**5. Conclusions**

SCT is a common neonatal neoplasm. Antenatal diagnosis is essential, for avoiding complications and high morbidity, mortality. Delivery in a tertiary center by cesarean section, when needed, should be emphasized. Early diagnosis and complete resection of the tumor with removal of the coccyx is associated with good prognosis.

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**Author details**

Anca Budusan1,2\*, Horatiu Gocan1,2 and Roxana Popa-Stanila1,2

© 2019 The Author(s). Licensee IntechOpen. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/ by/3.0), which permits unrestricted use, distribution, and reproduction in any medium,

1 University of Medicine Cluj-Napoca, Romania

2 Emergency Children's Hospital Cluj, Romania

provided the original work is properly cited.

\*Address all correspondence to: anca21b@yahoo.com

*Prenatal Diagnosis and Management of Sacrococcygeal Teratomas*

*DOI: http://dx.doi.org/10.5772/intechopen.87987*

*Prenatal Diagnosis and Management of Sacrococcygeal Teratomas DOI: http://dx.doi.org/10.5772/intechopen.87987*

*Basic Principles and Practice in Surgery*

The multiorgan involvement makes the anesthetic management challenging. Prematurity and hypothermia are risk factors for coagulopathy and can lead to fatal consequences. Management of intraoperative bleeding and early extubation are

Patients with malignant SCT are managed after surgery with irradiation if residual disease is present, and chemotherapy. Most tumors have a plane of dissection and can be removed easily. It is safer and recommended to catheterize the bladder to keep it away from the tumor and place a large rubber catheter in rectum for identification. Levator ani muscles are often stretched over tumor and should be reconstructed after tumor is excised. Drainage is necessary as there is a large raw

Preservation of the autonomous nerve supply to the bladder and rectum may be difficult. Therefore, postoperative complications (31%) that may be expected are bladder dysfunction, incontinence for feces and dysesthesia. The main postoperative early complication is wound infection because of the proximity to the anus and

SCT is a common neonatal neoplasm. Antenatal diagnosis is essential, for avoiding complications and high morbidity, mortality. Delivery in a tertiary center by cesarean section, when needed, should be emphasized. Early diagnosis and complete resection of the tumor with removal of the coccyx is associated with good

good outcome predictors [5, 13, 14] (**Figure 5**).

*Same newborn—postoperative view, after removal of SCT.*

area and collections should be avoided (**Figure 6**).

the skin flaps that may be needed.

**5. Conclusions**

**Figure 6.**

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prognosis.
