Inguinal herniotomy in young infants, with emphasis on premature neonates

Misra, Devesh; Hewitt, Geri; Potts, Steven; Brown, Stuart; Boston, V. E.

doi:10.1016/0022-3468(94)90154-6

Cited by 72 publications

(39 citation statements)

References 13 publications

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“…[19][20][21][22] However, these risks must be balanced against the risk of potential operative and anesthetic complications. Unfortunately, data regarding these risks are not definitive.…”

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

confidence: 99%

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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“…[19][20][21][22] However, these risks must be balanced against the risk of potential operative and anesthetic complications. Unfortunately, data regarding these risks are not definitive.…”

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

confidence: 99%

Assessment and Management of Inguinal Hernia in Infants

Wang¹,

Papile²,

Baley³

et al. 2012

Pediatrics

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“…At the time of the open hernia repair the size of the hernial sac was allocated by the surgeon into one of the following categories: (1) patent processus vaginalis (''ppv''); (2) ''small''; (3) ''moderate''; (4) ''large'' or (5) ''massive'' hernial sac. Although there may have been a degree of subjectivity in the determination of size, it was possible to make a direct comparison between the two sides.…”

Section: Methodsmentioning

confidence: 99%

“…Inguinal hernias are common in childhood, of which between 84 and 91% are unilateral at presentation [1][2][3][4][5]. Bilateral hernias are more likely to present in premature infants, with an incidence of 28-62% [6,7].…”

Section: Introductionmentioning

confidence: 98%

The degree to which the size and side of an inguinal hernia is predictive of a hernia on the other side

Vogels

Bruijnen²,

Beasley³

et al. 2009

Pediatr Surg Int

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It is not possible to predict reliably which patients who present with a unilateral hernia would benefit from bilateral exploration, although the size of the hernia has a positive correlation with the size of the contralateral processus vaginalis/hernial sac. Those with "massive" hernias on the presenting side were more likely to have "large" contralateral hernial sacs, but how many of these would subsequently become symptomatic remains uncertain.

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“…Zu welchem Zeitpunkt man diese Patienten operieren und welches Anästhesieverfahren dabei gewählt werden soll, sind entscheidende und umstrittene Fragen [41,49,50]. Aus chirurgischer Sicht strebt man aufgrund der Gefahr einer Inkarzeration einen möglichst frühen Operationstermin an [70].…”

Section: Schlüsselwörterunclassified

“…Bei Frühgeborenen lassen sich Leistenhernien meist gut reponieren. Solange die Patienten auf einer Neonatologiestation gut überwacht werden und sich die Hernien problemlos reponieren lassen, darf mit der chirurgischen Sanierung bis vor Spitalaustritt zugewartet werden [41,49,50,56].…”

Section: Schlüsselwörterunclassified

Das ehemalige Frühgeborene mit Leistenhernien

Gerber

Weiß

2002

Der Anaesthesist

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Former preterm infants with postconceptual age <50-60 weeks are at risk of postoperative apnea and bradycardia when operated under general anaesthesia. In addition, after general anaesthesia with endotracheal intubation preterm infants, who had suffered from severe respiratory distress syndrome, often require prolonged postoperative mechanical ventilation. Pure regional anaesthetic techniques can avoid most of these postoperative respiratory complications. Spinal anaesthesia has been used extensively so far. Recently, pure caudal anaesthesia for this indication has become a promising alternative. If a pure regional anaesthesia technique is not indicated or feasable, the combination of light inhalational anaesthesia with a caudal block seems appropriate. Overnight cardiorespiratory monitoring is mandatory in these patients regardless of the anaesthetic technique used.

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Inguinal herniotomy in young infants, with emphasis on premature neonates

Cited by 72 publications

References 13 publications

Assessment and Management of Inguinal Hernia in Infants

Assessment and Management of Inguinal Hernia in Infants

The degree to which the size and side of an inguinal hernia is predictive of a hernia on the other side

Das ehemalige Frühgeborene mit Leistenhernien

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