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Optimal timing for inguinal hernia repair in premature infants: surgical issues for inguinal hernia in premature infants
PURPOSE: We analyzed the timing of inguinal hernia repair in premature infants in the neonatal intensive care unit (NICU) considering recurrence, incarceration, and other complications. METHODS: In this multicenter retrospective review, premature infants (<37 weeks) in the NICU diagnosed with ing...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Surgical Society
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10172032/ https://www.ncbi.nlm.nih.gov/pubmed/37179700 http://dx.doi.org/10.4174/astr.2023.104.5.296 |
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author | Cho, Yu Jeong Kwon, Hyunhee Ha, Suhyeon Kim, Seong Chul Kim, Dae Yeon Namgoong, Jung-Man Nam, So Hyun Lee, Ju Yeon Jung, Eunyoung Cho, Min Jeng |
author_facet | Cho, Yu Jeong Kwon, Hyunhee Ha, Suhyeon Kim, Seong Chul Kim, Dae Yeon Namgoong, Jung-Man Nam, So Hyun Lee, Ju Yeon Jung, Eunyoung Cho, Min Jeng |
author_sort | Cho, Yu Jeong |
collection | PubMed |
description | PURPOSE: We analyzed the timing of inguinal hernia repair in premature infants in the neonatal intensive care unit (NICU) considering recurrence, incarceration, and other complications. METHODS: In this multicenter retrospective review, premature infants (<37 weeks) in the NICU diagnosed with inguinal hernia between 2017 and 2021 were segregated into 2 groups based on the timing of inguinal hernia repair. RESULTS: Of 149 patients, 109 (73.2%) underwent inguinal hernia repair in the NICU and 40 (26.8%) after discharge. Preoperative incarceration did not differ, but complications with recurrence and postoperative respiratory insufficiency were higher in the NICU group (11.0% vs. 0%, P = 0.029; 22.0% vs. 5.0%, P = 0.01). Multivariate analysis showed that the significant factors affecting recurrence were preoperative ventilator dependence and body weight of <3,000 g at the time of surgery (odds ratio [OR], 16.89; 95% confidence interval [CI], 3.45–82.69; P < 0.01 and OR, 9.97; 95% CI, 1.03–95.92; P = 0.04). CONCLUSION: Our results suggest that when premature infants are diagnosed with inguinal hernia in the NICU, inguinal hernia repair after discharge may decrease the odds of recurrence and postoperative respiratory insufficiency. In patients who have difficulty delaying surgery, it is thought that surgery should be performed carefully in a ventilator preoperatively or weighed <3,000 g at the time of surgery. |
format | Online Article Text |
id | pubmed-10172032 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | The Korean Surgical Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-101720322023-05-12 Optimal timing for inguinal hernia repair in premature infants: surgical issues for inguinal hernia in premature infants Cho, Yu Jeong Kwon, Hyunhee Ha, Suhyeon Kim, Seong Chul Kim, Dae Yeon Namgoong, Jung-Man Nam, So Hyun Lee, Ju Yeon Jung, Eunyoung Cho, Min Jeng Ann Surg Treat Res Original Article PURPOSE: We analyzed the timing of inguinal hernia repair in premature infants in the neonatal intensive care unit (NICU) considering recurrence, incarceration, and other complications. METHODS: In this multicenter retrospective review, premature infants (<37 weeks) in the NICU diagnosed with inguinal hernia between 2017 and 2021 were segregated into 2 groups based on the timing of inguinal hernia repair. RESULTS: Of 149 patients, 109 (73.2%) underwent inguinal hernia repair in the NICU and 40 (26.8%) after discharge. Preoperative incarceration did not differ, but complications with recurrence and postoperative respiratory insufficiency were higher in the NICU group (11.0% vs. 0%, P = 0.029; 22.0% vs. 5.0%, P = 0.01). Multivariate analysis showed that the significant factors affecting recurrence were preoperative ventilator dependence and body weight of <3,000 g at the time of surgery (odds ratio [OR], 16.89; 95% confidence interval [CI], 3.45–82.69; P < 0.01 and OR, 9.97; 95% CI, 1.03–95.92; P = 0.04). CONCLUSION: Our results suggest that when premature infants are diagnosed with inguinal hernia in the NICU, inguinal hernia repair after discharge may decrease the odds of recurrence and postoperative respiratory insufficiency. In patients who have difficulty delaying surgery, it is thought that surgery should be performed carefully in a ventilator preoperatively or weighed <3,000 g at the time of surgery. The Korean Surgical Society 2023-05 2023-04-28 /pmc/articles/PMC10172032/ /pubmed/37179700 http://dx.doi.org/10.4174/astr.2023.104.5.296 Text en Copyright © 2023, the Korean Surgical Society https://creativecommons.org/licenses/by-nc/4.0/Annals of Surgical Treatment and Research is an Open Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Cho, Yu Jeong Kwon, Hyunhee Ha, Suhyeon Kim, Seong Chul Kim, Dae Yeon Namgoong, Jung-Man Nam, So Hyun Lee, Ju Yeon Jung, Eunyoung Cho, Min Jeng Optimal timing for inguinal hernia repair in premature infants: surgical issues for inguinal hernia in premature infants |
title | Optimal timing for inguinal hernia repair in premature infants: surgical issues for inguinal hernia in premature infants |
title_full | Optimal timing for inguinal hernia repair in premature infants: surgical issues for inguinal hernia in premature infants |
title_fullStr | Optimal timing for inguinal hernia repair in premature infants: surgical issues for inguinal hernia in premature infants |
title_full_unstemmed | Optimal timing for inguinal hernia repair in premature infants: surgical issues for inguinal hernia in premature infants |
title_short | Optimal timing for inguinal hernia repair in premature infants: surgical issues for inguinal hernia in premature infants |
title_sort | optimal timing for inguinal hernia repair in premature infants: surgical issues for inguinal hernia in premature infants |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10172032/ https://www.ncbi.nlm.nih.gov/pubmed/37179700 http://dx.doi.org/10.4174/astr.2023.104.5.296 |
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