title: [Primary surgery for cleft palate and short hospital stay (48 h): Are they compatible?].
abstract: The aim of this study was to evaluate our practices by studying the duration of hospitalization and the parental real-life experience after a primary surgery of a cleft palate.
  
  
  METHODS
  Monocentric retrospective study by analysis of the patients files and phone interview of the parents whose children were operated for a primary surgery of a cleft palate isolated, or associated with a labial cleft, or included in a syndromic form.
  
  
  RESULTS
  Forty-nine patients (25 B-24 G) were performed by 44 Wardill and five Furlow procedures (average age: 11 months ½) between 2010 and 2012. The average duration of the post-operative stay was 1.5 days. Thirty-three parents were contacted (67%). The return was "very well" or "well done" in 82% of the cases. The pain at home was estimated by the parents as "worthless" or "little intense" in 73% of the cases. For 16% of the parents, the child seemed "uncomfortable". The prescription of analgesic was followed only in 70% of the cases. The duration of hospitalization was considered by the families as "good one" in 70% of the cases, "too long" for 12% and "too short" for 18% in particular because of difficulty in eating or parental anxiety.
  
  
  CONCLUSIONS
  Even if palatine surgery is considered to be painful, anaesthetic techniques and current analgesic protocols allow to envisage very simple and fast consequences, authorizing an early return of the children at home.
authors.affiliation: Structure interne de chirurgie pédiatrique, pôle mère-enfant, American Memorial Hospital, CHU de Reims, 47, rue Cognacq-Jay, 51092 Reims, France.
authors.forename: A
authors.initials: A
authors.lastname: Binet
authors.affiliation: Structure interne de chirurgie pédiatrique, pôle mère-enfant, American Memorial Hospital, CHU de Reims, 47, rue Cognacq-Jay, 51092 Reims, France.
authors.forename: M-L
authors.initials: ML
authors.lastname: Poli-Merol
authors.affiliation: Structure interne de chirurgie pédiatrique, pôle mère-enfant, American Memorial Hospital, CHU de Reims, 47, rue Cognacq-Jay, 51092 Reims, France; Structure interne de chirurgie plastique, reconstructrice et esthétique, pôle locomoteur, hôpital Maison-Blanche, CHU de Reims, 45, rue Cognacq-Jay, 51092 Reims, France; EA 3801, université de Reims Champagne Ardenne, SFR CAP santé Reims-Amiens, 51100 Reims, France. Electronic address: carolinefiquet@me.com.
authors.forename: C
authors.initials: C
authors.lastname: François-Fiquet
mesh_terms: D000082:Acetaminophen / Q000627:therapeutic use; D018712:Analgesics, Non-Narcotic / Q000627:therapeutic use; D002972:Cleft Palate / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D007902:Length of Stay; D008297:Male; D010149:Postoperative Pain / Q000517:prevention & control; D012189:Retrospective Studies
chemical_list: D018712:Analgesics, Non-Narcotic; D000082:Acetaminophen
keywords: Cleft palate; Douleur; Duration of hospitalization; Durée d’hospitalisation; Fente palatine; Fente vélaire; Pain; Parental real-life experience; Vécu parental