Incidence of surgical procedures for gastrointestinal complications after abdominal wall closure in patients with gastroschisis and omphalocele
Purpose This study aims to define the extent of additional surgical procedures after abdominal wall closure (AWC) in patients with gastroschisis (GS) and omphalocele (OC) with special focus on gastrointestinal related operations. Methods A retrospective chart review was performed including all opera...
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| Veröffentlicht in: | Pediatric surgery international 2021-11, Vol.37 (11), p.1531-1542 |
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| creator | Haghshenas, M. Rolle, U. Hutter, M. Theilen, T. M. |
| description | Purpose
This study aims to define the extent of additional surgical procedures after abdominal wall closure (AWC) in patients with gastroschisis (GS) and omphalocele (OC) with special focus on gastrointestinal related operations.
Methods
A retrospective chart review was performed including all operations in GS and OC patients in the first year after AWC (2010–2019). The risk for surgery was calculated using the one-year cumulative incidence (CI).
Results
33 GS patients (18 simple GS, 15 complex) and 24 OC patients (12 without (= OCL), 12 OC patients with liver protrusion (= OCL +)) were eligible for analysis. 43 secondary operations (23 in GS, 20 in OC patients) occurred after a median time of 84 days (16–824) in GS and 114.5 days (12–4368) in OC. Patients with complex versus simple GS had a significantly higher risk of undergoing a secondary operation (one-year CI 64.3% vs. 24.4%;
p
= 0.05). 86.5% of surgical procedures in complex GS and 36.3% in OCL + were related to gastrointestinal complications. Complex GS had a significantly higher risk for GI-related surgery than simple GS. Bowel obstruction was a risk factor for surgery in complex GS (one-year CI 35.7%).
Conclusion
Complex GS and OCL + patients had the highest risk of undergoing secondary operations, especially those with gastrointestinal complications. |
| doi_str_mv | 10.1007/s00383-021-04977-0 |
| format | Article |
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This study aims to define the extent of additional surgical procedures after abdominal wall closure (AWC) in patients with gastroschisis (GS) and omphalocele (OC) with special focus on gastrointestinal related operations.
Methods
A retrospective chart review was performed including all operations in GS and OC patients in the first year after AWC (2010–2019). The risk for surgery was calculated using the one-year cumulative incidence (CI).
Results
33 GS patients (18 simple GS, 15 complex) and 24 OC patients (12 without (= OCL), 12 OC patients with liver protrusion (= OCL +)) were eligible for analysis. 43 secondary operations (23 in GS, 20 in OC patients) occurred after a median time of 84 days (16–824) in GS and 114.5 days (12–4368) in OC. Patients with complex versus simple GS had a significantly higher risk of undergoing a secondary operation (one-year CI 64.3% vs. 24.4%;
p
= 0.05). 86.5% of surgical procedures in complex GS and 36.3% in OCL + were related to gastrointestinal complications. Complex GS had a significantly higher risk for GI-related surgery than simple GS. Bowel obstruction was a risk factor for surgery in complex GS (one-year CI 35.7%).
