[Perioperative complications in surgery for craniosynostosis in children: a systematic review and meta-analysis].

Q4 Medicine

Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko Pub Date : 2025-01-01 DOI:10.17116/neiro202589031114

B A Bashiryan, L A Satanin, O A Gadzhieva, G V Danilov, Yu V Strunina, I K Kokaeva, V A Tere

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引用次数: 0

Abstract

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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[儿童颅缝闭锁手术围手术期并发症：系统回顾和荟萃分析]。

目的：探讨儿童颅缝闭锁（CS）围手术期并发症的结构、发生率及危险因素。材料与方法：系统检索资料，分析年龄小于24个月的CS术后围手术期并发症及不良事件。a：系统综述包括33篇稿件。并发症和不良事件的总发生率为9.8%。在内镜手术后的患者中，这一比例为7.2%，而开放重建手术后的发病率为13.5%。结论：儿童颅缝闭合术中最常见的手术并发症是术中出血需要输血（35.7%）、硬脑膜撕裂（3.8%）、脑脊液漏（0.7%）、血肿（1.6%）和手术部位感染（1.6%）。非手术并发症包括非手术感染（1.1%）、呼吸系统（1.2%）和神经系统障碍（0.5%）。发热（3.4%）是一种不良现象，可加重CS术后时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko Medicine-Neurology (clinical)

CiteScore

0.70

自引率

0.00%

发文量

期刊介绍： Scientific and practical peer-reviewed journal. This publication covers the theoretical, practical and organizational problems of modern neurosurgery, the latest advances in the treatment of various diseases of the central and peripheral nervous system. Founded in 1937. English version of the journal translates from Russian version since #1/2013.