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Outcomes of circumcision in children with single ventricle physiology

Joseph A Sujka1, Richard Sola1, Amy Lay1

  • 1Department of Surgery, Children's Mercy Hospital, 2401 Gillham Road, Kansas City, MO, 64108, USA.

Pediatric Surgery International
|May 31, 2018
PubMed

Insights

Children with single ventricle physiology (SVP) undergoing circumcision had a low risk of death but a higher risk of bleeding complications. This study reviewed outcomes for SVP patients having elective circumcisions.

Area of Science:

  • Pediatric Surgery
  • Congenital Heart Disease
  • Urology

Background:

  • Children with single ventricle physiology (SVP) face elevated risks during non-cardiac surgeries.
  • Elective circumcision is a common pediatric procedure with generally low complication rates.

Purpose of the Study:

  • To assess the peri-operative course and outcomes of elective circumcisions in children with SVP.
  • To identify potential risks and complications associated with this procedure in this specific patient population.

Main Methods:

  • A retrospective review of pediatric patients with SVP who underwent elective circumcision between 2000 and 2017.
  • Exclusion criteria included non-SVP physiology and concurrent procedures.
  • Analysis of demographics, surgical details, and patient outcomes using descriptive statistics.

Main Results:

  • Fifteen male patients with SVP underwent elective circumcision, with a median age of 1.13 years.
  • Most procedures (84%) occurred after the second stage of cardiac surgery, primarily for phimosis.
  • Two cases (16%) of post-operative hematoma were reported, one requiring surgical intervention; no deaths occurred.

Conclusions:

  • Elective circumcision in children with SVP appears to be a safe procedure with no mortality.
  • A potential increased risk of bleeding complications, such as hematoma, should be considered in this patient group.
Abstract

Keywords:
CircumcisionCongenital heart diseaseHypoplastic left heart syndrome

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