PMID- 36629343
OWN - NLM
STAT- MEDLINE
DCOM- 20230112
LR  - 20230112
IS  - 2445-2807 (Electronic)
IS  - 0214-1221 (Linking)
VI  - 36
IP  - 1
DP  - 2023 Jan 1
TI  - Analysis of esthetic assessment scales in two surgical approaches for 
      hypertrophic pyloric stenosis.
PG  - 12-16
LID - 10.54847/cp.2023.01.14 [doi]
AB  - INTRODUCTION: Hypertrophic pyloric stenosis (HPS) is a frequent pathology in 
      neonates, with extramucosal pyloromyotomy being a healing surgery. It may be 
      performed through a transverse subcostal incision (TSI) or a transumbilical 
      incision (TUI). OBJECTIVE: To compare complications, operating times, hospital 
      stay, and esthetic results between both techniques. MATERIALS AND METHODS: A 
      retrospective, descriptive study of patients undergoing HPS surgery between 
      January 2010 and January 2020 was carried out. Qualitative variables (sex and 
      complications) were expressed as absolute frequency and percentage, whereas 
      quantitative variables (age at surgery, operating time, hospital stay, and scar 
      esthetic assessment scales: MVSS [Modified Vancouver Scar Scale] and P-SAS 
      [Patient Scar Assessment Scale]) were expressed as median and interquartile 
      range. RESULTS: 107 patients were analyzed: TSI (60.7%, n = 65) vs. TUI (39.3%, 
      n = 42). Male patients: 89.2%, n = 58 vs. 83.3%, n = 35; age (days): 31 
      (24.5-39.5) vs. 34.5 (29.5-47.25); operating time (minutes): 41 (33.75-60) vs. 46 
      (38.5-60); and hospital stay (days): 2 (2-4) vs. 3 (2-3). Clavien-Dindo grade II 
      complications were more frequent in the TUI Group (1.54%, n = 1 vs. 23.81%, 
      n = 10; p <0.001), with most of them being wound infections. The opinion 
      regarding the scar according to the MVSS scale was better in the TUI Group (1.5 
      [0-4] vs. 0 [0-2]; p = 0.022). No significant differences were found in the P-SAS 
      scale (10 (6-18) vs. 6 (6-9); p = 0.060). CONCLUSIONS: TUI is preferred from an 
      esthetic point of view, and even though surgical wound infections are more 
      frequent, it is not associated with longer operating times, longer hospital stay, 
      or severe complications.
FAU - Dieguez Hernandez-Vaquero, I
AU  - Dieguez Hernandez-Vaquero I
AD  - Pediatric Surgery Department. Hospital Universitario y Politecnico La Fe. 
      Valencia (Spain).
FAU - Carazo Palacios, M E
AU  - Carazo Palacios ME
AD  - Pediatric Surgery Department. Hospital Universitario y Politecnico La Fe. 
      Valencia (Spain).
FAU - Flores Rodriguez, R
AU  - Flores Rodriguez R
AD  - Pediatric Surgery Department. Hospital Universitario y Politecnico La Fe. 
      Valencia (Spain).
FAU - Costa-Roig, A
AU  - Costa-Roig A
AD  - Pediatric Surgery Department. Hospital Universitario y Politecnico La Fe. 
      Valencia (Spain).
FAU - Lopez Blanco, E M
AU  - Lopez Blanco EM
AD  - Pediatric Plastic Surgery Department. Hospital Universitario y Politecnico La Fe. 
      Valencia (Spain).
FAU - Vila Carbo, J J
AU  - Vila Carbo JJ
AD  - Pediatric Surgery Department. Hospital Universitario y Politecnico La Fe. 
      Valencia (Spain).
LA  - eng
LA  - spa
PT  - Journal Article
TT  - Evaluacion de escalas de valoracion estetica en dos abordajes quirurgicos para la 
      estenosis hipertrofica de piloro.
DEP - 20230101
PL  - Spain
TA  - Cir Pediatr
JT  - Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica
JID - 8900492
SB  - IM
MH  - Infant, Newborn
MH  - Humans
MH  - Male
MH  - Infant
MH  - *Pyloric Stenosis, Hypertrophic/surgery
MH  - Cicatrix
MH  - Retrospective Studies
MH  - *Pyloromyotomy/methods
MH  - Surgical Wound Infection
OTO - NOTNLM
OT  - Hypertrophic pyloric stenosis
OT  - MVSS
OT  - P-SAS
OT  - Pyloromyotomy
OT  - Scar
EDAT- 2023/01/12 06:00
MHDA- 2023/01/13 06:00
CRDT- 2023/01/11 08:03
PHST- 2023/01/11 08:03 [entrez]
PHST- 2023/01/12 06:00 [pubmed]
PHST- 2023/01/13 06:00 [medline]
AID - 10.54847/cp.2023.01.14 [doi]
PST - epublish
SO  - Cir Pediatr. 2023 Jan 1;36(1):12-16. doi: 10.54847/cp.2023.01.14.