Operative management of urachal remnants: An NSQIP based study of postoperative complications

The identification of urachal remnants is occurring more in infancy. Despite evidence that nonoperative management is effective, operative management remains common and has a high complication rate. We sought to determine if the complication rate after urachal resection is associated with age. Patie...

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Bibliographic Details
Published in:Journal of pediatric surgery 2020-05, Vol.55 (5), p.873-877
Main Authors: Aylward, Paul, Samson, Kaeli, Raynor, Stephen, Cusick, Robert
Format: Article
Language:English
Subjects:
NSQIP pediatric
Operative outcomes
Urachal anomalies
Urachus
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Summary:The identification of urachal remnants is occurring more in infancy. Despite evidence that nonoperative management is effective, operative management remains common and has a high complication rate. We sought to determine if the complication rate after urachal resection is associated with age. Patients undergoing urachal remnant resection were identified from ACS NSQIP Pediatric from 2013 to 2017. Exclusion criteria included emergent operations, contaminated wounds, and any additional procedures. Patients were compared based on complication rates, need for reoperation or readmission, and length of stay. A complication occurred in 16 of 476 patients (3.3%), 6 (1.3%) had reoperation, and 11 (2.3%) were readmitted. The median age for patients requiring reoperation was lower (0.1 years) than those not (1.3 years; p = 0.004). The median age of those readmitted was lower (0.4 years) than those not (1.4 years, p = 0.03), and a weak trend of longer length of stay in younger patients was identified (ρ = −0.16, p 
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2020.01.028