Neonatal gastric perforation

Neonatal gastric perforation is a rare acute abdomen in pediatric surgery. According to the literature, the incidence of blacks is higher than that of whites. The disease usually occurs 2-7 days after birth, with a high mortality rate. In recent years, due to the development of neonatal surgery and anesthesia technology, the rational use of antibiotics and supportive therapy has significantly reduced the mortality rate. The postoperative survival rate is similar to that of children. Weight is directly related to timely diagnosis. Romas reported a 45% survival rate for patients undergoing gastric perforation within 12 hours, and a survival rate of 25% after 12 hours. Explain the importance of early diagnosis and surgical treatment.