Inguinal Hernia

Abdulhai, Sophia; Glenn, Ian C.; Ponsky, Todd A.

doi:10.1016/j.clp.2017.08.005

Cited by 31 publications

(16 citation statements)

References 51 publications

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“…Inguinal hernia is one of the most common surgical conditions to occur during infancy, with a reported incidence between 0.8% and 5% 1 . The risk is higher in preterm infants 2 . The most common reason for children to develop a clinical inguinal hernia is a patent processus vaginalis (PPV) or canal of Nuck, leading to the development of a lateral/indirect inguinal hernia 3 .…”

Section: Introductionmentioning

confidence: 96%

Percutaneous hernia repair in children: Safe to introduce

2020

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Background and Aims: In 2014 we introduced percutaneous internal ring suture as an alternative to open surgery for the treatment of inguinal hernia. This study aims to evaluate the introduction of the procedure at our institution. Materials and Methods: In total, 100 consecutive patients operated with percutaneous internal ring suture were compared with 100 consecutive patients operated with open surgery. The patients were operated from August 2014 until November 2017. Patient demographics, clinical history, operative time, time in theater, and postoperative complications were extracted from charts. Results: The mean operative time for percutaneous internal ring suture was 26.54 min and for open surgery 39.94 min, P < 0.0001. The total mean operative theater time for percutaneous internal ring suture was 108.95 min and for open surgery 118.4 min, P = 0.0343.During follow-up, two percutaneous internal ring sutures were operated for recurrent hernia. In the open surgery-group, three patients were operated for recurrent hernia, three for secondary testicular retention, and three for metachronous contralateral hernia. Conclusion: Even when established as a new technique, the percutaneous internal ring suture procedure is safe and results in shorter operative time and shorter theater time compared to open surgery.

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Section: Introductionmentioning

confidence: 96%

Percutaneous hernia repair in children: Safe to introduce

2020

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“…Over the past decade, laparoscopic techniques have been applied widely in the management of common pediatric diseases 14 . Laparoscopic repair in children is considered a safe, effective and convenient technique 15 , 16 , and CPPV can be discovered and repaired to prevent the formation of metachronous inguinal hernia (MIH) 17 . A number of studies have shown that the incidence of CPPV is 50–70% 2 , 3 , but the benefit from the repair is small, perhaps only 1/10 18 , 1/18 19 , or 1/21 20 , according to previous studies.…”

Section: Discussionmentioning

confidence: 99%

Contralateral patent processus vaginalis repair in boys: a single-center retrospective study

Liu

Cao

Qiu

et al. 2022

Sci Rep

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To ascertain the prevalence of contralateral patent processus vaginalis (CPPV) in life and the significance of the prevalence trends for treatment. We performed a retrospective review of all inguinal hernias (IHs) that underwent repair in our hospital from 2014 to 2018. We analyzed the frequency of occurrence and treatment in boys. We assessed and compared the history, initial sides of hernia, CPPV and prognoses in different age groups. We assessed all IH cases repaired in our hospital and selected male patients of a variety of ages, including boys and men. Recurrent cases were not enrolled. A total of 3243 cases were enrolled: 2489 [right-sided IH 1411 (56.69%) vs. left-sided IH 975 (39.17%), bilateral IH 103 (4.14%)] in children and 754 [right-sided IH 485 (64.32%) vs. left-sided IH 236 (31.30%), bilateral IH 33 (4.38%)] in adults. A total of 1124 CPPVs were identified in children with unilateral IH (2386), and 12 were identified in adults (267) (p < 0.0001). There were no significant differences in recurrence rate between different subgroups of children (p > 0.05). The incidence of IH in boys was significantly higher than that in men. The number of incident cases declines rapidly with age in boys. The processus vaginalis is normally obliterated and involuted but may instead remain patent for a long period before closure; routine exploration on the contralateral side may eliminate the possibility of spontaneous PPV closure.

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“…Over the past decade, laparoscopic techniques have been applied widely in the management of common pediatric diseases 13 . Laparoscopic repair in children is considered safe, effective and more convenient technique 14,15 , what's more CPPV can be discovered and repaired to prevent the formation of metachronous inguinal hernia (MIH) 16 . A number of studies showed the incidence of CPPV is 50%-70% 2,3 , but the bene t from the repair was tiny, maybe just 1/10 17 ,1/18 18 , 1/21 19 .…”

Section: Discussionmentioning

confidence: 99%

Contralateral Patent Processus Vaginalis Repair in Boys: Healing or Killing the Possible

Liu

Cao

Qiu

et al. 2022

Preprint

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Objective: To check the contralateral patent processus vaginalis (CPPV) prevalence in life, and the significance for the treatment.Data sources: We performed a retrospective review of all inguinal hernia (IH) cases who underwent repair in our hospital from 2014 to 2018. Study design: We analyzed the occurrence and treatment regularity in boys. Checked and compered the history, initial sides of hernia, CPPV and prognoses in different age groups. Data collection: We checked all IH cases repaired in our hospital, picked out the male cases, including boys and men, recurrent cases were not enrolled.Principal findings: A total of 3243 cases were enrolled, 2489 (right-sided IH 1411 (56.69%) vs left-sided IH 975 (39.17%), bilateral IH 103 (4.14%)) in children, and 754 (right-sided IH 485 (64.32%) vs left-sided IH 236 (31.30%), bilateral IH 33 (4.38%)) in adults. 1124 CPPV were checked in children with unilateral inguinal hernia (2386), 12 in adults of 267 (p<0.0001). There were no significant differences in recurrence rate between the blocks in children (p>0.05).Conclusions: The incidence of inguinal hernia in boys was significantly higher than men. The number of cases declines rapidly with age in boys. Processus vaginalis obliterates and involutes, last for a long period, routine exploration on contralateral may kill the possible of self-obliterating capability.

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Inguinal Hernia

Abstract: Laparoscopy is a safe and effective technique in the repair of inguinal hernias. This article describes the different laparoscopic herniorrhaphy technique, as well as controversial topics, such as premature infants, contralateral repair, and incarcerated hernias.

Cited by 31 publications

References 51 publications

Percutaneous hernia repair in children: Safe to introduce

Percutaneous hernia repair in children: Safe to introduce

Contralateral patent processus vaginalis repair in boys: a single-center retrospective study

Contralateral Patent Processus Vaginalis Repair in Boys: Healing or Killing the Possible

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