Incarceration rates in pediatric inguinal hernia: do not trust the coding

Gholoum, Suad; Baird, Robert; Laberge, Jean-Martin; Puligandla, Pramod S.

doi:10.1016/j.jpedsurg.2010.02.033

Cited by 27 publications

(26 citation statements)

References 10 publications

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“…In this study, 13.8% of the patients treated on account of childhood inguinal hernia presented with incarceration. This proportion, similar to the 14% incarceration rate reported in Ilorin -a city with similar socioeconomic and health indices as Ibadan, is much higher than 1.6% to 9% reported from centres in more developed countries with comparable hernia case loads 10,11,12 . The proportion is on the other hand, similar to the 12% rate reported amongst 6361 children with inguinal hernias treated by a single surgeon over a period of 35 years in Toronto, Canada.…”

Section: Discussionsupporting

confidence: 74%

“…The proportion is on the other hand, similar to the 12% rate reported amongst 6361 children with inguinal hernias treated by a single surgeon over a period of 35 years in Toronto, Canada. These variations may be due to differences in practice of referral of children with hernias by family physicians and paediatricians, waiting time to surgery and coding of diseases 10 . Furthermore, it may, be due to delay in seeking care by parents when bulges are observed in the groin as well as the economic implications of caring for children using out of pocket financing in resource challenged settings.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionsupporting

confidence: 74%

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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show abstract

“…Most "irreducible" hernias can be reduced by an experienced hand with or without pharmaceutical adjuncts. We have previously demonstrated an important disparity in the "true" vs the "reported" incarceration rates based on a clinically relevant definition [14].…”

Section: Discussionmentioning

confidence: 99%

Prematurity, not age at operation or incarceration, impacts complication rates of inguinal hernia repair

Baird

Gholoum

Laberge

et al. 2011

Journal of Pediatric Surgery

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“…2,11 As young children and infants have a higher risk of incarceration, it may be wise to arrange earlier operation. Surgery, however, should still be arranged as early as possible in an otherwise healthy child.…”

Section: Indications and Timing Of Surgerymentioning

confidence: 99%