Laparoscopic Versus Open Inguinal Hernia Repair in Pediatric Patients: A Systematic Review

Abstract

In this systematic review, it seems that LH is faster than OH for bilateral hernias, whereas there is no significant difference in terms of operative time for unilateral inguinal hernia repair. Recurrence rate is similar for both techniques. As for other complications such as wound infections, it is higher for OH compared with LH, especially in infants. A prospective comparative study is necessary on this topic to strongly support the results of our systematic review.

Comparison of percutaneous extraperitoneal closure (LPEC) and open repair for pediatric inguinal hernia: experience of a single institution with over 1000 cases

“…Previous reports stated that laparoscopic contralateral internal inguinal ring observation was attempted from the early 1990s [25]. A contralateral PPV was seen in 6-66 % of cases [16,[25][26][27][28][29][30][31][32]; the range is very wide. This seems to be because the way of observing the contralateral internal ring varied in each study.…”

“…Recently, there is a trend for increased reports of extraperitoneal closure because of its ease of use and good results. There are some comparative reports between laparoscopic hernia repair and open repair, including a systematic review [16][17][18][19][20][21][22]. However, few reports have compared extraperitoneal closure with conventional open hernia repair, especially large case series in one institution [22].…”

Common urological problems in children: inguinoscrotal pathologies

“…17,20 Both studies showed no significant difference in recurrence rate. Esposito et al 17 reported a 1.4% recurrence rate following laparoscopic repair and 1.6% following open repair.…”

“…17,20 Both studies showed no significant difference in recurrence rate. Esposito et al 17 reported a 1.4% recurrence rate following laparoscopic repair and 1.6% following open repair. For operating time, they noted a significantly shorter time for laparoscopic repair of bilateral hernia when compared with an open approach.…”

“…Different laparoscopic techniques are largely categorised into intracorporeal or extracorporeal ligation of the patent processus vaginalis. [17][18][19] Benefits of laparoscopic surgery include the possible visualisation of the contralateral deep ring and better cosmetic outcome. Yet it may incur a higher set-up cost or longer operating time.…”