title: Novel surgical technique for insertion of pleuroperitoneal shunts for bilateral chylous effusions in Ex preterm infant at term corrected age.
abstract: Neonatal chylothorax is a relatively uncommon condition. Here we describe the case of an extremely preterm infant with bilateral chylous effusions which were resistant to conventional medical management and were ultimately managed with the insertion of pleuroperitoneal shunts using a novel surgical technique. Subsequently the infant recovered and the shunts could be removed. We report this case to highlight that such shunts can be inserted even in tiny preterm infants with minimally invasive techniques, and be extremely successful in managing chylothorax, pending spontaneous recovery.
authors.affiliation: Department of Child Health, William Harvey Hospital, Kennington Road, Ashford, Kent TN24 0LZ, UK. vimal.vasu@ekht.nhs.uk
authors.forename: V
authors.initials: V
authors.lastname: Vasu
authors.forename: C
authors.initials: C
authors.lastname: Ude
authors.forename: V
authors.initials: V
authors.lastname: Shah
authors.forename: E
authors.initials: E
authors.lastname: Lim
authors.forename: A
authors.initials: A
authors.lastname: Bush
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D002916:Chylothorax / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D010529:Peritoneal Cavity / Q000000981:diagnostic imaging / Q000601:surgery*; D010994:Pleura / Q000000981:diagnostic imaging / Q000601:surgery*; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000601:surgery*; D047928:Premature Birth; D019736:Prostheses and Implants; D013902:Radiography, Thoracic; D012121:Respiration, Artificial; D013909:Thorax; D016896:Treatment Outcome; D014463:Ultrasonography