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Outcomes of herniotomy in premature infants: A recent 10-year experience.
MedLine Citation:
PMID:  22414268     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background/Purpose:  The timing for herniotomy in premature infants is controversial. Methods:  Outcomes of herniotomy in 47 premature infants admitted to the neonatal intensive care unit (NICU) were retrospectively reviewed for preoperative clinical features, respiratory interventions, and anesthetic and surgical complications. The data were compared with those of full-term infants (n = 52). In premature infants, 14 infants underwent herniotomy before NICU discharge and 33 after discharge. We also investigated the predictive factors for anesthetic and surgical complications by performing multiple regression analysis. Results:  (1) Mean postconceptional age at surgery in premature infants and full-term infants were 47 and 50 weeks, respectively. Mean body weights at surgery in those infants were 4087 and 5454 g, respectively. (2) The rate of incarceration and emergency surgery was lower in premature infants. (3) Delayed extubation of the tracheal tube after surgery was noted in 4 premature infants, but not in full-term infants. Two cases of cryptorchidism in premature infants and 1 recurrence in a full-term infant that required re-operation were recognized. (4) Multiple regression analysis revealed no factor (including respiratory interventions) capable of predicting complications. Conclusion:  Although no predictive factor for complications was identified, there were some anesthetic and surgical complications in premature infants. If there is no risk of incarceration, herniotomy in premature infants should be performed at a time when the risk of anesthetic complications is decreased. If there is a risk of incarceration, herniotomy should be performed carefully in order to avoid occurrence of anesthetic and surgical complications. © 2012 The Authors. Pediatrics International © 2012 Japan Pediatric Society.
Authors:
Atsushi Takahashi; Fumiaki Toki; Hideki Yamamoto; Sayaka Otake; Yasushi Oki; Hiroyuki Kuwano
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-3-13
Journal Detail:
Title:  Pediatrics international : official journal of the Japan Pediatric Society     Volume:  -     ISSN:  1442-200X     ISO Abbreviation:  -     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-3-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100886002     Medline TA:  Pediatr Int     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors. Pediatrics International © 2012 Japan Pediatric Society.
Affiliation:
Division of Pediatric Surgery, Department of General Surgical Science, Gunma University Hospital Neonatal Intensive Care Unit, Department of Pediatrics, Gunma University Hospital.
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