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Inguinal Hernias Represent the Most Frequent Surgical Complication after Kasai in Biliary Atresia Infants
Joint Authors
Madadi-Sanjani, Omid
Carl, Nathalie
Longerich, Thomas
Petersen, Claus
Andruszkow, Julia H. K.
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-07-09
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Biliary atresia (BA) is an orphan medical condition of the newborn, resulting in end-stage liver cirrhosis due to obliterative cholangiopathy of the extrahepatic bile duct.
Although Kasai’s hepatoportoenterostomy (KPE) is the well-established first-line therapy, little is known about its surgical complications.
153 patients receiving open KPE treated at a single center between 1994 and 2014 were analysed retrospectively regarding short-term complications and survival with the native liver.
In brief, 40.5% of patients suffered from 1–3 surgical complications, inguinal hernias (IH) being most prevalent (40.0%).
In BA patients, incidence of IH was associated with male gender ( p = 0.002 ), the syndromic form of BA ( p = 0.038 ), and percutaneous drainage for ascites ( p = 0.002 ).
No association was found with prematurity ( p = 0.074 ) or birth weight ( p = 0.912 ) in our study.
In conclusion, IH frequently develops after open KPE of BA patients, but this complication does not negatively affect the patient’s outcome.
Nevertheless, inspection of the internal inguinal ring and prophylactic closure of inapparent hernias should be discussed in order to prevent secondary surgical procedures.
American Psychological Association (APA)
Madadi-Sanjani, Omid& Carl, Nathalie& Longerich, Thomas& Petersen, Claus& Andruszkow, Julia H. K.. 2015. Inguinal Hernias Represent the Most Frequent Surgical Complication after Kasai in Biliary Atresia Infants. BioMed Research International،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1055269
Modern Language Association (MLA)
Madadi-Sanjani, Omid…[et al.]. Inguinal Hernias Represent the Most Frequent Surgical Complication after Kasai in Biliary Atresia Infants. BioMed Research International No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1055269
American Medical Association (AMA)
Madadi-Sanjani, Omid& Carl, Nathalie& Longerich, Thomas& Petersen, Claus& Andruszkow, Julia H. K.. Inguinal Hernias Represent the Most Frequent Surgical Complication after Kasai in Biliary Atresia Infants. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1055269
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1055269