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Impact of breastfeeding and/or bottle-feeding on surgical wound dehiscence after cleft lip repair in infants: A systematic review MATSUNAKA, Eriko 松中, 枝理子 マツナカ, エリコ 柴, 枝理子 SHIBA, Eriko シバ, エリコ 植木, 慎悟 UEKI, Shingo ウエキ, シンゴ 牧本, 清子 MAKIMOTO, Kiyoko マキモト, キヨコ ©2019 Elsevier, European Association for Cranio-Maxillofacial Surgery https://v2.sherpa.ac.uk/id/publication/13837 Breast Feeding Cleft Lip Cohort Studies Feeding Methods Humans Infant Surgical Wound Dehiscence application/pdf Immediately after cleft lip repair, breastfeeding and bottle-feeding are generally restricted to avoid placing tension on the surgical incision. However, no consensus about feeding methods after cleft lip repair has been reached. The objective of this systematic review was to examine the impact of breastfeeding and/or bottle-feeding on surgical wound dehiscence after cleft lip repair in infants. We searched PubMed, CINAHL, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL), and Mednar from October to November 2017. Two reviewers independently assessed eligibility for inclusion and checked critical appraisal of the study quality. Three randomized controlled trials and two cohort studies involving 342 infants were included in this review. Two cases of surgical wound dehiscence occurred in the control group of alternative feeding. In three of five studies, surgical wound dehiscence did not occur in either the intervention or control group within the first week postoperatively. This review showed no increased risk of surgical wound dehiscence in infants with breastfeeding and/or bottle-feeding after cleft lip repair compared with infants with alternative feeding methods. It may not be necessary to restrict breastfeeding and/or bottle-feeding immediately after cleft lip repair. Immediately after cleft lip repair, breastfeeding and bottle-feeding are generally restricted to avoid placing tension on the surgical incision. However, no consensus about feeding methods after cleft lip repair has been reached. The objective of this systematic review was to examine the impact of breastfeeding and/or bottle-feeding on surgical wound dehiscence after cleft lip repair in infants. We searched PubMed, CINAHL, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL), and Mednar from October to November 2017. Two reviewers independently assessed eligibility for inclusion and checked critical appraisal of the study quality. Three randomized controlled trials and two cohort studies involving 342 infants were included in this review. Two cases of surgical wound dehiscence occurred in the control group of alternative feeding. In three of five studies, surgical wound dehiscence did not occur in either the intervention or control group within the first week postoperatively. This review showed no increased risk of surgical wound dehiscence in infants with breastfeeding and/or bottle-feeding after cleft lip repair compared with infants with alternative feeding methods. It may not be necessary to restrict breastfeeding and/or bottle-feeding immediately after cleft lip repair. Elsevier European Association for Cranio-Maxillofacial Surgery 2019-04 eng journal article AM https://jrckicn.repo.nii.ac.jp/records/793 info:doi/10.1016/j.jcms.2019.01.019 https://doi.org/10.1016/j.jcms.2019.01.019 Journal of Cranio-Maxillofacial Surgery(Publisher ver.) http://www.journals.elsevier.com/journal-of-cranio-maxillofacial-surgery/ Journal of Cranio-Maxillofacial Surgery isVersionOf:https://doi.org/10.1016/j.jcms.2019.01.019 1878-4119 Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery 47 4 570 577