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Is There Utility in Preoperative Testing of Hemoglobin Before Primary Cheiloplasty?
Aryan Shay1, Megan Gaffey2, Roger Roe3
1Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, Arkansas Children's Hospital, Little Rock, AR, USA.
Summary
Preoperative hemoglobin levels below 10 g/dL did not predict complications in children undergoing cleft lip surgery. Postoperative complications were rare in both low and normal hemoglobin groups.
Area of Science:
- Pediatric Surgery
- Anesthesiology
- Hematology
Background:
- Preoperative anemia is a concern in pediatric surgery.
- The association between low hemoglobin and surgical outcomes requires further investigation.
Purpose of the Study:
- To determine if preoperative hemoglobin <10 g/dL increases perioperative complications in primary cleft lip repair.
Main Methods:
- Retrospective chart review of 105 patients undergoing primary cheiloplasty (2012-2017).
- Collected data included hemoglobin levels, patient demographics, and postoperative complications.
Main Results:
- 7 patients (6.6%) had preoperative hemoglobin <10 g/dL; 98 patients (93.3%) had hemoglobin >10 g/dL.
- One patient with low hemoglobin experienced a Tet spell; one patient with normal hemoglobin had respiratory distress requiring ICU admission.
Conclusions:
- Low preoperative hemoglobin (<10 g/dL) does not appear to predict perioperative complications after primary cleft lip repair.
- Postoperative complications are infrequent in this patient population, regardless of preoperative hemoglobin levels.
