Postoperative Complications of Patients With Spina Bifida Undergoing Urologic Laparotomy: A Multi-institutional Analysis - 01/11/17
Abstract |
Objective |
To characterize perioperative morbidity and mortality in adult patients with spina bifida undergoing laparotomy.
Patients and Methods |
We retrospectively studied the postoperative complications of 59 operations of patients with spina bifida undergoing abdominal laparotomies for urologic indications at 3 institutions. We evaluated postoperative complications using the Clavien-Dindo classification scale.
Results |
The overall complication rate was 91.5%. The most common complications were ileus, pressure ulcers, urinary tract infection, and wound infection. Over 40% of the patients developed a class 3 or 4 complication requiring subsequent surgery or intensive care unit admission. The hospital readmission rate was 42% and was correlated with higher-grade complications. On multivariable analysis, only older age was significantly associated with grade of complication.
Conclusion |
These data demonstrate that adult patients with spina bifida comprise a unique population that faces an extremely high surgical risk even in centers of excellence. As patients with spina bifida live longer lives, thanks to modern medicine, there is a timely opportunity for research on perioperative management in these patients to improve postsurgical outcomes.
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Financial Disclosure: The authors declare that they have no relevant financial interests. |
Vol 108
P. 233-236 - octobre 2017 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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