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Laparoscopic versus open inguinal hernia repair in infants: an initial experience

BACKGROUND: Inguinal hernia repair is a common operation performed in children. In Australia, open repair (OR) continues to be the preferred method of treatment in infants, despite laparoscopic repair (LR) gaining popularity amongst some international centres. Our aim was to analyse initial outcomes...

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Autores principales: Leng, Samantha, Jackson, Tracy, Houlton, Adelene, Dumitriu, Elisabeth, Pacilli, Maurizio, Nataraja, Ramesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons Australia, Ltd 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9804394/
https://www.ncbi.nlm.nih.gov/pubmed/36221201
http://dx.doi.org/10.1111/ans.17962
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author Leng, Samantha
Jackson, Tracy
Houlton, Adelene
Dumitriu, Elisabeth
Pacilli, Maurizio
Nataraja, Ramesh
author_facet Leng, Samantha
Jackson, Tracy
Houlton, Adelene
Dumitriu, Elisabeth
Pacilli, Maurizio
Nataraja, Ramesh
author_sort Leng, Samantha
collection PubMed
description BACKGROUND: Inguinal hernia repair is a common operation performed in children. In Australia, open repair (OR) continues to be the preferred method of treatment in infants, despite laparoscopic repair (LR) gaining popularity amongst some international centres. Our aim was to analyse initial outcomes with LR at our paediatric centre. METHODS: We conducted a retrospective review of all patients <1 year of age who received LR or OR between January 2017 and July 2021 at our institution. Data were retrieved from both electronic and scanned medical records. Data were analysed using an unpaired t‐test, Mann–Whitney test, Fisher's exact test or simple linear regression. A P‐value <0.05 was considered significant. RESULTS: A total of 376 patients were identified: LR was performed in 73 patients, and OR in 303 patients. Bilateral repair was more common amongst patients receiving LR: 56.2% versus 21.5%, P = 0.0001, treating either a symptomatic hernia or an intra‐operative contralateral inguinal defect (70%). All LR patients received general anaesthetic, compared to 82.8% of patients in the OR group, P = 0.0001. There were no recurrences following LR and 3 with OR (P = 1.0). The metachronous contralateral inguinal hernia rate following OR was 10% (21/206). There was no significant difference in other complications, including wound infection, haematoma, testicular atrophy, and hydrocele formation. CONCLUSION: In our population OR was performed more often than LR. Operative complication rates were equivalent between OR and LR groups. However, infants that underwent OR were significantly more likely to develop a MCIH.
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spelling pubmed-98043942023-01-03 Laparoscopic versus open inguinal hernia repair in infants: an initial experience Leng, Samantha Jackson, Tracy Houlton, Adelene Dumitriu, Elisabeth Pacilli, Maurizio Nataraja, Ramesh ANZ J Surg Hernia Surgery BACKGROUND: Inguinal hernia repair is a common operation performed in children. In Australia, open repair (OR) continues to be the preferred method of treatment in infants, despite laparoscopic repair (LR) gaining popularity amongst some international centres. Our aim was to analyse initial outcomes with LR at our paediatric centre. METHODS: We conducted a retrospective review of all patients <1 year of age who received LR or OR between January 2017 and July 2021 at our institution. Data were retrieved from both electronic and scanned medical records. Data were analysed using an unpaired t‐test, Mann–Whitney test, Fisher's exact test or simple linear regression. A P‐value <0.05 was considered significant. RESULTS: A total of 376 patients were identified: LR was performed in 73 patients, and OR in 303 patients. Bilateral repair was more common amongst patients receiving LR: 56.2% versus 21.5%, P = 0.0001, treating either a symptomatic hernia or an intra‐operative contralateral inguinal defect (70%). All LR patients received general anaesthetic, compared to 82.8% of patients in the OR group, P = 0.0001. There were no recurrences following LR and 3 with OR (P = 1.0). The metachronous contralateral inguinal hernia rate following OR was 10% (21/206). There was no significant difference in other complications, including wound infection, haematoma, testicular atrophy, and hydrocele formation. CONCLUSION: In our population OR was performed more often than LR. Operative complication rates were equivalent between OR and LR groups. However, infants that underwent OR were significantly more likely to develop a MCIH. John Wiley & Sons Australia, Ltd 2022-08-05 2022-10 /pmc/articles/PMC9804394/ /pubmed/36221201 http://dx.doi.org/10.1111/ans.17962 Text en © 2022 The Authors. ANZ Journal of Surgery published by John Wiley & Sons Australia, Ltd on behalf of Royal Australasian College of Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Hernia Surgery
Leng, Samantha
Jackson, Tracy
Houlton, Adelene
Dumitriu, Elisabeth
Pacilli, Maurizio
Nataraja, Ramesh
Laparoscopic versus open inguinal hernia repair in infants: an initial experience
title Laparoscopic versus open inguinal hernia repair in infants: an initial experience
title_full Laparoscopic versus open inguinal hernia repair in infants: an initial experience
title_fullStr Laparoscopic versus open inguinal hernia repair in infants: an initial experience
title_full_unstemmed Laparoscopic versus open inguinal hernia repair in infants: an initial experience
title_short Laparoscopic versus open inguinal hernia repair in infants: an initial experience
title_sort laparoscopic versus open inguinal hernia repair in infants: an initial experience
topic Hernia Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9804394/
https://www.ncbi.nlm.nih.gov/pubmed/36221201
http://dx.doi.org/10.1111/ans.17962
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