Laparoscopic Extraperitoneal Hernia Repair Versus Open Repair in Boys with Inguinal Hernia: A Meta-Analysis

Cheng, Po-Lung; Duh, Yih-Cherng; Chen, Jeng-Jung; Huang, Fu-Huan

doi:10.1016/j.jpedsurg.2023.01.054

Cited by 4 publications

(5 citation statements)

References 55 publications

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“…The reason is that with the increase of age, the body function starts to decline, the abdominal wall muscles become more relaxed, and the drooping internal organs are not well supported. Therefore, the incidence of hernia is increases with age [5] . The occurrence of the disease is related to long-term constipation, chronic cough, and excessive fatigue.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Effect and Efficiency of Tension-Free Hernia Repair and Traditional Surgery in The Treatment of Hernia

Wang

2024

JCNR

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Objective: To analyze the efficiency of tension-free hernia repair and traditional surgery in the treatment of hernia. Methods: A total of 80 patients with hernias were selected and randomly into a control group (traditional hernia repair) and an observation group (tension-free hernia repair), of 40 cases each. The perioperative indicators, pain, physiological stress indicators, complications, and recurrence rates between the two groups were compared. Results: The perioperative indexes of the observation group were better than those of the control group (P < 0.05). The postoperative pain score, postoperative physiological stress index level, incidence of complications, and recurrence rate of the observation group were lower than those of the control group (P < 0.05). Conclusion: In the surgical treatment of hernia, tension-free hernia repair was less traumatic and had a better effect than traditional hernia repair.

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Section: Discussionmentioning

confidence: 99%

Analysis of the Effect and Efficiency of Tension-Free Hernia Repair and Traditional Surgery in The Treatment of Hernia

Wang

2024

JCNR

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“…When one perceives the ability to endure a specific level of tension, it is possible to retract the needle in order to prevent the silk thread from slipping. (7) When performing hernia ring ligation in male children, it is important to ensure proper traction of the testis and to apply pressure to the inguinal area to expel air from the scrotum, thereby preventing postoperative scrotal and subcutaneous emphysema. Additionally, care should be taken to avoid ligating the spermatic cord vessels and vas deferens in order to prevent iatrogenic cryptorchidism.…”

Section: Discussionmentioning

confidence: 99%

“…Recent meta-analyses have shown that laparoscopic hernia repair has fewer or comparable testicular complications and does not increase ipsilateral hernia recurrence compared with open hernia repair. Laparoscopic extraperitoneal herniorrhaphy has a lower incidence of metachronous contralateral inguinal hernia than open herniorrhaphy ( 7 ).…”

Section: Introductionmentioning

confidence: 99%

To use a simple hernia needle for single-port laparoscopic percutaneous inguinal hernia repair in children: a 5-year experience study

Zhang,

Zhang

et al. 2024

Front. Pediatr.

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PurposeThe aim of this study is to investigate the technique and practical significance of using a simple hernia needle in single-port laparoscopic herniorrhaphy in pediatric patients.MethodsThe study conducted a retrospective analysis of all pediatric patients who underwent treatment for inguinal hernia using single-port laparoscopic herniorrhaphy with a simple hernia needle at Yellow River Sanmenxia Hospital from June 2018 to May 2023. The medical records of all the children were collected, and clinical characteristics, procedural information, and follow-up data were carefully reviewed.ResultsA total of 848 patients underwent inguinal hernia repair, with ages ranging from 7 months to 13 years (2.99 ± 2.49 years), including 756 males and 92 females. A total of 528 cases of unilateral hernia and 310 cases of bilateral hernia were reported, with intra-operative findings revealing contralateral occult hernia in 253 cases. Single-port laparoscopic herniorrhaphy was successfully completed in all patients, with no instances of conversion to open surgery. The mean operation time for unilateral hernia repair was (7.50 ± 4.80) min, while for bilateral hernia repair it was (11.55 ± 7.27) min. Five patients presented with subcutaneous emphysema, while two patients experienced a recurrence of inguinal hernia. No complications, such as scrotal hematoma, trocar umbilical hernia and testicular atrophy, were observed. The duration of the follow-up period ranged from 3 to 24 months.ConclusionThe promotion and utilization of single-port laparoscopy combined with a simple hernia needle in clinical practice are justified. Our initial investigation indicates that this surgical approach is both safe and dependable for the management of pediatric inguinal hernia. The procedure presents numerous benefits, including the utilization of uncomplicated instruments, straightforward operation, a clear curative impact, minimal tissue damage, rapid recovery, and the absence of scarring.

