Early versus delayed closure of bladder exstrophy: A National Surgical Quality Improvement Program Pediatric analysis

Delayed closure of bladder exstrophy is performed frequently, yet it carries a high rate of 30-day complications worthy of further investigation. This can be useful in counseling patients and families, and to understand practice patterns across the country.Table. Peri-operative characteristics and 30-day post-operative events.Total(0-120 days)Early Closure(0-3 days)Delayed Closure(4-120 days)P valueMean anesthesia time in minutes (SD)498 (181)408 (177)535 (171)0.014Mean operative time in minutes (SD)357 (141)296 (131)382 (139)0.028Concurrent procedures Male epispadias repair12 (39%)4 (57%)8 (33%)0.38 Inguinal hernia repair13 (21%)2 (11%)11 (25%0.02 Osteotomies38 (61%)7 (39%)31 (70%)0.04 External fixation808 Spica312 Unknown27621 Ureteroneocystostomy1 (2%)0 (0%)1 (2%)1.00Hospital stay in days (SD)26 (16)23 (15)27 (16)0.31Postoperative complications36333<0.001 Wound infection1100.29 UTI1011.00 Dehiscence6060.17 Blood transfusion272250.002 Sepsis1011.00Unplanned re-operations within 30 days3210.20Re-admissions within 30 days1011.00