Fever after redo Nissen fundoplication with hiatal hernia repair.
J Surg Res
; 190(2): 594-7, 2014 Aug.
Article
em En
| MEDLINE
| ID: mdl-24948540
ABSTRACT
BACKGROUND:
Fevers often arise after redo fundoplication with hiatal hernia repair. We reviewed our experience to evaluate the yield of a fever work-up in this population.METHODS:
We performed a retrospective review of children undergoing redo Nissen fundoplication with hiatal hernia repair between December 2001 and September 2012. Temperatures and fever evaluations of those children receiving a mesh repair were compared with those without mesh. A fever defined as temperature ≥38.4°C.RESULTS:
Fifty one children received 46 laparoscopic, 4 open, and 1 laparoscopic converted to open procedures. Biosynthetic mesh was used in 25 children whereas 26 underwent repair without mesh. A fever occurred in 56% of those repaired with mesh compared with 23.1% without mesh (P = 0.02). A fever evaluation was conducted in 32% of those with mesh compared with 11.5% without mesh (P = 0.52). A urinary tract infection was identified in one child after mesh use and an infection was identified in two children without mesh, one pneumonia and one wound infection (P = 1). In those repaired with mesh, there was no significant difference in maximum temperature.CONCLUSIONS:
Fever is common after redo Nissen fundoplication with hiatal hernia repair and occurs more frequently, and with higher temperatures in those with mesh. Fever work-up in these patients is unlikely to yield an infectious source and is attributed to the extensive dissection during the redo procedure.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Fundoplicatura
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Febre
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Hérnia Hiatal
Tipo de estudo:
Observational_studies
Limite:
Child
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Child, preschool
/
Humans
/
Infant
Idioma:
En
Revista:
J Surg Res
Ano de publicação:
2014
Tipo de documento:
Article