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Status: Bibliographieeintrag

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Verfasst von:Riebesell, Kaja [VerfasserIn]   i
 Mohr, Christoph [VerfasserIn]   i
 Niklaus, Marina [VerfasserIn]   i
 Martel, Richard [VerfasserIn]   i
 Petroswky, Michaela Klinke [VerfasserIn]   i
 Weiß, Christel [VerfasserIn]   i
 Hoffmann, Jana [VerfasserIn]   i
 Riemer, Carolin [VerfasserIn]   i
 Schaible, Thomas [VerfasserIn]   i
 Zahn, Katrin [VerfasserIn]   i
 Halniyazova, Aylar [VerfasserIn]   i
 Boettcher, Michael [VerfasserIn]   i
 Elrod, Julia [VerfasserIn]   i
Titel:Early removal of the abdominal patch is superior to late removal in children with congenital diaphragmatic hernia
Verf.angabe:Kaja Riebesell, Christoph Mohr, Marina Niklaus, Richard Martel, Michaela Klinke Petroswky, Christel Weiss, Jana Hoffmann, Carolin Riemer, Thomas Schaible, Katrin Zahn, Aylar Halniyazova, Michael Boettcher, Julia Elrod
E-Jahr:2025
Jahr:March 2025
Umfang:7 S.
Fussnoten:Online veröffentlicht: 28. Dezember 2024, Artikelversion: 7. Januar 2025 ; Gesehen am 03.07.2025
Titel Quelle:Enthalten in: Journal of pediatric surgery
Ort Quelle:Orlando, Fla. : Elsevier, 1966
Jahr Quelle:2025
Band/Heft Quelle:60(2025), 3, Artikel-ID 162124, Seite 1-7
ISSN Quelle:1531-5037
Abstract:Introduction - Open repair of Congenital diaphragmatic hernia (CDH) in neonates often involves reconstruction of the abdominal wall using a patch. Data on predictors for the need of a patch and associated postoperative risks, such as infection or patch detachment, are limited. Specifically, the question regarding the ideal timepoint of patch removal remains unanswered. - Methods - Data from 1000 neonatal CDH cases at the University Clinic Mannheim (2000-2022) were analyzed in this longitudinal, prospective cohort study. The study identified predictors for the requirement of an abdominal wall patch, quantified the surgical duration attributable to their use, determined outcome variables and investigated the incidence of infection and the spectrum of associated pathogens. - Results - 152 patients received an abdominal wall patch (GORE-TEX®). Predictive factors included birth weight, gestational age, gender, time of diagnosis of CDH, defect size, type of hernia, and liver-up. The majority of all patches which had to be explanted, was removed within one year, resulting in shorter operation time (median: 99.5 min) compared to late removal (>365 days, median: 144.5 min, p < 0.0163). Complication rates were comparable in both groups (early: 26.87 %, late: 25.93 %, p = 0.9257). Most common reasons for patch removal were: infections (50.00 %), elective removal (28.72 %) and removal concomitantly during another surgery (13.83 %). The most common pathogen in infected patches was Staphylococcus aureus. - Conclusion - The study suggests that early patch removal is associated with a shorter surgery time and does not lead to an increased rate of complications. In cases of patch infection, empirical antibiotic therapy targeting staphylococcal bacteria is recommended in the absence of an antibiogram. It may provide pediatricians and pediatric surgeons with guidance regarding the postoperative management of abdominal wall patches.
DOI:doi:10.1016/j.jpedsurg.2024.162124
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.1016/j.jpedsurg.2024.162124
 kostenfrei: Volltext: https://www.sciencedirect.com/science/article/pii/S0022346824010868
 DOI: https://doi.org/10.1016/j.jpedsurg.2024.162124
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Abdominal patch
 CDH
 Congenital diaphragmatic hernia
 Infection
K10plus-PPN:1929665571
Verknüpfungen:→ Zeitschrift

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