Risk factors for short-term complications graded by Clavien-Dindo after transanal endorectal pull-through in patients with Hirschsprung disease

Beltman, Lieke; Roorda, Daniëlle; Backes, Manouk; Oosterlaan, Jaap; Heurn, L. W. Ernest van; Derikx, Joep P. M.

doi:10.1016/j.jpedsurg.2021.07.024

Cited by 12 publications

(14 citation statements)

References 27 publications

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“…Concerning the neurodevelopment, the review of McCan et al shows that there is no consensus about the possible higher risk from receiving anesthesia at a younger age [29]. Regarding the functional postoperative outcomes, we do know that older age at time of endorectal pull-through is a risk factor for developing postoperative complications [30]. However, we do not know how age at surgery influences the functional postoperative outcomes, due to lacking consensus [31][32][33][34][35][36].…”

Section: Discussionmentioning

confidence: 99%

Risk factors for complications in patients with Hirschsprung disease while awaiting surgery: Beware of bowel perforation

Beltman

Labib

Oosterlaan

et al. 2022

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 99%

Risk factors for complications in patients with Hirschsprung disease while awaiting surgery: Beware of bowel perforation

Beltman

Labib

Oosterlaan

et al. 2022

Journal of Pediatric Surgery

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“…After removal of 3134 duplicates, 12,401 articles were screened on title and abstract and 471 articles were subsequently screened on full text. Ten articles fulfilled all inclusion criteria and were included in this systematic review ( Figure 1 ) ( 20 – 29 ).…”

Section: Resultsmentioning

confidence: 99%

“…The included studies discussed surgical and anesthetic risks of various abdominal laparoscopic surgeries in 1778 children aged <1 years. The results are presented in Table 2 ; Supplementary Tables 1 – 10 ( 20 – 29 ). The reported laparoscopic surgeries included transanal endorectal pull-through (TERPT) for Hirschsprung disease, pyloric stenosis repair/pyloromyotomy, gastrostomy, congenital megacolon, diaphragmatic hernia, malrotation and inguinal hernia repair.…”

Section: Resultsmentioning

confidence: 99%

A systematic review on safety and surgical and anesthetic risks of elective abdominal laparoscopic surgery in infants to guide laparoscopic ovarian tissue harvest for fertility preservation for infants facing gonadotoxic treatment

van der Perk,

van der Kooi,

Broer

et al. 2024

Front. Oncol.

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BackgroundInfertility is an important late effect of childhood cancer treatment. Ovarian tissue cryopreservation (OTC) is established as a safe procedure to preserve gonadal tissue in (pre)pubertal girls with cancer at high risk for infertility. However, it is unclear whether elective laparoscopic OTC can also be performed safely in infants <1 year with cancer. This systematic review aims to evaluate the reported risks in infants undergoing elective laparoscopy regarding mortality, and/or critical events (including resuscitation, circulatory, respiratory, neurotoxic, other) during and shortly after surgery.MethodsThis systematic review followed the Preferred reporting Items for Systematic Review and Meta-Analyses (PRISMA) reporting guideline. A systematic literature search in the databases Pubmed and EMbase was performed and updated on February 15th, 2023. Search terms included ‘infants’, ‘intubation’, ‘laparoscopy’, ‘mortality’, ‘critical events’, ‘comorbidities’ and their synonyms. Papers published in English since 2000 and describing at least 50 patients under the age of 1 year undergoing laparoscopic surgery were included. Articles were excluded when the majority of patients had congenital abnormalities. Quality of the studies was assessed using the QUIPS risk of bias tool.ResultsThe Pubmed and Embase databases yielded a total of 12,401 unique articles, which after screening on title and abstract resulted in 471 articles to be selected for full text screening. Ten articles met the inclusion criteria for this systematic review, which included 1778 infants <1 years undergoing elective laparoscopic surgery. Mortality occurred once (death not surgery-related), resuscitation in none and critical events in 53/1778 of the procedures.ConclusionThe results from this review illustrate that morbidity and mortality in infants without extensive comorbidities during and just after elective laparoscopic procedures seem limited, indicating that the advantages of performing elective laparoscopic OTC for infants with cancer at high risk of gonadal damage may outweigh the anesthetic and surgical risks of laparoscopic surgery in this age group.

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“…A study by Freedman-Weiss et al on 282 patients found that for appropriately selected patients with Hirschsprung disease, delaying pull-through until the second month of life is associated with lower total and postoperative stays without increased readmissions or complications [16]. However, in another study by Beltman, L., et al, multivariate analysis showed that older age at surgery (median 105 days) increases the risk of developing postoperative complications (OR = 1.00, 95% CI = 1.00-1.01, p = 0.041) [17].…”

Section: A) Agementioning

confidence: 99%

Evaluation of Trans Anal Endorectal Pull-Through Outcomes in Hirschsprung Disease in Different Age and Gender Groups: A Comprehensive Systematic Review

Meidansar,

Moradi,

Nabipoorashrafi

et al. 2023

Preprint

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Introduction; The timing of endorectal pull-through for Hirschsprung’s disease (HD) is controversial. Early endorectal pull-through avoids the occurrence of preoperative enterocolitis. However, delayed pull-through (≥31 days) enables postnatal maturation of the anal canal and sphincter complex. The aim of this study was to identify the best age to perform trans-anal pull-through according to the literature. Methods and Materials; This was a comprehensive systematic review. All published articles from 2010 to 2022 were searched through Web of Science, Ovid Medline, PubMed, CINAHIL, and Embase databases, using the keywords Hirschsprung's disease, delayed or early treatment, trans-anal Pull-Through surgery, age, sex or gender, complications and outcomes. Articles that met the inclusion criteria along with good to fair quality according to the Newcastle-Ottawa quality assessment and low bias score in the Cochran collaboration tool were reviewed. Results; Sixteen studies were eligible to be reviewed. The overall results of this study showed that due to more common short-term complications at neonatal period and lower contrast enema diagnostic accuracy in determining the transition zone, postponing surgery until the child is several months old seems to be a reasonable decision. There was also no difference in terms of complications and outcomes of trans-anal Pull-Through surgery between females and males. Conclusion; it is not recommended to delay surgery too much for ages over 1 year. Ages between 3 and 12 months can be a good time to take interventional treatment for Hirschsprung's disease.

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Risk factors for short-term complications graded by Clavien-Dindo after transanal endorectal pull-through in patients with Hirschsprung disease

Cited by 12 publications

References 27 publications

Risk factors for complications in patients with Hirschsprung disease while awaiting surgery: Beware of bowel perforation

Risk factors for complications in patients with Hirschsprung disease while awaiting surgery: Beware of bowel perforation

A systematic review on safety and surgical and anesthetic risks of elective abdominal laparoscopic surgery in infants to guide laparoscopic ovarian tissue harvest for fertility preservation for infants facing gonadotoxic treatment

Evaluation of Trans Anal Endorectal Pull-Through Outcomes in Hirschsprung Disease in Different Age and Gender Groups: A Comprehensive Systematic Review

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