Outcomes of surgical treatment for hemangiomas

Pediatric Dermatology
Jeffrey ChengHui-Jie Lee

Abstract

To quantify complications and rates of adverse events associated with surgical excision of hemangiomas in children using a national surgical database. Pediatric American College of Surgeons (ACS) National Surgical Quality Improvement Program® (ACS NSQIP® -pediatric), years 2012-2016. Subjects included children under 18 years with a postoperative diagnosis of International Classification of Diseases (ICD), 9th revision code: 228.00 and 228.01, or ICD 10 codes D18.00 and D18.01-hemangioma, any site and hemangioma, of skin and subcutaneous tissue. A total of 1180 patients were included. The median age was 3.2 years (interquartile range [IQR] 1.2 to 6.4 years old). No occurrences of deep incisional surgical site infection, nerve injury, mortality, sepsis, septic shock, or blood stream infections were noted. In multivariate analysis, age ≤ 3 years and advanced American Society of Anesthesiologists class were significant predictors of adverse events (P = 0.035 and 0.001, respectively). For children with infantile hemangioma who fail to respond or have an incomplete response to medical therapy, surgical resection may be a relatively safe treatment alternative. Children older than 3 years of age with hemangiomas had less surgical adver...Continue Reading

References

Jun 14, 2008·The New England Journal of Medicine·Christine Léauté-LabrèzeAlain Taïeb
Feb 19, 2015·The New England Journal of Medicine·Christine Léauté-LabrèzeJean-Jacques Voisard
Sep 30, 2015·Pediatrics·David H DarrowUNKNOWN SECTION ON DERMATOLOGY, SECTION ON OTOLARYNGOLOGY-HEAD & NECK SURGERY, AND SECTION ON PLASTIC SURGERY
Jan 14, 2016·Plastic and Reconstructive Surgery·Dov C GoldenbergRolf Gemperli
Jan 17, 2016·Pediatrics·Sivakumar ChinnaduraiMelissa L McPheeters
Jul 12, 2016·Pediatric Dermatology·Daniel A YanesPatricia M Witman
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Oct 1, 2016·Pediatrics·Christine Léaute-LabrèzeJean-Jacques Voisard
Dec 9, 2017·Otolaryngologic Clinics of North America·Marcelo Hochman

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Citations

Aug 19, 2021·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Kevin J CarlsonEric J Dobratz
May 10, 2020·Current Pediatric Reviews·Alexander K C LeungKam L Hon
Aug 23, 2021·Journal of the American Academy of Dermatology·Deshan F SebaratnamOrli Wargon

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