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[Perioperative complications in surgery for craniosynostosis in children: a systematic review and meta-analysis]
B A Bashiryan1, L A Satanin2, O A Gadzhieva1
1Burdenko Neurosurgical Center, Moscow, Russia.
Insights
This study reviewed 33 manuscripts on pediatric craniosynostosis surgery complications. Endoscopic procedures had lower complication rates (7.2%) than open surgeries (13.5%), with blood loss being most common.
Area of Science:
- Pediatric Surgery
- Neurosurgery
- Craniofacial Surgery
Background:
- Craniosynostosis (CS) requires surgical correction in infants.
- Understanding perioperative complications is crucial for patient safety.
- Risk factors and incidence rates need thorough investigation.
Purpose of the Study:
- To analyze the structure, incidence, and risk factors of perioperative complications in pediatric craniosynostosis (CS).
- To compare complication rates between endoscopic and open surgical approaches.
- To identify common surgical and non-surgical adverse events.
Main Methods:
- Systematic review of 33 manuscripts.
- Analysis focused on patients under 24 months undergoing surgical correction of CS.
- Data extraction on perioperative complications and adverse events.
Main Results:
- Overall complication incidence was 9.8%.
- Endoscopic surgeries showed a lower complication rate (7.2%) compared to open surgeries (13.5%).
- Most frequent surgical complications included blood loss (35.7%), dural tears (3.8%), and hematomas (1.6%).
Conclusions:
- Perioperative complications in pediatric CS surgery are significant but vary by surgical approach.
- Endoscopic surgery appears safer regarding complication rates.
- Common complications include blood loss, dural tears, CSF leaks, hematomas, infections, and fever.
Objective:
To study the structure, incidence and risk factors of perioperative complications in children with craniosynostosis (CS).
Material And Methods:
A systematic searching of data was performed for analysis of perioperative complications and adverse events following surgical correction of CS in patients younger 24 months.
Results. A:
Systematic review included 33 manuscripts. The overall incidence of complications and adverse events was 9.8%. In patients after endoscopic surgeries, this rate was 7.2%, whereas open reconstructive surgeries were followed by 13.5% morbidity.
Conclusion:
The most common surgical complications in pediatric craniosynostosis surgery were intraoperative blood loss requiring transfusion (35.7%), dural tears (3.8%), cerebrospinal fluid leaks (0.7%), hematomas (1.6%), and surgical site infections (1.6%). Non-surgical complications included non-surgical infections (1.1%), respiratory (1.2%) and neurological disturbances (0.5%). Fever (3.4%) is an undesirable phenomenon and can aggravate postoperative period after surgery for CS.
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