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Pediatric Surgery International

Published in:

01-07-2018 | Original Article

Outcomes of circumcision in children with single ventricle physiology

Authors: Joseph A. Sujka, Richard Sola Jr., Amy Lay, Shawn D. St. Peter

Published in: Pediatric Surgery International | Issue 7/2018

Abstract

Purpose

Children with single ventricle physiology (SVP) have been shown to have a high morbidity and mortality after non-cardiac surgical procedures. Elective circumcision is one of the most common pediatric operations with low morbidity and mortality. The purpose of our study was to review our institutional experience with SVP children undergoing circumcisions to determine peri-operative course and outcomes.

Methods

We performed a retrospective review of children with SVP who underwent an elective circumcision from 2000 to 2017. Children with non-single ventricle physiology or children undergoing circumcision in combination with another case were excluded. Demographics, surgical characteristics, and outcomes were analyzed. Descriptive statistics were performed, all medians were reported with interquartile range.

Results

15 males underwent elective circumcision with a median age at the time of surgery of 1.13 (1.03, 1.38) years. Eighty-four percent underwent their circumcision after their 2nd stage cardiac operation. Most common operative indication was uncomplicated phimosis. Median operative time was 20 (16, 27) mins. Median total length of stay was 229 (185, 242) mins with no admissions. Post-operative complications included two (16%) hematomas with one requiring surgical intervention. There were no deaths.

Conclusion

Children with SVP who undergo elective circumcision may have a higher risk of bleeding.

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Title: Outcomes of circumcision in children with single ventricle physiology
Authors: Joseph A. Sujka
Richard Sola Jr.
Amy Lay
Shawn D. St. Peter
Publication date: 01-07-2018
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Surgery International / Issue 7/2018
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-018-4284-7

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Outcomes of circumcision in children with single ventricle physiology

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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