Classification of short-term complications after transanal endorectal pullthrough for Hirschsprung’s disease using the Clavien–Dindo-grading system
| Autor: | Nils Hoff, Tomas Wester, Anna Löf Granström |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Transanal endorectal pullthrough Complications Adolescent Hirschsprung disease Developmental defect Anal Canal Cohort Studies 03 medical and health sciences Postoperative Complications 0302 clinical medicine 030225 pediatrics Pediatric surgery medicine Humans Child Grading (education) Hirschsprung's disease Digestive System Surgical Procedures business.industry Medical record Rectum Infant Postoperative complication General Medicine Length of Stay medicine.disease Clavien–Dindo Surgery Child Preschool Pediatrics Perinatology and Child Health Female Original Article 030211 gastroenterology & hepatology Complication business Cohort study |
| Zdroj: | Pediatric Surgery International |
| ISSN: | 1437-9813 0179-0358 |
| DOI: | 10.1007/s00383-019-04546-6 |
| Popis: | Purpose Hirschsprung’s disease (HSCR) is a developmental defect of the enteric nervous system. Transanal endorectal pullthrough (TERPT) is one of the surgical procedures for HSCR. Clavien–Dindo is an objective classification system, used worldwide, to describe postoperative complications. The aim of this study was to use Clavien–Dindo grading for short-term complication after TERPT. Methods This was a cohort study including all 69 individuals, with biopsy-verified HSCR, managed with TERPT at our institution between 2006 and 2018. Data on the surgical procedure, as well as short-term complications, were retrieved from the medical records. The main outcome was postoperative complications graded according to Clavien–Dindo. Results Fifteen (22%) of the 69 patients (51 males) had a short-term postoperative complication graded according to Clavien–Dindo. The complications were Grade I in ten patients, Grade II in four patients, and Grade IIIb in one patient. Individuals with a Clavien–Dindo complication had a significantly longer post-operative hospital stay [median 6 days (4–30) compared to 4 days (1–22), p = 0.035]. Conclusions It is important to describe postoperative complications in a structured way to make it possible to compare studies. Post-operative complications, according to Clavien–Dindo, occurred in 22% of the patients after TERPT. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink