Long-term follow-up of pediatric open and laparoscopic inguinal hernia repair

Chong, Albert J.; Fevrier, Helene; Herrinton, Lisa J.

doi:10.1016/j.jpedsurg.2019.01.064

Cited by 43 publications

(24 citation statements)

References 15 publications

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“…Also, bilateral inguinal hernias are relatively common in children. [ 1 , 2 ] Herniorrhaphy (high ligation of the hernia sac for children) has always been the choice and standard treatment for inguinal hernia and is estimated to be used in more than 20 million cases per year worldwide. [ 3 ] With the development in surgical technology, a number of medical centers adopted laparoscopic hernia repair in children as the best option for herniorrhaphy, replacing the open procedure due to minimal invasiveness and better cosmetic effect.…”

Section: Introductionmentioning

confidence: 99%

“…Recently, many reports in regard to comparisons of open repair procedures and laparoscopic herniorrhaphy in pediatric hernia repair are published confirming the advantages and disadvantages of both and their applicability to children. [ 2 , 11 – 16 ] However, these reports still do not investigate the result of single incision approach for bilateral inguinal hernia repair in children. Here, we introduce a single incision approach for bilateral inguinal herniorrhaphy, aimed at improving therapeutic effect and reducing the incidence of reoccurrence and complications; report our preliminary experience with this procedure in 56 pediatric patients; and retrospectively compare the outcomes with those of 45 pediatric patients who had undergone laparoscopic surgery.…”

Section: Introductionmentioning

confidence: 99%

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Single-incision approach for bilateral inguinal hernia repair in children

Chongxi

Wang

et al. 2020

Medicine

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Single-incision approach for bilateral inguinal hernia repair in children

Chongxi

Wang

et al. 2020

Medicine

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“…The average age of occurrence is 3-4 years, while almost 1/3 of the cases are manifested before the age of six months [5]. The incidence in males is much higher than that of female children [2,5,6].…”

Section: Introductionmentioning

confidence: 97%

“…The incidence of inguinal hernia varies according infant maturity: 3-5% in full-term infants, 10-30% in premature infants, 13-21% in infants born before the 33rd gestational week, and 30% in newborns with birth weight lower than 1 000 grams [2][3][4]. The average age of occurrence is 3-4 years, while almost 1/3 of the cases are manifested before the age of six months [5]. The incidence in males is much higher than that of female children [2,5,6].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic treatment of inguinal hernia in female children – national experience

Risteski

2021

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Background. Although, laparoscopic inguinal hernia repair in children is gaining ground as a safe, feasible, and popular method, still many pediatric surgeons continue to debate its safety, efficacy, and cosmesis in comparison with conventional open repair. Materials and methods. This was a prospective clinical study, that elaborated 98 female children aged 1–14 with clinically diagnosed indirect inguinal hernia. Equal proportions of 49 children were treated via laparoscopic (PIRS) either conventional open repair (OR). Outpatient clinic follow up was performed regardless of the type of the intervention, on the 7th day and 6 weeks after discharge. Results. The mean age of children in PIRS vs. OR group was 5.3±2.7 vs. 5.9±3.3 years. There was no significant differences between the groups related to age (p = 0.4221), weight (p = 0.5482), family history (p = 0.5377), and residency rural/urban (p = 0.3161). The average length of unilateral vs. bilateral PIRS repair (29.5±6.8 vs. 43.6±7.2 min) was significantly shorter than OR (44±4.2 vs. 97±8.1 min) for consequently p = 0.0023 vs. p = 0.00001. The post-operative hospitalization after PIRS repair was 14.1±3.1 hours and was significantly shorter compared to OR – 44±4.2 hours (p = 0.00001). In OR group, 4 (8.2%) children had postoperative nausea compared to none in PIRS group. Significantly bigger cosmetic satisfaction was found in PIRS compared to OM group (p = 0.0001). Conclusion. With due respect to OR as a gold standard, the proven advantages of PIRS are motivation for further improvement of this technique for the purpose of treatment of inguinal hernia of female children.

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“…Inguinal hernias are far more common in males [1,2,3]. Available data suggest that the overall incidence of inguinal hernias in childhood ranges from 0.8% to 4.4% (to more than 30% in preterm born infants), with the incidence in boys being 10 times higher compared to girls.…”

Section: Introductionmentioning

confidence: 99%

The laparoscopic repair of inguinal hernia in female children in the Republic of North Macedonia

Risteski

2021

Srp Arh Celok Lek

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Introduction/Objective. Laparoscopic inguinal hernia repair in children is a minimally invasive method, and with its safety, feasibility and excellent cosmesis is an acceptable alternative in comparison with open repair. Methods. This is a prospective clinical study, with national data of 49 female children aged 1-14, treated via laparoscopic approach. Operative time, time to verticalization (normal position in bed, standing/walking), hospital stay, nausea, pain and cosmetic effects (size and visibility of mark), were elaborated. Results. The results revealed that 5 (10.2%) children had a family history of inguinal hernia. A total of 29 (59.2%) children had hernia located on the right side, 19 (38.8%) on the left side and 1 (2%) on both sides. The average diametar of the inguinal opening was 3 ? 2.17 cm. Sixteen children (32.7%) had presence of hidden hernia. The average operation time of the unilateral intervention was 29.5 ? 6.8 min, and for bilateral hernias it was 43.6 ? 7.2 minutes. The average length of hospitalization was 14.1 ? 3.1 hours, and the time needed for a full return to a normal position in bed was 2.6 ? 0.6 hours. The average length of scar in the right, as well as in left groin region was 2.2 ? 0.4 mm. A total of 46 (93.9%) parents/guardians were satisfied by the aesthetic look, while 3 (6.1%) had no particular opinion regarding this question. Conclusion. The introduction of laparoscopic surgery in the treatment of inguinal hernia is a promising method, which plays an important role as an alternative surgical technique because of the minimal invasiveness of the technique and improved recovery of the children.

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Long-term follow-up of pediatric open and laparoscopic inguinal hernia repair

Cited by 43 publications

References 15 publications

Single-incision approach for bilateral inguinal hernia repair in children

Single-incision approach for bilateral inguinal hernia repair in children

Laparoscopic treatment of inguinal hernia in female children – national experience

The laparoscopic repair of inguinal hernia in female children in the Republic of North Macedonia

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