{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T13:28:24Z","timestamp":1778333304613,"version":"3.51.4"},"reference-count":20,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Economic constraints as well as viral surges straining hospital capacity drive shorter hospital lengths of stay. There is a paucity of data examining the safety of outpatient minimally invasive craniosynostosis repair. The authors aimed to examine hospital events of patients undergoing minimally invasive craniosynostosis repair who were admitted and discharged on postoperative day (POD) 1 compared with those who were discharged on POD 0 to develop criteria for same-day discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>This study was a retrospective review of consecutive patients with single-suture craniosynostosis evaluated between January 2020 and December 2022. All patients underwent minimally invasive strip craniectomy with postoperative helmet therapy at a single institution. Concurrently, a prospective analysis of patients discharged on POD 0 was performed from October 2022 to May 2024. Patients with postoperative hemoglobin levels &gt; 7 g\/dl, no intraoperative complications, stable vital signs, and tolerating a diet were discharged following surgery on the same day.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Forty-six patients (30 males, 16 females) were included in this study. Thirteen patients (8 male, 5 female) were discharged on POD 0 with an average age at repair of 2.8 (SD 0.7) months. No complications or blood transfusions were noted in this group. The retrospectively reviewed inpatient group included 33 patients (22 male, 11 female). The majority of patients in this group were discharged on POD 1. Most patients undergoing minimally invasive strip craniectomy for single-suture craniosynostosis did not require blood transfusions and had minimal perioperative events. Most patients in the retrospectively reviewed inpatient group had an uncomplicated hospital course and were discharged on POD 1. There were no complications in the prospectively reviewed outpatient group who were discharged on POD 0.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Outpatient minimally invasive craniosynostosis repair is safe in appropriately selected patients. It is feasible to develop criteria for same-day discharge.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2025.5.peds2538","type":"journal-article","created":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T01:49:59Z","timestamp":1754099399000},"page":"473-476","source":"Crossref","is-referenced-by-count":2,"title":["Evaluation of outpatient minimally invasive single-suture craniosynostosis repair"],"prefix":"10.3171","volume":"36","author":[{"given":"Abdullah","family":"Said","sequence":"first","affiliation":[{"name":"Division of Plastic & Reconstructive Surgery, Department of Surgery, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jenna","family":"Bennett","sequence":"additional","affiliation":[{"name":"Division of Plastic & Reconstructive Surgery, Department of Surgery, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaamya","family":"Varagur","sequence":"additional","affiliation":[{"name":"Division of Plastic & Reconstructive Surgery, Department of Surgery, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary B.","family":"Skolnick","sequence":"additional","affiliation":[{"name":"Division of Plastic & Reconstructive Surgery, Department of Surgery, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sybill D.","family":"Naidoo","sequence":"additional","affiliation":[{"name":"Division of Plastic & Reconstructive Surgery, Department of Surgery, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"McEvoy","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Washington University School of Medicine in St. Louis, Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer M.","family":"Strahle","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Washington University School of Medicine in St. Louis, Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kamlesh B.","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Plastic & Reconstructive Surgery, Department of Surgery, and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"4","key":"b1","series-title":"Plast Reconstr Surg","first-page":"482e","article-title":"The COVID-19 pandemic and plastic surgery: literature review, ethical analysis, and proposed guidelines","volume":"146","author":"Dorfman R","year":"2020","unstructured":"Dorfman R, Saadat S, Gupta N, Roostaeian J, Da Lio A. The COVID-19 pandemic and plastic surgery: literature review, ethical analysis, and proposed guidelines. Plast Reconstr Surg. 2020;146(4):482e\u2013493e."},{"issue":"4","key":"b2","series-title":"Expert Rev Neurother","first-page":"425","article-title":"Outpatient neurosurgery","volume":"16","author":"Turel MK","year":"2016","unstructured":"Turel MK, Bernstein M. Outpatient neurosurgery. Expert Rev Neurother. 2016;16(4):425\u2013436."},{"issue":"1","key":"b3","series-title":"Childs Nerv Syst","first-page":"22","article-title":"Outpatient pediatric neurosurgery","volume":"4","author":"Mawk JR","year":"1988","unstructured":"Mawk JR, Peters KR, Borg C, Lee N. Outpatient pediatric neurosurgery. Childs Nerv Syst. 1988;4(1):22\u201325."},{"issue":"3","key":"b4","series-title":"Transl Pediatr","first-page":"247","article-title":"Endoscopic craniosynostosis repair","volume":"3","author":"Proctor MR","year":"2014","unstructured":"Proctor MR. Endoscopic craniosynostosis repair. Transl Pediatr. 2014;3(3):247\u2013258."},{"issue":"1","key":"b5","series-title":"Cleft Palate Craniofac J","first-page":"138","article-title":"Shared decision-making: process for design and implementation of a decision aid for patients with craniosynostosis","volume":"61","author":"Said AM","year":"2024","unstructured":"Said AM, Zubovic E, Pfeifauf KD,  Shared decision-making: process for design and implementation of a decision aid for patients with craniosynostosis. Cleft Palate Craniofac J. 2024;61(1):138\u2013143."},{"issue":"6","key":"b6","series-title":"J Neurosurg Pediatr","first-page":"595","article-title":"Impact of age at endoscopic metopic synostosis repair on anthropometric outcomes","volume":"30","author":"Chiang SN","year":"2022","unstructured":"Chiang SN, Peterson EC, Lauzier DC,  Impact of age at endoscopic metopic synostosis repair on anthropometric outcomes. J Neurosurg Pediatr. 2022;30(6):595\u2013601."},{"issue":"5","key":"b7","series-title":"J Neurosurg Pediatr","first-page":"410","article-title":"One hundred consecutive endoscopic repairs of sagittal craniosynostosis: an evolution in care","volume":"20","author":"Nguyen DC","year":"2017","unstructured":"Nguyen DC, Farber SJ, Skolnick GB,  One hundred consecutive endoscopic repairs of sagittal craniosynostosis: an evolution in care. J Neurosurg Pediatr. 2017;20(5):410\u2013418."},{"issue":"22","key":"b8","series-title":"Healthcare (Basel)","first-page":"2944","article-title":"Outpatient spine procedures in Poland: clinical outcomes, safety, complications, and technical insights into an ambulatory spine surgery center","volume":"11","author":"Latka K","year":"2023","unstructured":"Latka K, Kolodziej W, Domisiewicz K,  Outpatient spine procedures in Poland: clinical outcomes, safety, complications, and technical insights into an ambulatory spine surgery center. 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Int J Spine Surg. 2021;15(2):334\u2013340."},{"issue":"4","key":"b1","series-title":"Plast Reconstr Surg","first-page":"482e","article-title":"The COVID-19 pandemic and plastic surgery: literature review, ethical analysis, and proposed guidelines","volume":"146","author":"Dorfman R","year":"2020","unstructured":"Dorfman R, Saadat S, Gupta N, Roostaeian J, Da Lio A. The COVID-19 pandemic and plastic surgery: literature review, ethical analysis, and proposed guidelines. Plast Reconstr Surg. 2020;146(4):482e\u2013493e."},{"issue":"4","key":"b2","series-title":"Expert Rev Neurother","first-page":"425","article-title":"Outpatient neurosurgery","volume":"16","author":"Turel MK","year":"2016","unstructured":"Turel MK, Bernstein M. Outpatient neurosurgery. 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