Prospective randomized single-center, single-blind Comparison of laparoscopic vs open repair of pediatric inguinal hernia

Chan, Kelvin; Hui, W.C.; Tam, Paul Kwong Hang

doi:10.1007/s00464-004-8224-3

Cited by 179 publications

(161 citation statements)

References 25 publications

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“…62,63 A prospective, randomized, single-blinded trial comparing laparoscopic to open repair of inguinal hernias showed that children who were older than 3 months of age when laparoscopic repair was performed required significantly fewer doses of pain medication. 64 The utility of laparoscopic repair of inguinal hernias in younger infants remains undetermined to date. …”

Section: Laparoscopic Approach To Inguinal Hernia Repair In Infantsmentioning

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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Section: Laparoscopic Approach To Inguinal Hernia Repair In Infantsmentioning

confidence: 99%

Assessment and Management of Inguinal Hernia in Infants

Wang¹,

Papile²,

Baley³

et al. 2012

Pediatrics

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show abstract

“…But they further suggested that considering low incidence of metachronicity in unilateral hernias and the relatively less significance of cosmetic outcome over groin region, conventional open herniotomy may continue as the standard of care especially in resource constrained centres of the developing world. 11,12 As regards the complications, in our study, reactive hydrocele was noticed in 22 cases and all of them resolved by second week. Hydrocele during postoperative period is a frequent occurrence and indicates the continuing fluid secretion from the left over distal sac.…”

Section: Discussionmentioning

confidence: 92%

Herniotomy and its outcome in congenital inguinal hernia at a tertiary care hospital: descriptive study

et al. 2017

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“…Many studies by other authors have compared the operating time of laparoscopic procedure with open procedure and reported shorter time with laparoscopy specially in bilateral cases [11,13]. However, time taken will depend on many factors including experience of surgeon and few authors have reported longer time with laparoscopy [16,17]. Since assessment of postoperative pain is difficult in patients below 2 years of age, only patients above 2 years were evaluated in this study.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Herniotomy – A Single Centre Study of 150 Cases

Verma¹

2017

AJCEM

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Pediatric patients presenting as inguinal hernia or congenital hydrocele is common ailment encountered in surgical practice and herniotomy is a very common surgical procedure performed. Open procedure is gradually being replaced by laparoscopic approach because of the distinct advantages of early recovery, short stay and better cosmetic results. 150 pediatric patients of inguinal hernia or congenital hydrocele were subject of this study. These patients were subjected to laparoscopic herniotomy performed at the neck of the sac and proximal part of peritoneum was closed with non-absorbable polypropyelene suture with aspiration of scrotal sac, if required. Average age of patients was 6.5 year with 93.35% male. 70.6% had inguinal hernia and 29.4% had congenital hydrocele). 68% patients had right sided and 10.6% clinically bilateral lesion. Operating time was 25 minutes in unilateral and 34.8 minutes in bilateral procedure. Postoperative stay was 1.06 days. No intraoperative complication was noted. Recurrence rate was 1.33% and conversion rate was 0.66%. Laparoscopic herniotomy is safe, well tolerated and effective procedure with early recovery, short operating time, less postoperative pain, free of complication, shorter post-operative hospital stay and very low recurrence. It can detect contralateral patent processus vaginalis and bilateral closure of it can be done through same approach.

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Prospective randomized single-center, single-blind Comparison of laparoscopic vs open repair of pediatric inguinal hernia

Cited by 179 publications

References 25 publications

Assessment and Management of Inguinal Hernia in Infants

Assessment and Management of Inguinal Hernia in Infants

Herniotomy and its outcome in congenital inguinal hernia at a tertiary care hospital: descriptive study

Laparoscopic Herniotomy – A Single Centre Study of 150 Cases

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