Nachuntersuchungsergebnisse von Operationen kindlicher Patienten mit indirektem Leistenbruch

Hecker, Waldemar Ch.; Ring-Mrozik, E.

doi:10.1007/bf01251903

Cited by 16 publications

(6 citation statements)

References 8 publications

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“…Neither Hecker and Ring-Mrozik [11] nor we could find an influence of the surgeons' educational level on the recurrence rate. Comparable studies on hernia repair in adults do not indicate an increase in the risks of complications and recurrences after operations by a surgeon at the beginning of his or her surgicai education when supervised by a senior surgeon [12,13].…”

Section: Discussioncontrasting

confidence: 76%

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Recurrent inguinal hernias in infants and children

et al. 1995

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The objective of this study was to analyze the etiologic factors possibly associated with the development of recurrent groin hernias in infants and children. For this purpose we analyzed the records of 2754 pediatric patients operated on for primary hernias between 1966 and 1990 at our department who have not had recurrences. They were compared with 28 boys and 4 girls we treated for recurrent hernias during the same period. We found an indirect hernia in 29 cases, a direct hernia in 4 patients, and a femoral hernia in 1 child at the time of reoperation. A significantly high recurrence rate was found to be associated with incarceration (21.9% versus 7.6%), postoperative complications (9.4% versus 1.8%), concomitant diseases (31.2% versus 5.7%), and premature birth. Day case treatment was closely related to concomitant diseases. No impact on the development of recurrences was seen for the surgeons' educational level and the time of day the surgery was performed. Knowledge of the factors contributing to hernia recurrence and perfect surgical technique with reduction of incarcerated hernias and early elective operation may result in fewer recurrences in infants and children.

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Section: Discussioncontrasting

confidence: 76%

“…There are no comparable figures in the literature relating the rates of complications and recurrences in infants and children. The reported complication rates after inguinal hernia repair are 1.5% to 2.5% [8][9][10][11]. The complication rates reported after emergency surgery for incarcerated hernias are much higher: 22% to 33% [4,7].…”

Section: Discussionmentioning

confidence: 99%

Recurrent inguinal hernias in infants and children

et al. 1995

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“…Thirdly, the overall rate of hernia incarceration was 13.45% in this study. This is comparable to those rates reported by others [8,23,24]. These researchers reported rates between 9% and 34%, depending on the age groups.…”

Section: Table 5: Relationship Between Clinical Characteristics (Sex ...supporting

confidence: 89%

Risk of incarceration of inguinal hernias among paediatric patients awaiting elective surgery at the University Teaching Hospital, Lusaka, Zambia

Mulenga,

Bvulani,

Munkonge

2019

mjz

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Background: This study was conducted to determine our own institutional rate and risk of inguinal hernia incarceration among infants and children awaiting elective surgery. Inguinal hernias in infants and children are very common. One of their common complications before surgery is incarceration. Rate and risk ofincarceration among our patients awaiting surgical care was not known. Method: A retrospective review of infants and children under the age of 17 years, who had undergone inguinal hernia repair or had incarcerated, from January 2015 to January 2017 was performed. Interviewer completed questionnaires were used to abstract data from the clinical records. A total of 364 patients were includedfor analysis, in this study. Descriptive statistics, Regression Analysis and Kaplan Meiers Survival Analysis were employed. Results: The infants and children were stratified into seven age groups. The overall incarceration rate was 13.45%. The risk of incarceration was age dependent. It ranged from 0.52 daily risk of incarceration, among neonates, to zero daily risk of incarceration among older children. Longer wait times were associated with increased rate and risk of inguinal hernia incarceration. Conclusion: The overall rate of incarceration was high (13.45%). Longer wait times, infants and younger children, male sex, right sided hernias were associated with unacceptably higher rates & risks. Neonates had as much as 5 times higher risk of incarceration than other children. The best time to operate is before 3 weeks for neonates, before 2 months for infants & before 4 months for younger children to prevent incarceration.

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“…Repair of Inguinal hernia is associated with operative complications such as hernia recurrence, vas deference injuries and testicular atrophy with incidence varying from 1-8%. [18][19][20][21] Long term complications may include chronic pain and infertility in adulthood. The early repair of inguinal hernias in preterm infants must be balanced against the risk of post-operative apnea after general anesthesia.…”

Section: Discussionmentioning

confidence: 99%

Management and outcome of pediatric inguinal hernias with emphasis on technique without opening the inguinal canal- a single center experience

Girdhar,

Singh,

Mallick

2023

Int J Res Med Sci

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Background: Herniotomy for congenital inguinal hernia in children is a fairly common surgical procedure. Inguinal hernias in infants can be repaired by conventional surgery as well as laparoscopic approach. Open repair of inguinal hernias in children without opening the inguinal canal, thereby maintaining the normal anatomy was done at our centre. Objective was to evaluate the course and outcome of paediatric congenital inguinal hernia cases operated at our centre. Methods: This study was conducted in a service hospital (Military Hospital Jammu), on 67 patients presenting with congenital inguinal hernia during October 2014 to June 2017. Results: Sixty-two children were male and five were female. 18 were less than one year, 38 between two to five year and 11 more than five years. All the patients were evaluated preoperatively and taken up for surgery under general anesthesia (n=18) spinal block (n=36) and caudal anesthesia (n=13). Approximate length of skin incision was 1.5 to 2.0 cm. External inguinal ring was opened in 3 cases only. Approximate postoperative stay in hospital was 1-2 days. Nine patients had reactive hydrocele and one patient developed surgical site infection (SSI). On 12 months post-operative follow up, none of the patients had any further complications. Conclusions: Inguinal hernias are common in children, with increased risk of incarceration if not repaired early. Open technique without altering the inguinal canal anatomy is also a suitable alternative to congenital inguinal hernia repair in children with favourable comparable outcome.

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Nachuntersuchungsergebnisse von Operationen kindlicher Patienten mit indirektem Leistenbruch

Cited by 16 publications

References 8 publications

Recurrent inguinal hernias in infants and children

Recurrent inguinal hernias in infants and children

Risk of incarceration of inguinal hernias among paediatric patients awaiting elective surgery at the University Teaching Hospital, Lusaka, Zambia

Management and outcome of pediatric inguinal hernias with emphasis on technique without opening the inguinal canal- a single center experience

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