal period and the reminder were still-birth. The reason of still-birth were intra-uterine fetal death in 6 cases and the reminder were terminated because of associated chromosomal anomaly (18 trisomy) and/or multiple severe anomalies (limb-body wall complex etc). So it seemed that few fetus in our autopsied surgical neonates who were not referred to surgical clinic, were expected to survive according to the improve of prenatal diagnosis or perinatal cases.
