Risk factors in pediatric dermatologic surgery.
BACKGROUND
Specific risk factors for complications in pediatric dermatologic surgery have not been studied in previous reports.


OBJECTIVE
Analyze complications of a cohort of children for anesthetic and surgical complications and determine specific risk factors for surgical complications.


METHODS
Retrospective collection of data from 210 consecutive children having operations over 6 years. Bivariate and logistic regression statistical analysis of complications and risk factors was conducted for single step interventions.


RESULTS
General anesthesia complications were observed in 10.07 percent of the cases: Agitation and stridor were the most common anesthetic complications. Surgical complications were observed in 22.63 percent of the cases. Scar stretching followed by infection were the most prevalent complications. Complication rates, both anesthetic (9.09%) and surgical (13.63%) of multiple step interventions were similar to single step surgery. Intradermal absorbable suture in upper closure (p=0.028) and in limb (p=0.014) location were independently associated with complications.


CONCLUSIONS
General anesthesia is safe in pediatric dermatology in the hands of experienced pediatric anesthetists. The most frequent surgical complication was scar stretching. Limb location and use of absorbable continuous intradermal suture in the upper closures should be taken into account as possible risk factors when informing parents and performing these procedures.
Alfageme Roldan
Fernando
F
Dermatology Services Hospital Gregorio Marañón, Madrid, Spain. feralfarol@yahoo.es
Ciudad Blanco
Cristina
C
Campos Dominguez
Minia
M
Suárez Fernández
Ricardo
R
Hernanz Hermosa
José Manuel
JM
Lázaro Ochaita
Pablo
P
D000293:Adolescent; D000768:Anesthesia, General / Q000009:adverse effects; D002648:Child; D002675:Child, Preschool; D002921:Cicatrix / Q000453:epidemiology; D003880:Dermatology / Q000706:statistics & numerical data*; D004954:Esthetics; D005260:Female; D006801:Humans; D007223:Infant; D007431:Intraoperative Complications / Q000453:epidemiology*; D007627:Keloid / Q000453:epidemiology; D008297:Male; D010372:Pediatrics / Q000706:statistics & numerical data*; D011183:Postoperative Complications / Q000453:epidemiology*; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012307:Risk Factors; D013030:Spain / Q000453:epidemiology; D013530:Surgical Wound Infection / Q000453:epidemiology; D013537:Sutures / Q000009:adverse effects