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Published on: September 22, 2023
435
Postoperative Feeding in Cleft Surgery: A Systematic Review.
Patricia Fuentes1, Soroush Farsi2, Jose A Garcia3
1Florida International University Herbert Wertheim College of Medicine, USA.
Summary
Breastfeeding after cleft surgery may improve infant weight gain and reduce hospital stays. Further research is needed to establish optimal postoperative feeding guidelines for cleft lip/palate repair.
Area of Science:
- Pediatric Surgery
- Neonatology
- Evidence-Based Medicine
Background:
- Postoperative feeding is critical for recovery in children after cleft repair.
- Diverse feeding methods exist with varied recommendations for non-nipple feeding duration.
- Optimal feeding strategies require further investigation.
Purpose of the Study:
- To explore postoperative feeding modalities for infants undergoing primary cleft lip/palate repair.
- To assess the influence of feeding methods on feeding improvement.
- To evaluate the impact of feeding on complication reduction.
Main Methods:
- Systematic review of PubMed, Cochrane, and Web of Science databases.
- Included original English articles, with no date restrictions.
- Adherence to PRISMA 2020 guidelines and MINORS criteria for quality assessment.
Main Results:
- Nine full-text articles involving 459 infants were analyzed.
- Breastfeeding showed significant weight gain compared to spoon/cup feeding.
- Breastfeeding was associated with reduced hospital stay and analgesia needs post-palatoplasty.
Conclusions:
- Breastfeeding may offer benefits for weight gain and hospital stay in infants with cleft lip/palate.
- Evidence suggests breastfeeding may minimize the need for postoperative analgesia.
- Further research is essential to develop evidence-based postoperative feeding guidelines.
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