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

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

doi:10.1016/j.jpedsurg.2011.02.059

Cited by 50 publications

(28 citation statements)

References 14 publications

(12 reference statements)

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“…Nonetheless, to possibly explain this differential output, Puri's patients were averagely older and heavier (infants versus neonates) with a subsequently lower intrinsic risk of testicular damaging following incarceration. Anyway, the results of our series of patients confirmed that testicular atrophy has the highest incidence after incarceration, as previously published by most authors [11][12][13], though in contrast to what recently reported by Baird and colleagues in 2011 who pointed on prematurity as a major risk factor for complications [2].…”

Section: Discussionsupporting

confidence: 91%

See 1 more Smart Citation

Inguinal hernia in neonates and ex-preterm: complications, timing and need for routine contralateral exploration

et al. 2014

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The results of our series demonstrated that, though technically demanding, herniotomy in the neonate and ex-preterm is associated with a relatively low incidence of complications. Based on our results and in accordance with literature data, we do not advocate routine contralateral exploration in case of unilateral hernia but surgery to be performed only on the symptomatic side, as soon as possible after initial diagnosis. Very low birth weight patients should be followed with care in the early postoperative period due to the higher likelihood of developing a metachronous hernia.

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Section: Discussionsupporting

confidence: 91%

“…Preterm babies have a higher likelihood to develop inguinal hernia that occurs with an incidence that has been reported to be as high as 30 % [2][3][4][5][6]. As a consequence, inguinal hernia repair is one the most common surgical procedures performed by pediatric surgeons.…”

Section: Introductionmentioning

confidence: 99%

Inguinal hernia in neonates and ex-preterm: complications, timing and need for routine contralateral exploration

et al. 2014

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“…33 Conversely, a retrospective analysis by Baird et al revealed a higher rate of complications in infants who were 43 weeks' corrected gestational age or younger, compared with those who underwent repair at an older age. 34 They speculated that the greater friability of the hernia sac in former preterm infants predisposes to repair failure.…”

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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“…The surgical repair is easy to perform, relatively safe and has minimal postoperative morbidities 4,5,6 . Delay in repair or failure to recognize and diagnose the condition may result in development of incarceration.…”

Section: Introductionmentioning

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

Cited by 50 publications

References 14 publications

Inguinal hernia in neonates and ex-preterm: complications, timing and need for routine contralateral exploration

Inguinal hernia in neonates and ex-preterm: complications, timing and need for routine contralateral exploration

Assessment and Management of Inguinal Hernia in Infants

Factors Associated With Manual Reduction of Incarcerated Inguinal Hernia in Children

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