Laparoscopic vs open herniorrhaphy in the management of pediatric inguinal hernia: a systemic review and meta-analysis

Yang, Chunlei; Zhang, Huanyu; Pu, Jiarui; Hong, Ming; Zheng, Liduan; Tong, Qiangsong

doi:10.1016/j.jpedsurg.2011.04.001

Cited by 130 publications

(74 citation statements)

References 32 publications

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“…Recurrence rate in laparoscopy varies from 0.88% to 3.1% [13,19] which is similar to open procedure. Few authors have reported higher rate of recurrence in laparoscopic herniotomy [20]. It was very low (1.33%) in present study.…”

Section: Discussioncontrasting

confidence: 57%

Laparoscopic Herniotomy – A Single Centre Study of 150 Cases

Verma¹

2017

AJCEM

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Pediatric patients presenting as inguinal hernia or congenital hydrocele is common ailment encountered in surgical practice and herniotomy is a very common surgical procedure performed. Open procedure is gradually being replaced by laparoscopic approach because of the distinct advantages of early recovery, short stay and better cosmetic results. 150 pediatric patients of inguinal hernia or congenital hydrocele were subject of this study. These patients were subjected to laparoscopic herniotomy performed at the neck of the sac and proximal part of peritoneum was closed with non-absorbable polypropyelene suture with aspiration of scrotal sac, if required. Average age of patients was 6.5 year with 93.35% male. 70.6% had inguinal hernia and 29.4% had congenital hydrocele). 68% patients had right sided and 10.6% clinically bilateral lesion. Operating time was 25 minutes in unilateral and 34.8 minutes in bilateral procedure. Postoperative stay was 1.06 days. No intraoperative complication was noted. Recurrence rate was 1.33% and conversion rate was 0.66%. Laparoscopic herniotomy is safe, well tolerated and effective procedure with early recovery, short operating time, less postoperative pain, free of complication, shorter post-operative hospital stay and very low recurrence. It can detect contralateral patent processus vaginalis and bilateral closure of it can be done through same approach.

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Section: Discussioncontrasting

confidence: 57%

Laparoscopic Herniotomy – A Single Centre Study of 150 Cases

Verma¹

2017

AJCEM

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“…18 In 19 The largest reviews of inguinal hernia repairs suggest no apparent difference in recurrence between laparoscopic and open mesh methods of hernia repair. [20][21][22] In our study also we did not have any apparent difference in recurrence rate till 3 months of follow up in both the groups.…”

Section: Discussionsupporting

confidence: 49%

Laparoscopic versus open mesh repair of unilateral inguinal hernia: a comparative study

et al. 2017

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Background: Inguinal hernia repair is now one of the most commonly performed general surgical procedures in practice. Laparoscopic inguinal hernia repair was started in year 1999 and since then has gained popularity over the last 2 decades. The introduction of a laparoscopic technique has sparked a debate in the literature over the superiority of this method versus open repair. Even though for bilateral and recurrent inguinal hernias, laparoscopic approach is recommended, there is not enough literature to recommend its routine use in unilateral inguinal hernia repair.Methods: A randomised prospective study was conducted at a tertiary care teaching hospital, comparing both Laparoscopic inguinal hernia repair and lichensteins tension free mesh repair as treatment modalities for unilateral inguinal hernia. Total number of patients in the study group was 60. Patients who were willing for the study were selected for the open or laparoscopic procedure in a randomised way. Open procedure was done by 2 senior surgeons and laparoscopic procedure was performed by 2 other senior surgeons at associate professor designation. Various parameters like the complication rate, post-operative pain, post-operative stay and time to return to work were analysed.Results: Out of the 60 patients, 30 patients underwent open inguinal hernia repair and another 30 patients underwent Laparoscopic inguinal hernia repair. The mean age group was 46.73 in open surgery group and 42.10 in laparoscopic group. 23.3% of the patients in open hernioplasty developed seroma, hematoma in the post-operative period. Whereas 10% had seroma collection in laparoscopic group. No incidence of recurrence in both the groups. No significant difference in pain score between both the groups during immediate post-operative period on POD 0, however there was significant difference in pain score on POD 3 (mean pain in open group 4.13 and lap group 2.87) and POD 7(mean pain in open group 2.90 and lap group 1.23). Mean duration of stay in hospital for open hernioplasty was 7.8 days and for Laparoscopic hernioplasty was 3.07 days. Mean duration of return to work in open hernioplasty was 14.37 days and in laparoscopy group was 9.13 days.Conclusions: There are potential benefits for laparoscopic inguinal hernia repair over lichtenstein’s repair for unilateral inguinal hernias in terms of post-operative pain, hospital stay and early return to work.

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“…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].…”

mentioning

confidence: 99%