Conclusion
Complex GS and OCL + patients had the highest risk of undergoing secondary operations, especially those with gastrointestinal complications.</description><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-021-04977-0</identifier><identifier>PMID: 34435217</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Abdomen ; Abdominal Wall - surgery ; Catheters ; Congenital diseases ; Defects ; Gastroschisis - epidemiology ; Gastroschisis - surgery ; Heart ; Hernia, Umbilical - epidemiology ; Hernia, Umbilical - surgery ; Hospitals ; Humans ; Incidence ; Intestinal Obstruction ; Liver ; Medicine ; Medicine & Public Health ; Nutrition ; Original ; Original Article ; Ostomy ; Parenteral nutrition ; Patients ; Pediatric Surgery ; Pediatrics ; Premature labor ; Retrospective Studies ; Statistical analysis ; Surgery</subject><ispartof>Pediatric surgery international, 2021-11, Vol.37 (11), p.1531-1542</ispartof><rights>The Author(s) 2021</rights><rights>2021. The Author(s).</rights><rights>The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-5e2215ec5567035bcd6c9f22a8ecb445919749131c2064f0ca7530a24a27c7223</citedby><cites>FETCH-LOGICAL-c474t-5e2215ec5567035bcd6c9f22a8ecb445919749131c2064f0ca7530a24a27c7223</cites><orcidid>0000-0002-1268-6092</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00383-021-04977-0$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00383-021-04977-0$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34435217$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Haghshenas, M.</creatorcontrib><creatorcontrib>Rolle, U.</creatorcontrib><creatorcontrib>Hutter, M.</creatorcontrib><creatorcontrib>Theilen, T. M.</creatorcontrib><title>Incidence of surgical procedures for gastrointestinal complications after abdominal wall closure in patients with gastroschisis and omphalocele</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><addtitle>Pediatr Surg Int</addtitle><description>Purpose
This study aims to define the extent of additional surgical procedures after abdominal wall closure (AWC) in patients with gastroschisis (GS) and omphalocele (OC) with special focus on gastrointestinal related operations.
Methods
A retrospective chart review was performed including all operations in GS and OC patients in the first year after AWC (2010–2019). The risk for surgery was calculated using the one-year cumulative incidence (CI).
Results
33 GS patients (18 simple GS, 15 complex) and 24 OC patients (12 without (= OCL), 12 OC patients with liver protrusion (= OCL +)) were eligible for analysis. 43 secondary operations (23 in GS, 20 in OC patients) occurred after a median time of 84 days (16–824) in GS and 114.5 days (12–4368) in OC. Patients with complex versus simple GS had a significantly higher risk of undergoing a secondary operation (one-year CI 64.3% vs. 24.4%;
p
= 0.05). 86.5% of surgical procedures in complex GS and 36.3% in OCL + were related to gastrointestinal complications. Complex GS had a significantly higher risk for GI-related surgery than simple GS. Bowel obstruction was a risk factor for surgery in complex GS (one-year CI 35.7%).
Conclusion
Complex GS and OCL + patients had the highest risk of undergoing secondary operations, especially those with gastrointestinal complications.</description><subject>Abdomen</subject><subject>Abdominal Wall - surgery</subject><subject>Catheters</subject><subject>Congenital diseases</subject><subject>Defects</subject><subject>Gastroschisis - epidemiology</subject><subject>Gastroschisis - surgery</subject><subject>Heart</subject><subject>Hernia, Umbilical - epidemiology</subject><subject>Hernia, Umbilical - surgery</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Incidence</subject><subject>Intestinal Obstruction</subject><subject>Liver</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nutrition</subject><subject>Original</subject><subject>Original Article</subject><subject>Ostomy</subject><subject>Parenteral nutrition</subject><subject>Patients</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Premature labor</subject><subject>Retrospective Studies</subject><subject>Statistical analysis</subject><subject>Surgery</subject><issn>0179-0358</issn><issn>1437-9813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kctu1DAUhi0EokPhBVggS2zYBI7vyQYJVVwqVWIDa8vjODOuEjvYCVWfglfmTGcolwWrs_i_85_LT8hzBq8ZgHlTAUQrGuCsAdkZ08ADsmFSmKZrmXhINsBM14BQ7Rl5Uus1ALRCd4_JmZBSKM7Mhvy4TD72IflA80DrWnbRu5HOJfvQryVUOuRCd64uJce0hLrEhLrP0zwiucScKnXDEgp12z5Pd-qNGxEZM9oFGhOdkQtpqfQmLvuTWfX7WCP2pp6i2d6NOHEMT8mjwY01PDvVc_L1w_svF5-aq88fLy_eXTVeGrk0KnDOVPBKaYMHbn2vfTdw7trgt1KqjnVGdkwwz0HLAbwzSoDj0nHjDefinLw9-s7rdgq9x_WKG-1c4uTKrc0u2r-VFPd2l7_bVnFoDUODVyeDkr-t-Bc7xYoXjC6FvFbLlZad5EYf0Jf_oNd5LfioA9VyrbXULVL8SHl8Ti1huF-GgT3kbY95W8zb3uVtAZte_HnGfcuvgBEQR6CilHah_J79H9ufGZO55Q</recordid><startdate>20211101</startdate><enddate>20211101</enddate><creator>Haghshenas, M.