Source: Ophthalmologe  |  Posted 9 years ago

Augmentation ileocystoplasty in patients with spina bifida highly invasive, even more so than are radical prostatectomy and nephrectomy, particularly in those who have a longer operating time and undergo concurrent shunt diversion.

T. Kishino and colleagues from the department of urology, Hoshigaoka Koseinenkin Hospital, Japan, investigated the invasiveness of augmentation ileocystoplasty in patients with spina bifida by applying the systemic inflammatory response syndrome (SIRS) criteria.

Twenty three patients with spina bifida who underwent augmentation ileocystoplasty and 45 control patients who underwent radical prostatectomy or nephrectomy received an SIRS score, calculated by adding the number of SIRS criteria that patients fulfilled. The cases were diagnosed as SIRS when patients fulfilled at least two of these four criteria.

According to the investigators, SIRS score was positively associated with the duration of augmentation surgery. Also, SIRS scores tended to be higher among those who underwent diverting ventriculoperitoneal shunt to ventriculoatrial shunt concurrently with augmentation. The SIRS scores associated with the patients who underwent augmentation were significantly higher than those associated with patients who underwent prostatectomy or nephrectomy.