Impact of Childhood Inguinal Hernia Repair in Adulthood: 50 Years of Follow-Up

Zendejas, Benjamin; Zarroug, Abdalla E.; Erben, Young; Holley, Christopher T.; Farley, David R.

doi:10.1016/j.jamcollsurg.2010.08.011

Cited by 66 publications

(44 citation statements)

References 23 publications

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“…[28][29][30][31] Long-term complications include chronic pain and infertility in adulthood. 32 In a singleinstitution, retrospective analysis, Moss et al observed low recurrence and complication rates up to 5 years after surgical repair in infants younger than 2 months of age. 33 Conversely, a retrospective analysis by Baird et al revealed a higher rate of complications in infants who were 43 weeks' corrected gestational age or younger, compared with those who underwent repair at an older age.…”

Section: Rationale and Timing For Elective Inguinal Hernia Repair In mentioning

confidence: 96%

Assessment and Management of Inguinal Hernia in Infants

Wang¹,

Papile²,

Baley³

et al. 2012

Pediatrics

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Inguinal hernia repair in infants is a routine surgical procedure. However, numerous issues, including timing of the repair, the need to explore the contralateral groin, use of laparoscopy, and anesthetic approach, remain unsettled. Given the lack of compelling data, consideration should be given to large, prospective, randomized controlled trials to determine best practices for the management of inguinal hernias in infants.

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Section: Rationale and Timing For Elective Inguinal Hernia Repair In mentioning

confidence: 96%

Assessment and Management of Inguinal Hernia in Infants

Wang¹,

Papile²,

Baley³

et al. 2012

Pediatrics

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“…10 Similar study conducted by Zendejas et al in 332 patients with inguinal hernia, 91 % of the patients were men. 11 The demographic and clinical characteristics of the patients in both groups A and B were comparable, ruling out the possibility of bias.…”

Section: Discussionmentioning

confidence: 94%

Effectiveness of tissue adhesive versus conventional sutures in the closure of inguinal hernia skin incisions: a prospective randomized controlled trial

Bellad

Pratap

2018

Int Surg J

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Background: Several surgical wound closure techniques are used including conventional sutures and skin adhesive compounds. However, tissue adhesives have evolved as an improved alternative to sutures. Few data are available on the tissue adhesives in the closure of inguinal hernia skin incisions. The aim of this study was to determine the effectiveness of tissue adhesive in the closure of inguinal hernia skin incisions compared to conventional sutures.Methods: A 1-year randomized controlled trial was conducted including 60 patients with inguinal hernia. Based on closed envelope method, patients were randomly allocated into two groups: group A and B. Patients of group A underwent skin closure with cyanoacrylate glue and that of group B underwent skin closure with conventional sutures. Demographics and clinical characteristics of the patients were recorded. On postoperative day 3, the patients were evaluated for swelling, fever, redness and discharge from the wound. SPSS 20 was used to analyze the data. Chi-square test, Fisher’s exact test, and independent sample t-test were employed in the analysis of data.Results: All the patients included in the present study were men. The age of the patients ranged between 18 and 50 years in both the groups. All patients had chief complaint of swelling in the inguinal area. The clinical characteristics of the study population including sex, mean age, weight, pulse rate, systolic blood pressure, and diastolic blood pressure were comparable in group A and group B (P>0.050). The mean duration of surgery was significantly lower in group A (66.67±4.61 min) compared to group B (71.21±6.90 min; P=0.004). On Postoperative day 3, very few patients in group B had swelling (6.67% vs. 16.67%; P = 0.228), fever (6.67% vs. 16.67%; P = 0.228), discharge (6.67% vs. 16.67%; P = 0.228), and redness (6.67% vs. 10.00%; P = 0.640) than in group A.Conclusions: Tissue adhesive is superior and equally safe as compared to conventional suture in terms of duration of surgery and postoperative surgical complications. However, large studies should be conducted focusing on infection, follow-up period, and cosmesis as the outcomes.

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“…Zendejas et al reported a medical diagnosis of infertility in 5 % of the adult population who had undergone repair of a primary inguinal hernia in childhood an average of 49 years earlier [20]. As the above studies show, manipulation of the cord always carries a risk of vascular damage.…”

Section: Discussionmentioning

confidence: 99%