Age-dependent outcomes in asymptomatic umbilical hernia repair
| Autor: | Daniel J. Ostlie, Randi Cartmill, Andrew P. Rogers, Bridget L. Muldowney, Tiffany Zens, Jonathan E. Kohler, Peter F. Nichol |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Asymptomatic 03 medical and health sciences Postoperative Complications 0302 clinical medicine 030225 pediatrics Pediatric surgery Umbilical hernia repair Humans Medicine Hernia Child Herniorrhaphy Retrospective Studies Surgical repair business.industry Incidence Age Factors General Medicine medicine.disease United States Umbilical hernia Surgery Child Preschool Asymptomatic Diseases Pediatrics Perinatology and Child Health Female 030211 gastroenterology & hepatology medicine.symptom business Complication Hernia Umbilical Watchful waiting |
| Zdroj: | Pediatric Surgery International. 35:463-468 |
| ISSN: | 1437-9813 0179-0358 2007-2015 |
| Popis: | 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.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.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.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. |
| Databáze: | OpenAIRE |
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