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Does the incidence of postoperative complications after inguinal hernia repair justify hospital admission in prematurely and term born infants?

Anesthesia & Analgesia Feb 25, 2019

Massoud M, et al. - Given the risk for respiratory complications necessitates overnight admission of young infants postoperatively, researchers investigated until what age this risk persists, and which infants might actually qualify for day-care treatment. For this purpose, they retrospectively reviewed medical charts of 485 patients, including preterm infants <45 weeks postconceptional age (PCA), 45–60 weeks PCA, and term infants <3 months who were admitted overnight from January 2011 to December 2015 in a large tertiary children’s hospital, after inguinal hernia repair. In preterm infants <45 weeks PCA, a high incidence of postoperative respiratory complications was reported, these patients needed postoperative overnight saturation and heart rate monitoring. Variations were seen in the incidence of postoperative complications in preterm born infants 45–60 weeks PCA. For estimating the requirement of overnight admission in these infants, gestational age and possibly presence of respiratory history can be taken into account. The term born infants >1 month of age with American Society of Anesthesiologists (ASA) physical status I and II not commonly developed postoperative respiratory complications post-inguinal hernia repair, implying that day-care admission for this type of surgical procedure is justified.
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