دورية أكاديمية
أعرض في EDS

Age-dependent outcomes in asymptomatic umbilical hernia repair.

التفاصيل البيبلوغرافية
العنوان: Age-dependent outcomes in asymptomatic umbilical hernia repair.
المؤلفون: Zens TJ; Division of Pediatric Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue Madison, Madison, WI, 53792-7375, USA., Rogers A; Division of Pediatric Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue Madison, Madison, WI, 53792-7375, USA., Cartmill R; Division of Pediatric Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue Madison, Madison, WI, 53792-7375, USA., Ostlie D; Division of Pediatric Surgery, Phoenix Children's Hospital, Phoenix, AZ, USA., Muldowney BL; Division of Pediatric Anesthesiology, Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA., Nichol P; Division of Pediatric Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue Madison, Madison, WI, 53792-7375, USA., Kohler JE; Division of Pediatric Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue Madison, Madison, WI, 53792-7375, USA. kohler@surgery.wisc.edu.
المصدر: Pediatric surgery international [Pediatr Surg Int] 2019 Apr; Vol. 35 (4), pp. 463-468. Date of Electronic Publication: 2018 Nov 14.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer International Country of Publication: Germany NLM ID: 8609169 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1437-9813 (Electronic) Linking ISSN: 01790358 NLM ISO Abbreviation: Pediatr Surg Int Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Berlin : Springer International, c1986-
مواضيع طبية MeSH: Hernia, Umbilical/*surgery , Herniorrhaphy/*methods , Postoperative Complications/*etiology, Age Factors ; Asymptomatic Diseases ; Child ; Child, Preschool ; Female ; Humans ; Incidence ; Male ; Retrospective Studies ; United States/epidemiology
مستخلص: Purpose: Umbilical hernias are common in young children. Many resolve spontaneously by age four with very low risk of symptoms or incarceration. Complications associated with surgical repair of asymptomatic umbilical hernias have not been well elucidated. We analyzed data from one hospital to test the hypothesis that repair at younger ages is associated with increased complication rates.
Methods: A retrospective chart review of all umbilical hernia repairs performed during 2007-2015 was conducted at a tertiary care children's hospital. Patients undergoing repairs as a single procedure for asymptomatic hernia were evaluated for post-operative complications by age, demographics, and co-morbidities.
Results: Of 308 umbilical hernia repairs performed, 204 were isolated and asymptomatic. Postoperative complications were more frequent in children < 4 years (12.3%) compared to > 4 years (3.1%, p = 0.034). All respiratory complications (N = 4) and readmissions (N = 1) were in children < 4 years.
Conclusions: Age of umbilical hernia repair in children varied widely even within a single institution, demonstrating that timing of repair may be a surgeon-dependent decision. Patients < 4 years were more likely to experience post-operative complications. Umbilical hernias often resolve over time and can safely be monitored with watchful waiting. Formal guidelines are needed to support delayed repair and prevent unnecessary, potentially harmful operations.
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معلومات مُعتمدة: None Cars Curing Kids Foundation
فهرسة مساهمة: Keywords: De-intervention; Herniorrhaphy; Pediatric surgery; Surgical complications; Umbilical hernia
تواريخ الأحداث: Date Created: 20181116 Date Completed: 20190507 Latest Revision: 20200225
رمز التحديث: 20221213
DOI: 10.1007/s00383-018-4413-3
PMID: 30430281
قاعدة البيانات: MEDLINE
الوصف
تدمد:1437-9813
DOI:10.1007/s00383-018-4413-3