PMID- 28629819
OWN - NLM
STAT- MEDLINE
DCOM- 20181016
LR  - 20181016
IS  - 1531-5037 (Electronic)
IS  - 0022-3468 (Linking)
VI  - 53
IP  - 7
DP  - 2018 Jul
TI  - Umbilical appearance and patient/parent satisfaction over 5years of follow-up 
      after umbilical hernia repair in children.
PG  - 1288-1294
LID - S0022-3468(17)30358-5 [pii]
LID - 10.1016/j.jpedsurg.2017.06.003 [doi]
AB  - BACKGROUND/PURPOSE: We evaluated the long-term umbilical appearance and 
      patient/parent satisfaction at follow-up after umbilical hernia repair (UHR). 
      METHODS: In a retrospective review of 128 children who underwent UHR and were 
      followed up for over 5 years, satisfaction was assessed using e-mailed 
      questionnaires and attached photographs of the umbilicus. RESULTS: The survey 
      response rate was 80.3% by parents, 79.5% by patients, and 72.1% using 
      photographs. The median follow-up period was 7.6 (range, 5.3-10.1) years. The 
      satisfaction rate was 78.9% among parents and 91.5% among patients; however, 
      eight patients (8.5%) reported dissatisfaction with the results. The main reason 
      for dissatisfaction was the shallow depth of the umbilicus (parents, 10/20; 
      patients, 5/8). During the follow-up period, satisfaction increased in 14 cases 
      (14.7%) and decreased in 10 cases (10.5%). Superior hooding was considered an 
      ideal shape for the umbilicus. Concomitant laparoscopic surgery and higher age at 
      surgery were significantly associated with dissatisfaction in parents (P = 0.045) 
      and patients (P = 0.046), respectively. Large defect size was significantly 
      associated with decreased satisfaction during the follow-up period (P = 0.030). 
      CONCLUSION: E-mail surveys are useful for long-term follow-up after UHR. Patients 
      with these above risk factors should receive long-term follow-up with careful 
      attention to patient satisfaction. LEVEL OF EVIDENCE: Type of study: prognosis 
      study, level II.
CI  - Copyright (c) 2017 Elsevier Inc. All rights reserved.
FAU - Zenitani, Masahiro
AU  - Zenitani M
AD  - Department of Pediatric Surgery, Hyogo College of Medicine, 1-1 Mukogawacho, 
      Nishinomiya, Hyogo 663-8501, Japan. Electronic address: 
      zenitani@pedsurg.med.osaka-u.ac.jp.
FAU - Sasaki, Takashi
AU  - Sasaki T
AD  - Department of Pediatric Surgery, Hyogo College of Medicine, 1-1 Mukogawacho, 
      Nishinomiya, Hyogo 663-8501, Japan. Electronic address: tsasaki@hyo-med.ac.jp.
FAU - Tanaka, Natsumi
AU  - Tanaka N
AD  - Department of Pediatric Surgery, Hyogo College of Medicine, 1-1 Mukogawacho, 
      Nishinomiya, Hyogo 663-8501, Japan. Electronic address: nat-tanaka@hyo-med.ac.jp.
FAU - Oue, Takaharu
AU  - Oue T
AD  - Department of Pediatric Surgery, Hyogo College of Medicine, 1-1 Mukogawacho, 
      Nishinomiya, Hyogo 663-8501, Japan. Electronic address: ta-oue@hyo-med.ac.jp.
LA  - eng
PT  - Journal Article
DEP - 20170611
PL  - United States
TA  - J Pediatr Surg
JT  - Journal of pediatric surgery
JID - 0052631
SB  - IM
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - Esthetics
MH  - Female
MH  - Follow-Up Studies
MH  - Hernia, Umbilical/*surgery
MH  - Humans
MH  - Laparoscopy
MH  - Male
MH  - Parents
MH  - *Patient Satisfaction
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Surveys and Questionnaires
MH  - Umbilicus/*surgery
MH  - Young Adult
OTO - NOTNLM
OT  - Follow-up
OT  - Pediatric
OT  - Questionnaire
OT  - Satisfaction
OT  - Umbilical hernia
EDAT- 2017/06/21 06:00
MHDA- 2018/10/17 06:00
CRDT- 2017/06/21 06:00
PHST- 2017/04/11 00:00 [received]
PHST- 2017/06/06 00:00 [revised]
PHST- 2017/06/07 00:00 [accepted]
PHST- 2017/06/21 06:00 [pubmed]
PHST- 2018/10/17 06:00 [medline]
PHST- 2017/06/21 06:00 [entrez]
AID - S0022-3468(17)30358-5 [pii]
AID - 10.1016/j.jpedsurg.2017.06.003 [doi]
PST - ppublish
SO  - J Pediatr Surg. 2018 Jul;53(7):1288-1294. doi: 10.1016/j.jpedsurg.2017.06.003. 
      Epub 2017 Jun 11.