Outcomes of circumcision in children with single ventricle physiology

Joseph A. Sujka, Richard Sola, Amy Shah D Lay, Shawn D. St. Peter*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: Children with single ventricle physiology (SVP) have been shown to have a high morbidity and mortality after non-cardiac surgical procedures. Elective circumcision is one of the most common pediatric operations with low morbidity and mortality. The purpose of our study was to review our institutional experience with SVP children undergoing circumcisions to determine peri-operative course and outcomes. Methods: We performed a retrospective review of children with SVP who underwent an elective circumcision from 2000 to 2017. Children with non-single ventricle physiology or children undergoing circumcision in combination with another case were excluded. Demographics, surgical characteristics, and outcomes were analyzed. Descriptive statistics were performed, all medians were reported with interquartile range. Results: 15 males underwent elective circumcision with a median age at the time of surgery of 1.13 (1.03, 1.38) years. Eighty-four percent underwent their circumcision after their 2nd stage cardiac operation. Most common operative indication was uncomplicated phimosis. Median operative time was 20 (16, 27) mins. Median total length of stay was 229 (185, 242) mins with no admissions. Post-operative complications included two (16%) hematomas with one requiring surgical intervention. There were no deaths. Conclusion: Children with SVP who undergo elective circumcision may have a higher risk of bleeding.

Original languageEnglish (US)
Pages (from-to)803-806
Number of pages4
JournalPediatric Surgery International
Volume34
Issue number7
DOIs
StatePublished - Jul 1 2018

Keywords

  • Circumcision
  • Congenital heart disease
  • Hypoplastic left heart syndrome

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

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