Pediatric Surgery International

, Volume 34, Issue 7, pp 803–806 | Cite as

Outcomes of circumcision in children with single ventricle physiology

  • Joseph A. Sujka
  • Richard SolaJr.
  • Amy Lay
  • Shawn D. St. Peter
Original Article

Abstract

Purpose

Children with single ventricle physiology (SVP) have been shown to have a high morbidity and mortality after non-cardiac surgical procedures. Elective circumcision is one of the most common pediatric operations with low morbidity and mortality. The purpose of our study was to review our institutional experience with SVP children undergoing circumcisions to determine peri-operative course and outcomes.

Methods

We performed a retrospective review of children with SVP who underwent an elective circumcision from 2000 to 2017. Children with non-single ventricle physiology or children undergoing circumcision in combination with another case were excluded. Demographics, surgical characteristics, and outcomes were analyzed. Descriptive statistics were performed, all medians were reported with interquartile range.

Results

15 males underwent elective circumcision with a median age at the time of surgery of 1.13 (1.03, 1.38) years. Eighty-four percent underwent their circumcision after their 2nd stage cardiac operation. Most common operative indication was uncomplicated phimosis. Median operative time was 20 (16, 27) mins. Median total length of stay was 229 (185, 242) mins with no admissions. Post-operative complications included two (16%) hematomas with one requiring surgical intervention. There were no deaths.

Conclusion

Children with SVP who undergo elective circumcision may have a higher risk of bleeding.

Keywords

Congenital heart disease Circumcision Hypoplastic left heart syndrome 

Notes

Author contributions

JS: Data collection, data analysis and interpretation, drafting article, critical revision of article, approval of article, statistics. RS, Jr.: Concept and design, data collection, data analysis and interpretation, drafting article, critical revision of article, approval of article. AL: Concept and design, data analysis and interpretation, approval of article, statistics. SDSP: Concept and design, data collection, data analysis and interpretation, drafting article, critical revision of article, approval of article, statistics.

Funding

No funding was received to conduct this study.

Compliance with ethical standards

Conflict of interest

The authors have no conflict of interest to disclose.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

Informed consent was waived by our IRB due to the fact that the data collected for this study was retrospective and de-identified.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Joseph A. Sujka
    • 1
  • Richard SolaJr.
    • 1
  • Amy Lay
    • 1
  • Shawn D. St. Peter
    • 1
  1. 1.Department of SurgeryChildren’s Mercy HospitalKansas CityUSA

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