title: Outcomes following neonatal patent ductus arteriosus ligation done by pediatric surgeons: a retrospective cohort analysis.
abstract: OBJECTIVE
  Patent Ductus Arteriosus (PDA) ligation in premature infants is an urgent procedure performed by some but not all pediatric surgeons. Proficiency in PDA ligation is not a requirement of Canadian pediatric surgery training. Our purpose was to determine the outcomes of neonatal PDA ligation done by pediatric surgeons.
  
  
  METHODS
  We performed a retrospective review of premature infants who underwent PDA ligation by pediatric surgeons in 3 Canadian centers from 2005 to 2009. Outcomes were compared to published controls.
  
  
  RESULTS
  The review identified 98 patients with a mean corrected GA and weight at repair of 29 weeks and 1122 g, respectively. There were no intraoperative deaths. The 30-day and inhospital mortality rates were 1% and 5%. Mortality and morbidity were comparable to the published outcomes.
  
  
  CONCLUSIONS
  This study documents that a significant number of preterm infant PDA ligations are safely done by pediatric surgeons. To meet the Canadian needs for this service by pediatric surgeons, proficiency in PDA ligation should be considered important in pediatric surgery training programs.
authors.affiliation: Department of Surgery, Janeway Children's Hospital, St. John's Newfoundland, NL, Canada, A1B 3V6.
authors.forename: Katherine
authors.initials: K
authors.lastname: Hutchings
authors.forename: Andrea
authors.initials: A
authors.lastname: Vasquez
authors.forename: David
authors.initials: D
authors.lastname: Price
authors.forename: Brian H
authors.initials: BH
authors.lastname: Cameron
authors.forename: Saeed
authors.initials: S
authors.lastname: Awan
authors.forename: Grant G
authors.initials: GG
authors.lastname: Miller
mesh_terms: D001803:Blood Transfusion / Q000706:statistics & numerical data; D002170:Canada / Q000453:epidemiology; D015897:Comorbidity; D004374:Ductus Arteriosus, Patent / Q000188:drug therapy / Q000401:mortality / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D013502:General Surgery / Q000193:education; D005865:Gestational Age; D017052:Hospital Mortality; D006776:Hospitals, Pediatric / Q000458:organization & administration / Q000706:statistics & numerical data; D006784:Hospitals, Teaching / Q000458:organization & administration / Q000706:statistics & numerical data; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000401:mortality / Q000601:surgery*; D007363:Intensive Care Units, Neonatal / Q000706:statistics & numerical data; D007431:Intraoperative Complications / Q000453:epidemiology; D008026:Ligation / Q000193:education; D008297:Male; D010360:Patient Transfer / Q000706:statistics & numerical data*; D010372:Pediatrics / Q000193:education; D011183:Postoperative Complications / Q000453:epidemiology; D012121:Respiration, Artificial / Q000706:statistics & numerical data; D012189:Retrospective Studies; D062606:Tertiary Care Centers / Q000458:organization & administration / Q000706:statistics & numerical data*; D016896:Treatment Outcome