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“…Indeed, multiple overlapping systematic reviews have selectively included or excluded different source data on the topic. Despite these variations, what is relatively clear is that the laparoscopic approach to addressing a pediatric inguinal hernia results in a comparable risk profile with regards to the ipsilateral presenting pathology while reducing the risk of a later metachronous hernia on the contralateral side 24–26 . There may be differences in resource utilization rates when comparing the open and laparoscopic techniques: several studies suggest that a unilateral hernia may be more expeditiously addressed with the open approach whereas a bilateral hernia (or ipsilateral hernia with a contralateral patent processus vaginalis) can be repaired more quickly via laparoscopy 27,28 .…”

Section: Surgical Techniques Laparoscopic Versus Openmentioning

confidence: 99%

“…Despite these variations, what is relatively clear is that the laparoscopic approach to addressing a pediatric inguinal hernia results in a comparable risk profile with regards to the ipsilateral presenting pathology while reducing the risk of a later metachronous hernia on the contralateral side. 24 , 25 , 26 There may be differences in resource utilization rates when comparing the open and laparoscopic techniques: several studies suggest that a unilateral hernia may be more expeditiously addressed with the open approach whereas a bilateral hernia (or ipsilateral hernia with a contralateral patent processus vaginalis) can be repaired more quickly via laparoscopy. 27 , 28 Furthermore, laparoscopy may be advantageous in addressing instances of incarcerated inguinal hernias by allowing for easier reduction and inspection of incarcerated contents; a shorter length of stay and less overall complications has been documented in a recent systematic review.…”

Section: Surgical Techniques Laparoscopic Versus Openmentioning

confidence: 99%

Perioperative management of infant inguinal hernia surgery; a review of the recent literature

Taverner

Krishnan

Baird

et al. 2023

Pediatric Anesthesia

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Inguinal hernia surgery is one of the most common electively performed surgeries in infants. The common nature of inguinal hernia combined with the high‐risk population involving a predominance of preterm infants makes this a particular area of interest for those concerned with their perioperative care. Despite a large volume of literature in the area of infant inguinal hernia surgery, there remains much debate amongst anesthetists, surgeons and neonatologists regarding the optimal perioperative management of these patients. The questions asked by clinicians include; when should the surgery occur, how should the surgery be performed (open or laparoscopic), how should the anesthesia be conducted, including regional versus general anesthesia and airway devices used, and what impact does anesthesia choice have on the developing brain? There is a paucity of evidence in the literature on the concerns, priorities or goals of the parents or caregivers but clearly their opinions do and should matter. In this article we review the current clinical surgical and anesthesia practice and evidence for infants undergoing inguinal hernia surgery to help clinicians answer these questions.

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Laparoscopic Extraperitoneal Hernia Repair Versus Open Repair in Boys with Inguinal Hernia: A Meta-Analysis

Cited by 4 publications

References 55 publications

Analysis of the Effect and Efficiency of Tension-Free Hernia Repair and Traditional Surgery in The Treatment of Hernia

Analysis of the Effect and Efficiency of Tension-Free Hernia Repair and Traditional Surgery in The Treatment of Hernia

To use a simple hernia needle for single-port laparoscopic percutaneous inguinal hernia repair in children: a 5-year experience study

Perioperative management of infant inguinal hernia surgery; a review of the recent literature

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