Document Detail


Outcomes following laparoscopic inguinal hernia repair in infants compared with older children.
MedLine Citation:
PMID:  23069994     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Indications for laparoscopic inguinal hernia repair in infants and children remain controversial. The purpose of this study is to compare clinical features and outcome of laparoscopic inguinal hernia repair in infants with older children.
METHODS: Retrospective single centre review of all patients <16 years of age (n = 380) undergoing laparoscopic inguinal hernia repair over a 5-year period (Jan 2005-Dec 2009). Outcomes were compared between infants (≤ 12 months of age) with older children (1-15 years).
RESULTS: There was a trend towards higher recurrence rate in older children than in infants (4 % vs. 1 %; p = 0.17). Total complications and complications requiring surgery were similar in both age groups. There was one testicular atrophy in an infant who had an incarcerated inguinal hernia. The incidence of bilateral inguinal hernia and contralateral patent processus vaginalis (PPV) were both significantly higher in infants (total 61 % compared with 35 % in older children).
CONCLUSIONS: Laparoscopic inguinal hernia repair in infants is safe and carries acceptable complication and recurrence rates. The laparoscopic approach may be particularly beneficial in infants since it allows simultaneous closure of a contralateral PPV and bilateral herniae. The outcome of laparoscopic inguinal hernia repair in older children requires further evaluation.
Authors:
Wonyong Choi; Nigel J Hall; Massimo Garriboli; Ori Ron; Joseph I Curry; Kate Cross; David P Drake; Edward M Kiely; Simon Eaton; Paolo De Coppi; Agostino Pierro
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2012-10-16
Journal Detail:
Title:  Pediatric surgery international     Volume:  28     ISSN:  1437-9813     ISO Abbreviation:  Pediatr. Surg. Int.     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-30     Completed Date:  2013-05-13     Revised Date:  2013-08-12    
Medline Journal Info:
Nlm Unique ID:  8609169     Medline TA:  Pediatr Surg Int     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1165-9     Citation Subset:  IM    
Affiliation:
Surgery Unit, Department of Paediatric Surgery, UCL Institute of Child Health, 30 Guilford Street, London WC1N 1EH, UK.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Age Factors
Child
Child, Preschool
Female
Hernia, Inguinal / surgery*
Herniorrhaphy / methods*
Humans
Infant
Infant, Newborn
Laparoscopy*
Male
Retrospective Studies
Treatment Outcome
Comments/Corrections
Comment In:
Pediatr Surg Int. 2013 Jul;29(7):761   [PMID:  23539336 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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