B A Bashiryan, L A Satanin, O A Gadzhieva, G V Danilov, Yu V Strunina, I K Kokaeva, V A Tere
{"title":"[儿童颅缝闭锁手术围手术期并发症:系统回顾和荟萃分析]。","authors":"B A Bashiryan, L A Satanin, O A Gadzhieva, G V Danilov, Yu V Strunina, I K Kokaeva, V A Tere","doi":"10.17116/neiro202589031114","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To study the structure, incidence and risk factors of perioperative complications in children with craniosynostosis (CS).</p><p><strong>Material and methods: </strong>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.</p><p><strong>Results. a: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":24032,"journal":{"name":"Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko","volume":"89 3","pages":"114-121"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Perioperative complications in surgery for craniosynostosis in children: a systematic review and meta-analysis].\",\"authors\":\"B A Bashiryan, L A Satanin, O A Gadzhieva, G V Danilov, Yu V Strunina, I K Kokaeva, V A Tere\",\"doi\":\"10.17116/neiro202589031114\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To study the structure, incidence and risk factors of perioperative complications in children with craniosynostosis (CS).</p><p><strong>Material and methods: </strong>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.</p><p><strong>Results. a: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":24032,\"journal\":{\"name\":\"Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko\",\"volume\":\"89 3\",\"pages\":\"114-121\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.17116/neiro202589031114\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.17116/neiro202589031114","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
[Perioperative complications in surgery for craniosynostosis in children: a systematic review and meta-analysis].
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.
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.