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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons Australia, Ltd
2022
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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. |
format | Online Article Text |
id | pubmed-9804394 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley & Sons Australia, Ltd |
record_format | MEDLINE/PubMed |
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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