A neonate is suspected to be suffering from necrotizing entercolitis (NEC). On fuhur examination and investigation, he is diagnosed to be Bell&;s stage INEC. The management of choice would be
.Abdomen radiographs may show pneumatosis intestinalis,or free intraperitoneal air. management consists of agressive resuscitation and intravenous feeding.The optimal time for surgery is not in the acute phase as the baby can withstand the pressure of necrosis better than an adult,but not in the stress laprotomy. BAILEY AND LOVE&;S SHO PRACTICE OF SURGERY,PG NO:1200, 24th edition
Laporotomy and proceed
Inseion of bilateral pelvic drains
Conservative management with IV fluids and antibiotics
Initial conservative management and laparotomy after 24 hours
Gastrointestinal tract