What should be done if a newborn has a stomach perforation?

Patient's question:

Can a newborn with a stomach perforation be treated? What is the disease? Can it be treated well? What are the pathological manifestations? What methods are available for treatment? I really want a professional doctor to give me professional advice! Thank you

Doctor's answer:

Once diagnosed, emergency surgery should be performed.
1. Preoperative Preparation
(1) A stomach tube should be placed to decompress the contents of the stomach. Sometimes, the stomach tube is passed through the stomach's rupture hole into the abdominal cavity to withdraw gas and fluid from the abdomen, alleviate abdominal distension, and improve respiratory function.
(2) Correct water and electrolyte acid-base imbalance.
(3) Strengthen supportive treatments such as blood transfusion and oxygenation. However, it is recommended not to administer oxygen under positive pressure to avoid increasing intra-abdominal pressure.
(4) Administer antibiotics and vitamin K.
(5) Children with severe abdominal distension can undergo abdominal puncture decompression to relieve breathing difficulties.