Outcomes of herniotomy in premature infants: Recent 10 year experience

Takahashi, Atsushi; Toki, Fumiaki; Yamamoto, Hideki; Otake, Sayaka; Ôki, Yasushi; Kuwano, Hiroyuki

doi:10.1111/j.1442-200x.2012.03607.x

Cited by 13 publications

(28 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[ 3 ] Delaying HR until the infant is clinically stable for discharge allows for these medical conditions to be stabilized or resolved. [ 4 5 ] In this study, 79% of premature infants with inguinal hernia in the NICU had repair just before discharge. At repair, the mean PCA and mean body weight were 39.5 weeks and 2214 g, respectively.…”

Section: Discussionmentioning

confidence: 87%

Management of inguinal hernia in premature infants: 10-year experience

Crankson

Tawil

Namshan

et al. 2015

J Indian Assoc Pediatr Surg

View full text Add to dashboard Cite

Aim:Debatable issues in the management of inguinal hernia in premature infants remain unresolved. This study reviews our experience in the management of inguinal hernia in premature infants.Materials and Methods:Retrospective chart review of premature infants with inguinal hernia from 1999 to 2009. Infants were grouped into 2: Group 1 had repair (HR) just before discharge from the neonatal intensive care unit (NICU) and Group 2 after discharge.Results:Eighty four premature infants were identified. None of 23 infants in Group 1 developed incarcerated hernia while waiting for repair. Of the 61 infants in Group 2, 47 (77%) underwent day surgery repair and 14 were admitted for repair. At repair mean postconceptional age (PCA) in Group1 was 39.5 ± 3.05 weeks. Mean PCA in Group 2 was 66.5 ± 42.73 weeks for day surgery infants and 47.03 ± 8.87 weeks for admitted infants. None of the 84 infants had an episode of postoperative apnea. Five (5.9%) infants presented subsequently with metachronous contralateral hernia and the same number of infants had hernia recurrence.Conclusions:Delaying HR in premature infants until ready for discharge from the NICU allows for repair closer to term without increasing the risk of incarceration. Because of low occurrence of metachronous hernia contralateral inguinal exploration is not justified. Day surgery HR can be performed in former premature infant if PCA is >47 weeks without increasing postoperative complications.

show abstract

Section: Discussionmentioning

confidence: 87%

Management of inguinal hernia in premature infants: 10-year experience

Crankson

Tawil

Namshan

et al. 2015

J Indian Assoc Pediatr Surg

View full text Add to dashboard Cite

show abstract

“…reported a recurrence rate of 2.6% (5/192) in VLBWI operated on at 28 weeks postnatally (20 month follow‐up). In contrast, Takahashi et al . noted no recurrence in 47 premature infants with BW < 2000 g (mean PCA and weight at surgery, 47.0 weeks and 4087 g, respectively; mean follow up, 31.2 months).…”

Section: Discussionmentioning

confidence: 90%

“…In contrast, Gonzalez Santacruz et al . (mean postnatal age and median weight at surgery, 40.55 days and 2585 g, respectively; mean follow up, 33.45 months) and Takahashi et al . detected no cases of testicular atrophy in their follow‐up periods.…”

Section: Discussionmentioning

confidence: 91%

Inguinal hernia in very low‐birthweight infants: Follow up to adolescence

Kurobe

Baba

Otsuka

2016

Pediatrics International

View full text Add to dashboard Cite

The high incidence of IH in VLBWI was confirmed during follow up to adolescence. The rate of incarceration was low and the incidence of spontaneous regression was high. Observation up to 6 months without surgery, with the expectation of spontaneous regression, is one option to avoid unnecessary surgery, but repair should be performed before 10 months to reduce the risk of incarceration. Further large, prospective, and randomized controlled studies with a long follow up are necessary to validate the present results and to define the ideal time for IH repair in VLBWI.

show abstract

“…They are reported to occur with a frequency from 6% to more than 10% and include bleeding, wound infection, recurrence, postoperative persistent hydrocele, testicular ascent, and testicular atrophy. [28][29][30] These complications have a threefold higher incidence when compared with older children. A retrospective analysis by Baird et al confirmed a higher rate of complications in infants aged less than 43 weeks of postconceptual age at surgery.…”

Section: Surgical Treatment General Considerationsmentioning

confidence: 99%

“…35 As indicated previously, the risk of complication can be as high as 10%, with testicular atrophy being reported with a frequency ranging from 1 to 10%. 6,[28][29][30] Open Repair and Diagnostic Laparoscopy Minimally invasive surgery is becoming increasingly popular even for newborns and preterms. Since the late 1990s, laparoscopy was used for diagnostic purposes to check the other side of the groin to prevent the risk for metachronous hernias.…”

Section: Available Surgical Techniquesmentioning

confidence: 99%

Timing and Management of Inguinal Hernia in the Premature Baby

2017

View full text Add to dashboard Cite

Inguinal hernias in children occur with a prevalence ranging from 3 to 5%. The likelihood of a symptomatic patent processus vaginalis is significantly higher in preterms, as reported by most series. As a consequence, inguinal hernia represents the most common condition requiring surgical repair in the neonate and preterm baby. Surgery aims at avoiding and preventing intestinal and gonadal lesions related to incarceration. Nonetheless, hernia repair is technically demanding, with a relatively high risk of complications including recurrence and testicular atrophy. This paper will address some of most debated aspect of inguinal hernia management in preterms babies. The authors will discuss anesthesiological implications, available surgical techniques, optimal timing for surgery, and reasons for possible contralateral groin exploration. The authors will also discuss literature evidences and will propose their own behavior to provide an algorithm for the correct management of neonates and ex-preterms with inguinal hernia.

show abstract

Outcomes of herniotomy in premature infants: Recent 10 year experience

Cited by 13 publications

References 22 publications

Management of inguinal hernia in premature infants: 10-year experience

Management of inguinal hernia in premature infants: 10-year experience

Inguinal hernia in very low‐birthweight infants: Follow up to adolescence

Timing and Management of Inguinal Hernia in the Premature Baby

Contact Info

Product

Resources

About