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Impact of body mass index on 30-day postoperative morbidity in pediatric and adolescent patients undergoing continent urinary tract reconstruction

Journal of Pediatric Urology Oct 16, 2019

Strine AC, VanderBrink BA, May T, et al. - During the study period, a total of 182 continent urinary tract reconstruction for pediatric and adolescent patients aged up to 20 years between January 2010 and November 2016, were recognized in order to explain the weight status of pediatrics and adolescents who underwent a continent urinary tract reconstruction and to ascertain the correlation between obesity and 30-day postoperative morbidity. Following an extended variety of surgeries in adults, obesity had been persistently correlated with a heightened risk of surgical site infections and wound complexities. The conclusions from the present study disputed with those of the few accessible studies in the pediatric community. The high-risk type of the present cohort could have alleviated any impact of obesity on 30-day postoperative morbidity. However, it's retrospective design at one center and the possible wrong classification of weight status with the BMI were the limitations of the present study. Therefore, approximately 30% of pediatrics and adolescents were overweight or obese, who were undergoing a continent urinary tract reconstruction. Moreover, obesity, as determined by the BMI, was not related to 30-day postoperative morbidity.
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