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Intraoperative surgical complications of open surgery for congenital diaphragmatic hernia: a multicenter, observational study in Japan.
Terui, Keita; Nagata, Kouji; Yamoto, Masaya; Sato, Yoshiaki; Okuyama, Hiroomi; Maruyama, Hidehiko; Yokoi, Akiko; Kim, Kiyokazu; Masumoto, Kouji; Okazaki, Tadaharu; Inamura, Noboru; Toyoshima, Katsuaki; Koike, Yuhki; Yazaki, Yuta; Sato, Yasunori; Usui, Noriaki.
Afiliación
  • Terui K; Division of Pediatric Surgery, Department of Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan. kta@cc.rim.or.jp.
  • Nagata K; Department of Pediatric Surgery, Chiba University Graduate School of Medicine, Chiba, Japan. kta@cc.rim.or.jp.
  • Yamoto M; Department of Pediatric Surgery, Reproductive and Developmental Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
  • Sato Y; Department of Pediatric Surgery, Shizuoka Children's Hospital, Shizuoka, Japan.
  • Okuyama H; Division of Neonatology, Center for Maternal-Neonatal Care, Nagoya University Hospital, Nagoya, Japan.
  • Maruyama H; Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
  • Yokoi A; Division of Neonatology, National Center for Child Health and Development, Tokyo, Japan.
  • Kim K; Department of Pediatric Surgery, Kobe Children's Hospital, Kobe, Japan.
  • Masumoto K; Department of Pediatric Surgery, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
  • Okazaki T; Department of Pediatric Surgery, Tsukuba University, Tsukuba, Japan.
  • Inamura N; Department of Pediatric Surgery, Juntendo University Urayasu Hospital, Tokyo, Japan.
  • Toyoshima K; Department of Pediatrics, Kindai University, Osaka, Japan.
  • Koike Y; Department of Neonatology, Kanagawa Children's Medical Center, Yokohama, Japan.
  • Yazaki Y; Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, Mie, Japan.
  • Sato Y; Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, Tokyo, Japan.
  • Usui N; Department of Preventive Medicine and Public Health, Keio University, Tokyo, Japan.
Pediatr Surg Int ; 40(1): 240, 2024 Aug 22.
Article en En | MEDLINE | ID: mdl-39172194
ABSTRACT

PURPOSE:

This study aimed to clarify surgical complications associated with open surgery for congenital diaphragmatic hernia (CDH).

METHODS:

We performed an exploratory data analysis of the clinical characteristics of surgical complications of neonates with CDH who underwent laparotomy or thoracotomy between 2006 and 2021. Data of these patients were obtained from the database of the Japanese CDH Study Group.

RESULTS:

Among 1,111 neonates with left or right CDH, 852 underwent open surgery (laparotomy or thoracotomy). Of these 852 neonates, 51 had the following surgical complications organ injury (n = 48; 6% of open surgeries); circulatory failure caused by changes in the organ location (n = 2); and skin burns (n = 1). Injured organs included the spleen (n = 30; 62% of organ injuries), liver (n = 7), lungs (n = 4), intestine (n = 4), adrenal gland (n = 2), and thoracic wall (n = 2). Fourteen of the patients who experienced organ injury required a blood transfusion (2% of open surgeries). The adjusted odds ratio of splenic injury for patients with non-direct closure of the diaphragm was 2.2 (95% confidence interval, 1.1-4.9).

CONCLUSION:

Of the patients who underwent open surgery for CDH, 2% experienced organ injury that required a blood transfusion. Non-direct closure of the diaphragmatic defect was a risk factor for splenic injury.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hernias Diafragmáticas Congénitas / Complicaciones Intraoperatorias Límite: Female / Humans / Male / Newborn País/Región como asunto: Asia Idioma: En Revista: Pediatr Surg Int Asunto de la revista: PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hernias Diafragmáticas Congénitas / Complicaciones Intraoperatorias Límite: Female / Humans / Male / Newborn País/Región como asunto: Asia Idioma: En Revista: Pediatr Surg Int Asunto de la revista: PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Alemania