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

BioMed Research International

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

Medicine

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