American Academy of Pediatrics Section on Surgery hernia survey revisited

Antonoff, Mara B.; Kreykes, Nathaniel S.; Saltzman, Daniel A.; Acton, Robert D.

doi:10.1016/j.jpedsurg.2005.03.018

Cited by 117 publications

(64 citation statements)

References 18 publications

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“…In a 2005 survey of members of the American Academy of Pediatrics Section on Surgery, 63% reported routinely performing hernia repairs just before discharge from the NICU, 18% performed repairs at a specific corrected gestational age, and 5% performed repairs when it was convenient. 53 If a hernia was discovered after discharge, 53% of respondents would repair the hernia when it was convenient, and 27% of respondents would wait to repair until the infant was between 38 and 60 weeks' corrected gestational age (mean, 53.1 weeks' corrected gestational age). In a previous survey performed in 1993, surgeons were more likely to repair an inguinal hernia when convenient.…”

Section: Rationale and Timing For Elective Inguinal Hernia Repair In mentioning

confidence: 99%

“…58 Results from the aforementioned 2005 survey of American Academy of Pediatrics Section on Surgery members revealed a variety of practices; 15% of respondents indicated that they never explore the contralateral side in a male patient, 12% responded that they always do, and 73% responded that they had an age cutoff beyond which they would not explore. 53 Respondents also had a wide variation of practices when caring for a girl with a unilateral hernia. For both male and female patients with hernias, however, results of the survey revealed that there were significant reductions in the routine explorations of the contralateral side compared with results from the same survey performed in 1996.…”

Section: Contralateral Inguinal Explorationmentioning

confidence: 99%

“…According to survey responses, use of laparoscopy as the modality with which to explore the contralateral ring has increased from 6% in 1996 to 37% in 2005. 53,54 Use of laparoscopy to explore the contralateral groin has likely increased since then.…”

Section: Contralateral Inguinal Explorationmentioning

confidence: 99%

See 2 more Smart Citations

Assessment and Management of Inguinal Hernia in Infants

Wang¹,

Papile²,

Baley³

et al. 2012

Pediatrics

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Inguinal hernia repair in infants is a routine surgical procedure. However, numerous issues, including timing of the repair, the need to explore the contralateral groin, use of laparoscopy, and anesthetic approach, remain unsettled. Given the lack of compelling data, consideration should be given to large, prospective, randomized controlled trials to determine best practices for the management of inguinal hernias in infants.

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Section: Rationale and Timing For Elective Inguinal Hernia Repair In mentioning

confidence: 99%

Section: Contralateral Inguinal Explorationmentioning

confidence: 99%

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Assessment and Management of Inguinal Hernia in Infants

Wang¹,

Papile²,

Baley³

et al. 2012

Pediatrics

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“…Incarceration is common in this age group because of the narrow size of the internal inguinal ring relative to the contents of the hernia sac. Thus, early repair of inguinal hernia has been advocated when discovered immediately after birth 14,15 . Unfortunately, quite a number of children are delivered outside hospital settings in developing countries 7 .…”

Section: Discussionmentioning

confidence: 99%

Factors Associated With Manual Reduction of Incarcerated Inguinal Hernia in Children

Lawal¹,

Olulana²,

Ogundoyin³

et al. 2017

East. Cent. Afr. J. Surg.

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Background: In patients with incarcerated inguinal hernia, initial manual reduction, which is not always feasible, rather than immediate surgery, is associated with fewer complications. The aim of the study was to evaluate factors associated with successful manual reduction of incarcerated inguinal hernia in children. Methods: A prospective cohort study between January 2010 and December 2014 of children admitted with incarcerated inguinal hernia to a single surgical unit. Results: A total of 34 patients with a median age of 4.2 months (range: 2 weeks to 14 years) were recruited. Manual reduction was attempted in 23 (67.6%) patients and successful in 13 (56.5%). A total of 9 (26.5%) patients had bowel strangulation. Shorter incarceration (median of 18.2 vs. 48.4 hours, p = 0.004) and longer duration of previous swelling (median of 20 vs. 3.5 weeks, p = 0.029) were associated with successful manual reduction. Bowel strangulation rate was higher amongst patients excluded from manual reduction, using the set criteria, compared to those who had failed reduction (77.8% vs. 22.2%, p = 0.044). Conclusions: Manual reduction is more likely to be successful in patients who present early after incarceration as well as those with wider internal rings.

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“…In the Nassiri's study 127 (24.3%) were up to 12 months of age and 394 (75.7%) patients were greater than 12 months old. 20,21 Long term follow up these patients in needed, but follow up in our setup is a real issue. To overcome this issue in the beginning, proper counseling of the parents is necessary.…”

Section: Discussionmentioning

confidence: 99%

Management of Inguinal Hernia in Children

Nasar¹,

Sandhu²,

Sultan³

2017

APMC

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Objectives: To determined best practice for the management of inguinal hernia in children. Design: Descriptive Study. Place and Duration of Study: Children Hospital Quetta from January, 2014 to January, 2016. Patients and Method: All the children admitted in pediatric surgery unit with inguinal hernia were included in this study, already operated patients were excluded from the study. Physical examination and relevant investigations (CBC, HBsAg, anti HCV & scrotal ultrasound) were performed. Patients were followed post operatively to observe the complications of surgery. Results: Total 180 patients were included in this study. Male 145 and female 35. Patients with bilateral inguinal hernia were 20 (11.1%) Age from two days to twelve years. 98 patients came for follow up until 8 months. Twenty patients had complications like haematoma in 09 (5%), scrotal odema in 5 (2.77%), wound infection in 4 (2.2%) and recurrence in 2 (1.1%) patients. All these complications were observed in first two months of follow up. Haematoma and oedma was treated conservatively, patients of recurrent hernia were re-operated, no complications found related to scrotal size during follow up. Conclusions: Complications observed in our study are minimal.

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American Academy of Pediatrics Section on Surgery hernia survey revisited

Cited by 117 publications

References 18 publications

Assessment and Management of Inguinal Hernia in Infants

Assessment and Management of Inguinal Hernia in Infants

Factors Associated With Manual Reduction of Incarcerated Inguinal Hernia in Children

Management of Inguinal Hernia in Children

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