Faculty Information |
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Article types | Original article |
Language | English |
Refereed paper | Not refereed |
Title | Umbilical appearance and patient/parent satisfaction over 5years of follow-up after umbilical hernia repair in children |
Journal | Formal name:Journal of pediatric surgery Abbreviation:J Pediatr Surg ISSN code:1531-5037(Electronic)0022-3468(Linking) |
Domestic / Foregin | Foregin |
Volume, Number, Page | 53(7),pp.1288-94 |
Papers・Author | Zenitani Masahiro, Sasaki Takashi, Tanaka Natsumi, Oue Takaharu |
Publication date | 2018/07 |
Papers・Description | BACKGROUND/PURPOSE:We evaluated the long-term umbilical appearance and patient/parent satisfaction at follow-up after umbilical hernia repair (UHR).METHODS:In a retrospective review of 128 children who underwent UHR and were followed up for over 5 years, satisfaction was assessed using e-mailed questionnaires and attached photographs of the umbilicus.RESULTS:The survey response rate was 80.3% by parents, 79.5% by patients, and 72.1% using photographs. The median follow-up period was 7.6 (range, 5.3-10.1) years. The satisfaction rate was 78.9% among parents and 91.5% among patients; however, eight patients (8.5%) reported dissatisfaction with the results. The main reason for dissatisfaction was the shallow depth of the umbilicus (parents, 10/20; patients, 5/8). During the follow-up period, satisfaction increased in 14 cases (14.7%) and decreased in 10 cases (10.5%). Superior hooding was considered an ideal shape for the umbilicus. Concomitant laparoscopic surgery and higher age at surgery were significantly associated with dissatisfaction in parents (P = 0.045) and patients (P = 0.046), respectively. Large defect size was significantly associated with decreased satisfaction during the follow-up period (P = 0.030).CONCLUSION:E-mail surveys are useful for long-term follow-up after UHR. Patients with these above risk factors should receive long-term follow-up with careful attention to patient satisfaction.LEVEL OF EVIDENCE:Type of study: prognosis study, level II. |
DOI | 10.1016/j.jpedsurg.2017.06.003 |
PMID | 28629819 |