Inguinal hernias in children

Yeap, Evie; Nataraja, Ramesh M.; Pacilli, Maurizio

doi:10.31128/ajgp-08-19-5037

Cited by 40 publications

(37 citation statements)

References 16 publications

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“…The estimated prevalence rate of inguinal hernia for full-term and premature neonates have reported to be 1-5% and 9-11% respectively. 3,4,5 Incidence of inguinal hernia in our study on right , left and both sides is quite similar to other studies done by Rowe et al and Grosfeld. 11 13 patients were admitted in emergency basis with irreducible hernias, that is 11.86% which contained small bowel in 3 childern and omentum in 9 children.…”

Section: Discussionsupporting

confidence: 92%

“…The surgical correction of both pathologies is similar. The estimated prevalence rate of inguinal hernia for full-term and premature neonates have reported to be 1-5% and 9-11% respectively 3,4,5 and it is six times more common in boys. 6,7,8 Inguinal hernia repair or herniotomy is considered as the most common elective surgical procedure in children with inguinal hernia.…”

Section: Introductionmentioning

confidence: 99%

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Incidence of Inguinal Herniotomy in Children. A Prospective Study at a Regional Hospital

Shrestha

Gurung

Poudel

et al. 2020

Med. J. Pokhara Acad. Health Sci.

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Background: Inguinal hernia is one of the most common surgical conditions in children. Herniotomy is the surgery performed for a pediatric hernia and hydrocele. This study was done to know the demography and outcome of pediatric herniotomy at our center. Materials and methods: A prospective study on patients who underwent herniotomy from 10th May 2016 to 9th May 2017 was conducted at the Department of Surgery, Western Regional Hospital. Results: During this study 112 patients underwent herniotomy out of which 98 were boys while 14 were girls. 59(52.67%) patients had unilateral hernia, 40(35.71%) had unilateral hydrocele and 13(11.6%) had bilateral condition among which 8 had hernia and 5 had hydrocele. 69(61.6%) patients presented with a right-sided, 30(26.7%) with left-sided, and 13(11.6%) with bilateral conditions. 13 patients (11.6%) presented at the emergency with irreducible hernia. Two among the patient who underwent emergency herniotomy developed postoperative wound infection and one among the elective surgery had recurrence. Conclusion: Pediatric inguinal hernias and hydroceles are often difficult to diagnose clinically. Herniotomy is often performed by junior consultants who have no specific training in pediatric surgery. Timely planning of surgery is required to minimize preoperative complications.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Incidence of Inguinal Herniotomy in Children. A Prospective Study at a Regional Hospital

Shrestha

Gurung

Poudel

et al. 2020

Med. J. Pokhara Acad. Health Sci.

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“…About 1–5% of full-term babies are estimated to have inguinal hernia among which most of them are boys. Indirect inguinal hernias account for nearly all of these hernias [ 8 ]. Our patient was a 2-months old boy with an obstructed indirect inguinal hernia.…”

Section: Clinical Discussionmentioning

confidence: 99%

Large intestine as content of congenital inguinal hernia: A case report of intestinal obstruction

Koirala

Joshi

Timilsina

et al. 2022

Annals of Medicine &Amp; Surgery

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“…A signi cant advantage of laparoscopic ligation is the ability to inspect contralateral defects, which potentially avoids a second operation and additional incision [19][20][21][22] . In pediatric patients, the incidence of recessive hernia is 20.0-43% 23 .…”

Section: Discussionmentioning

confidence: 99%

Modification of the Classical Percutaneous Extraperitoneal Procedure for Pediatric Inguinal Hernia to Reduce Complications: A Multiple-Centered Comparison Study

Luo

Shi

et al. 2021

Preprint

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Single-site laparoscopic percutaneous extraperitoneal ligation (SLPEL) for pediatric inguinal hernia gained popularity all over the world. However, complications associated with extraperitoneal knotting were not rare in the classical SLPEL(C-SLPEL) procedure. In order to overcome disadvantages, we herein developed the modified SLPEL (M-SLPEL) procedure, intact circuit ligation of the peritoneum around the internal ring using a homemade hernia needle with a single abdominal wall centesis. To evaluated the effectiveness of the M-SLPEL procedure to decrease adverse events associated with ligation knotting, a comparative study was carried out. A total of 3219 patients from multiple centers were divided into two groups according to the operative procedures: M-SLPEL group and C-SLPEL group. All patients were followed up. Data describing the clinical characteristics, operative time, postoperative hospital stay, and complications was collected and retrospectively analyzed. With equivalent operative time, postoperative hospital stay, there was statistically significant difference between two groups in terms of the overall complications incidence (2.6% in C-SLPEL Vs 0.11% in M-SLPEL, P=0.03), including pain in inguinal area, knot foreign body reaction, palpable knot, recurrence. Together, these findings suggest that the M-SLPEL procedure is an effective and safe approach, with unique advantage in reducing adverse events in the inguinal region.

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Inguinal hernias in children

Cited by 40 publications

References 16 publications

Incidence of Inguinal Herniotomy in Children. A Prospective Study at a Regional Hospital

Incidence of Inguinal Herniotomy in Children. A Prospective Study at a Regional Hospital

Large intestine as content of congenital inguinal hernia: A case report of intestinal obstruction

Modification of the Classical Percutaneous Extraperitoneal Procedure for Pediatric Inguinal Hernia to Reduce Complications: A Multiple-Centered Comparison Study

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