Recurrence and complications of pediatric inguinal hernia repair over 5 years

Askarpour, Shahnam; Peyvasteh, Mehran; Javaherizadeh, Hazhir; Mehdianzadeh, Fatemeh

doi:10.1097/01.xps.0000426350.23987.7a

Cited by 11 publications

(7 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, it is important to note that inguinal hernia can present at any age and complications may occur at any age of repair. The male predominance recorded in the present study is consistent with the reports of other researchers 8,13 . In the index study, complications from inguinal hernia repair were found more in emergency cases due to incarceration, obstruction or strangulation.…”

Section: Discussionsupporting

confidence: 94%

Complications of inguinal hernia repair in children: A tertiary hospital experience

Emeka¹

2020

J. Kathmandu Med. Coll.

View full text Add to dashboard Cite

Background: Repair of inguinal hernia is one of the most frequently performed procedures in pediatric surgery. Objective: The aim of this study was to evaluate the complications we encountered following repair of inguinal hernia in children. Methodology: This was a retrospective study done in children aged 15 years and below who had complications following inguinal hernia repair (both emergency and elective) at the pediatric surgery unit of Enugu State University Teaching Hospital (ESUTH) Enugu, Nigeria, between January 2014 and December 2018. Results: A total of 1243 cases of pediatric inguinal hernia repairs were performed during the study period. Out of this, 123 patients developed complications, accounting for 9.9% of the total cases. There was male predominance with a median age of 1 year. Most of the complications were noted in infants undergoing emergency repairs. Scrotal complications were the most common complications which resolved on non-operative treatment. Other complications in descending order of frequency included wound infection, hernia recurrence, testicular atrophy and sensory disturbances in the inguinal region. There was no mortality following the surgeries. Conclusion: Pediatric inguinal hernia repair is a procedure with potential complications more so in infants following an emergency repair. Preoperative parental counseling and timely referral are mandatory.

show abstract

Section: Discussionsupporting

confidence: 94%

Complications of inguinal hernia repair in children: A tertiary hospital experience

Emeka¹

2020

J. Kathmandu Med. Coll.

View full text Add to dashboard Cite

show abstract

“…In our previous study, recurrence rate was 2.2% 1 ; Hughes et al reported it being 2.7% 2 , very similar to this one.…”

Section: Discussionsupporting

confidence: 85%

Comparison Between Inguinal Herniotomies With and Without Incising External Oblique Aponeurosis: A Randomized Clinical Trial

Askarpour

Peyvasteh

Sherafatmand

2017

ABCD, arq. bras. cir. dig.

Self Cite

View full text Add to dashboard Cite

Background:Inguinal herniotomy is the most common surgery performed by pediatric surgeons. Aim:To compare the results and complications between two conventional methods of pediatric inguinal herniotomy with and without incising external oblique aponeurosis in terms of recurrence of hernia and other complications. Methods: This one blinded clinical trial study was conducted on 800 patients with indirect inguinal hernia. Inclusion criterion was children with inguinal hernia. The first group underwent herniotomy without incising external oblique aponeurosis and second group herniotomy with incising external oblique aponeurosis. Recurrence of hernia and other complications including ileoinguinal nerve damage, hematoma, testicular atrophy, hydrocele, ischemic orchitis, and testicular ascent were evaluated. Results:Recurrence and other complications with or without incising external oblique aponeurosis had no significant difference, exception made to hydrocele significantly differed between the two groups, higher in the incision group.Conclusion:Herniotomy without incising oblique aponeurosis can be appropriate choice and better than herniotomy with incising oblique aponeurosis. Children with inguinal herniotomy can be benefit without incising oblique aponeurosis, instead of more interventional traditional method.

show abstract

“…In our study, bilateral involvement was observed in 8.6% of the male patients and 3.6% of the female patients. In Askarpour et al study, bilateral involvement was observed in 12.2% of the male patients and 37.5% of the female patients 17 .…”

Section: Discussionmentioning

confidence: 83%

Pediatric Inguinal Hernia in Basrah

Kadhem¹,

Ali²,

Jassim³

2015

Basrah Journal of Surgery

View full text Add to dashboard Cite

Inguinal hernia repair is one of the most frequently performed surgical procedure in pediatric patients. An inguinal hernia does not resolve spontaneously and must be repaired because of high risk of complications. The aim of this study is to determine epidemiologic index and complications of inguinal hernia in pediatric patients. This retrospective study was carried out in the Basrah Children Hospital. All patients who underwent surgeries for inguinal hernia from 2012 to 2014 were included in this study. Their hospital records were reviewed for age, sex, side of the hernia, presentation, wound infection, recurrence, and other complications. In this study, 877 children were included. 766 (87.3%) were boys and 111 (12.7%) were girls. Most common age of presentation is between 6 months to 6 years which compromise 54.6%. Right-side and left-side inguinal hernia was observed in 531 (60.5%) and 276 (31.5%) cases, respectively. Bilateral inguinal hernia was observed in 70 (8%) cases. One hundred forty eight (16.9%) children presented as emergencies with irreducible hernia. Emergency presentation was more in male gender and more in the first 6 months of life. Postoperative complication rate for elective was 3.2% and for emergency groups was 51.7%. In conclusion, most of the hernias involved male patients. Postoperative complications were observed in 51.7% of the emergency cases, so inguinal hernia in children should be operated as early as possible to avoid incarceration and to decrease post-operative complications.

show abstract

Recurrence and complications of pediatric inguinal hernia repair over 5 years

Cited by 11 publications

References 25 publications

Complications of inguinal hernia repair in children: A tertiary hospital experience

Complications of inguinal hernia repair in children: A tertiary hospital experience

Comparison Between Inguinal Herniotomies With and Without Incising External Oblique Aponeurosis: A Randomized Clinical Trial

Pediatric Inguinal Hernia in Basrah

Contact Info

Product

Resources

About