Tap on and choose 'Add to Home Screen' to create a shortcut app

Tap on and choose 'Add to Home Screen/Install App' to create a shortcut app

Recovery After Surgery for Dermal Sinus Tracts in Children

This page was last updated on January 25th, 2023

Postoperative Orders 

  • Routine VS, diet
  • HOB, positioning, activity, bathing: Prone position for 1–3 days after surgery. Bathing is possible 3 days after surgery.
  • Medications and dosages including PRN drugs: Dexamethasone is discontinued the day after surgery. Antibiotics are used only perioperatively.
  • Laboratory studies: Laboratory studies are obtained as needed for infected cases.
  • Physical therapy and orthotics: Postoperative physiotherapy is recommended for patients with neurological deficits.
  • Consultations: Infectious disease consultation should be obtained for complicated cases with abscesses; a urological consultation is needed for neurogenic bladder; and an orthopedic consultation should be obtained in cases with lower extremity deformities.

Postoperative Morbidity

  • More likely with infection: Infection of the CSF space is associated with significant arachnoiditis and adhesions. This can result in meningitis, neurological deficits in the lower extremities, and bowel and bladder dysfunction.

Your donations keep us going

The ISPN Guide is free to use, but we rely on donations to fund our ongoing work and to maintain more than a thousand pages of information created to disseminate the most up-to-date knowledge in the field of paediatric neurosurgery.

By making a donation to The ISPN Guide you are also indirectly helping the many thousands of children around the world whose treatment depends on well-informed surgeons.

Please consider making a donation today.

Use the app

The ISPN Guide can be used as a standalone app, both on mobile devices and desktop computers. It’s quick and easy to use.

Fully featured

Free registration grants you full access to The Guide and host of featured designed to help further your own education.

Stay updated

The ISPN Guide continues to expand both in breadth and depth. Join our mailing list to stay up-to-date with our progress.