</creator><creator>Rolle, U.</creator><creator>Hutter, M.</creator><creator>Theilen, T. 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M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-5e2215ec5567035bcd6c9f22a8ecb445919749131c2064f0ca7530a24a27c7223</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Abdomen</topic><topic>Abdominal Wall - surgery</topic><topic>Catheters</topic><topic>Congenital diseases</topic><topic>Defects</topic><topic>Gastroschisis - epidemiology</topic><topic>Gastroschisis - surgery</topic><topic>Heart</topic><topic>Hernia, Umbilical - epidemiology</topic><topic>Hernia, Umbilical - surgery</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Incidence</topic><topic>Intestinal Obstruction</topic><topic>Liver</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nutrition</topic><topic>Original</topic><topic>Original Article</topic><topic>Ostomy</topic><topic>Parenteral nutrition</topic><topic>Patients</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Premature labor</topic><topic>Retrospective Studies</topic><topic>Statistical analysis</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Haghshenas, M.</creatorcontrib><creatorcontrib>Rolle, U.</creatorcontrib><creatorcontrib>Hutter, M.</creatorcontrib><creatorcontrib>Theilen, T. 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M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence of surgical procedures for gastrointestinal complications after abdominal wall closure in patients with gastroschisis and omphalocele</atitle><jtitle>Pediatric surgery international</jtitle><stitle>Pediatr Surg Int</stitle><addtitle>Pediatr Surg Int</addtitle><date>2021-11-01</date><risdate>2021</risdate><volume>37</volume><issue>11</issue><spage>1531</spage><epage>1542</epage><pages>1531-1542</pages><issn>0179-0358</issn><eissn>1437-9813</eissn><abstract>Purpose
This study aims to define the extent of additional surgical procedures after abdominal wall closure (AWC) in patients with gastroschisis (GS) and omphalocele (OC) with special focus on gastrointestinal related operations.
Methods
A retrospective chart review was performed including all operations in GS and OC patients in the first year after AWC (2010–2019). The risk for surgery was calculated using the one-year cumulative incidence (CI).
Results
33 GS patients (18 simple GS, 15 complex) and 24 OC patients (12 without (= OCL), 12 OC patients with liver protrusion (= OCL +)) were eligible for analysis. 43 secondary operations (23 in GS, 20 in OC patients) occurred after a median time of 84 days (16–824) in GS and 114.5 days (12–4368) in OC. Patients with complex versus simple GS had a significantly higher risk of undergoing a secondary operation (one-year CI 64.3% vs. 24.4%;
p
= 0.05). 86.5% of surgical procedures in complex GS and 36.3% in OCL + were related to gastrointestinal complications. Complex GS had a significantly higher risk for GI-related surgery than simple GS. Bowel obstruction was a risk factor for surgery in complex GS (one-year CI 35.7%).
Conclusion
Complex GS and OCL + patients had the highest risk of undergoing secondary operations, especially those with gastrointestinal complications.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>34435217</pmid><doi>10.1007/s00383-021-04977-0</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-1268-6092</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Abdomen Abdominal Wall - surgery Catheters Congenital diseases Defects Gastroschisis - epidemiology Gastroschisis - surgery Heart Hernia, Umbilical - epidemiology Hernia, Umbilical - surgery Hospitals Humans Incidence Intestinal Obstruction Liver Medicine Medicine & Public Health Nutrition Original Original Article Ostomy Parenteral nutrition Patients Pediatric Surgery Pediatrics Premature labor Retrospective Studies Statistical analysis Surgery |
| title | Incidence of surgical procedures for gastrointestinal complications after abdominal wall closure in patients with gastroschisis and omphalocele |
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