Symptomatic Congenital Lung Lesions in Premature Newborns: Do Less to Do Better. A Cases Series

Unit of Paediatric Surgery, Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy

*Corresponding author: Sara Silvaroli, Unit of Paediatric Surgery, Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy; Email: [email protected]

Received Date: January 31, 2024

Publication Date: March 18, 2024

Citation: Silvaroli S, et al. (2024). Symptomatic Congenital Lung Lesions in Premature Newborns: Do Less to Do Better. A Cases Series. Neonatal. 4(1):14.

Copyright: Silvaroli S, et al. © (2024). 

ABSTRACT

Congenital lung lesions (CLL) refer to different histopathologies. The most common types are congenital cystic adenomatoid malformations (CCAM) and bronchopulmonary sequestrations (BPS) or hybrid lesions containing features of both. Congenital lobar emphysema (CLE) and bronchogenic cysts (BC) are less common. Different opinions exist on treatment of CLL in symptomatic neonates. Though immediate surgery appears a reasonable option, the risks related to neonatal surgery should be balanced with those of conservative treatment. We analyzed complications and outcomes of four symptomatic neonates diagnosed with CLL presenting with severe symptoms at birth: two underwent emergency surgery and two underwent a conservative management in the neonatal period. A better outcome was observed in those who avoided surgery at birth. Emergency surgery in symptomatic neonates should be always evaluated, if possible avoided, with other strategies like chest drain, ventilation, inotrope support. Furthermore, we stress the need for more scientific evidence and guidelines supporting surgeons making the right decision.

Keywords: Congenital lung malformation; Neonatal surgery; Neonatal respiratory distress; CCAM; Premature ventilation