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Comparing Outcomes of Single-Incision Laparoscopic Herniorrhaphy in Newborns and Infants

Background: As surgical techniques progress, laparoscopic herniorrhaphy is now performed more often in premature babies. The aim of this study was to analyze the outcomes of newborns and infants who underwent single-incision laparoscopic herniorrhaphy (SILH) at our center. Methods: We retrospectivel...

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Autores principales: Tsai, Tsung-Jung, Lin, Ching-Min, Cheang, I Nok, Hsu, Yao-Jen, Wei, Chin-Hun, Chin, Tai-Wai, Wu, Chin-Yen, Chang, Wen-Yuan, Fu, Yu-Wei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914195/
https://www.ncbi.nlm.nih.gov/pubmed/36766634
http://dx.doi.org/10.3390/diagnostics13030529
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author Tsai, Tsung-Jung
Lin, Ching-Min
Cheang, I Nok
Hsu, Yao-Jen
Wei, Chin-Hun
Chin, Tai-Wai
Wu, Chin-Yen
Chang, Wen-Yuan
Fu, Yu-Wei
author_facet Tsai, Tsung-Jung
Lin, Ching-Min
Cheang, I Nok
Hsu, Yao-Jen
Wei, Chin-Hun
Chin, Tai-Wai
Wu, Chin-Yen
Chang, Wen-Yuan
Fu, Yu-Wei
author_sort Tsai, Tsung-Jung
collection PubMed
description Background: As surgical techniques progress, laparoscopic herniorrhaphy is now performed more often in premature babies. The aim of this study was to analyze the outcomes of newborns and infants who underwent single-incision laparoscopic herniorrhaphy (SILH) at our center. Methods: We retrospectively reviewed patients younger than 12 months old who received SILH at our department from 2016 to 2020. SILH involved a 5 mm 30-degree scope and 3 mm instruments with a 3-0 Silk purse-string intracorporeal suture for closure of the internal ring. At the time of surgery, Group 1 newborns, whose corrected age was 2 months and below, were compared to the Group 2 infants, whose age was above 2 months. We assessed the patients’ characteristics, anesthesia, surgical data, and complications. Results: A total of 197 patients were included (114 newborns in Group 1 and 83 infants in Group 2). The mean age and body weight in Group 1 were 1.2 months and 3.8 kg, respectively, whereas in Group 2, they were 3.2 months and 6.7 kg, respectively. There were no significant differences in operative time (Group 1 = 34.1 min vs. Group 2 = 32.3 min, p = 0.26), anesthetic time (Group 1 = 80.0 min vs. Group 2 = 76.3 min, p = 0.07), length of hospitalization (Group 1 = 2.3 days vs. Group 2 = 2.4 days, p = 0.88), postoperative complications including omphalitis (Group 1 = 5.3% vs. Group 2 = 1.2%, p = 0.13), wound infection (Group 1 = 0.9% vs. Group 2 = 1.2%, p = 0.81), and hydrocele (Group 1 = 0.35% vs. Group 2 = 8.4%, p = 0.14). No recurrence, testicular ascent or atrophy, or mortality was observed in either group during the 2-year follow-up period. Conclusions: Single-incision laparoscopic herniorrhaphy is a safe and effective operation for inguinal hernia repair in infants, even those with prematurity, lower body weight at the time of surgery, or cardiac and/or pulmonary comorbidities. Comparable results revealed no significant differences in perioperative complications despite younger ages and lower body weights.
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spelling pubmed-99141952023-02-11 Comparing Outcomes of Single-Incision Laparoscopic Herniorrhaphy in Newborns and Infants Tsai, Tsung-Jung Lin, Ching-Min Cheang, I Nok Hsu, Yao-Jen Wei, Chin-Hun Chin, Tai-Wai Wu, Chin-Yen Chang, Wen-Yuan Fu, Yu-Wei Diagnostics (Basel) Article Background: As surgical techniques progress, laparoscopic herniorrhaphy is now performed more often in premature babies. The aim of this study was to analyze the outcomes of newborns and infants who underwent single-incision laparoscopic herniorrhaphy (SILH) at our center. Methods: We retrospectively reviewed patients younger than 12 months old who received SILH at our department from 2016 to 2020. SILH involved a 5 mm 30-degree scope and 3 mm instruments with a 3-0 Silk purse-string intracorporeal suture for closure of the internal ring. At the time of surgery, Group 1 newborns, whose corrected age was 2 months and below, were compared to the Group 2 infants, whose age was above 2 months. We assessed the patients’ characteristics, anesthesia, surgical data, and complications. Results: A total of 197 patients were included (114 newborns in Group 1 and 83 infants in Group 2). The mean age and body weight in Group 1 were 1.2 months and 3.8 kg, respectively, whereas in Group 2, they were 3.2 months and 6.7 kg, respectively. There were no significant differences in operative time (Group 1 = 34.1 min vs. Group 2 = 32.3 min, p = 0.26), anesthetic time (Group 1 = 80.0 min vs. Group 2 = 76.3 min, p = 0.07), length of hospitalization (Group 1 = 2.3 days vs. Group 2 = 2.4 days, p = 0.88), postoperative complications including omphalitis (Group 1 = 5.3% vs. Group 2 = 1.2%, p = 0.13), wound infection (Group 1 = 0.9% vs. Group 2 = 1.2%, p = 0.81), and hydrocele (Group 1 = 0.35% vs. Group 2 = 8.4%, p = 0.14). No recurrence, testicular ascent or atrophy, or mortality was observed in either group during the 2-year follow-up period. Conclusions: Single-incision laparoscopic herniorrhaphy is a safe and effective operation for inguinal hernia repair in infants, even those with prematurity, lower body weight at the time of surgery, or cardiac and/or pulmonary comorbidities. Comparable results revealed no significant differences in perioperative complications despite younger ages and lower body weights. MDPI 2023-02-01 /pmc/articles/PMC9914195/ /pubmed/36766634 http://dx.doi.org/10.3390/diagnostics13030529 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Tsai, Tsung-Jung
Lin, Ching-Min
Cheang, I Nok
Hsu, Yao-Jen
Wei, Chin-Hun
Chin, Tai-Wai
Wu, Chin-Yen
Chang, Wen-Yuan
Fu, Yu-Wei
Comparing Outcomes of Single-Incision Laparoscopic Herniorrhaphy in Newborns and Infants
title Comparing Outcomes of Single-Incision Laparoscopic Herniorrhaphy in Newborns and Infants
title_full Comparing Outcomes of Single-Incision Laparoscopic Herniorrhaphy in Newborns and Infants
title_fullStr Comparing Outcomes of Single-Incision Laparoscopic Herniorrhaphy in Newborns and Infants
title_full_unstemmed Comparing Outcomes of Single-Incision Laparoscopic Herniorrhaphy in Newborns and Infants
title_short Comparing Outcomes of Single-Incision Laparoscopic Herniorrhaphy in Newborns and Infants
title_sort comparing outcomes of single-incision laparoscopic herniorrhaphy in newborns and infants
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914195/
https://www.ncbi.nlm.nih.gov/pubmed/36766634
http://dx.doi.org/10.3390/diagnostics13030529
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