Operative management of urachal remnants: An NSQIP based study of postoperative complications
jpedsurg.org shows its articles on its own site.
Read the article on jpedsurg.org ↗Article · Mar 2020 · 1 min read
In brief
In brief
This NSQIP analysis of 476 pediatric urachal resections found a 3.3% complication rate, with younger infants (median age 0.1-0.4 years) experiencing significantly higher rates of reoperation and readmission compared to older children. The findings suggest age is an important risk factor when considering surgical timing for urachal remnants.
Written by the GCMD Library team from the article.
Purpose
The identification of urachal remnants is occurring more in infancy. Despite evidence that nonoperative management is effective, operative management remains common and has a high complication rate. We sought to determine if the complication rate after urachal resection is associated with age.
Methods
Patients undergoing urachal remnant resection were identified from ACS NSQIP Pediatric from 2013 to 2017. Exclusion criteria included emergent operations, contaminated wounds, and any additional procedures. Patients were compared based on complication rates, need for reoperation or readmission, and length of stay.
Results
A complication occurred in 16 of 476 patients (3.3%), 6 (1.3%) had reoperation, and 11 (2.3%) were readmitted. The median age for patients requiring reoperation was lower (0.1 years) than those not (1.3 years; p = 0.004). The median age of those readmitted was lower (0.4 years) than those not (1.4 years, p = 0.03), and a weak trend of longer length of stay in younger patients was identified (ρ = −0.16, p