Review and Quality Assessment of Systematic Reviews and Meta-analyses on the Management of Pediatric Inguinal Hernias: A Descriptive Study

Alshahwani, Noora; Briatico, Daniel; Lee, Won–Jae; Farrokhyar, Forough

doi:10.1016/j.jss.2022.04.008

Cited by 2 publications

(1 citation statement)

References 46 publications

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“…Except for necessary surgery, the most common etiologies of received GA during early childhood are minor surgery, including inguinal hernia [ 19 ], redundant prepuce, phimosis [ 20 ], and hydrocele [ 21 ]. In addition, there is a steady growth of the widespread use of GA in children, such as dental treatment [ 22 , 23 ], MRI image study [ 24 ], or removal of a foreign body in the external auditory canal, nose, or esophagus [ 25 , 26 ].…”

Section: Introductionmentioning

confidence: 99%

General Anesthesia in Early Childhood Significantly Reduces Asthma Incidence and Clinical Visits: A Nationwide Population-Based Cohort Study

Yang

Chang

et al. 2023

Children

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Few studies have focused on the consequence of exposure to general anesthesia (GA) in children’s early life with the risk of asthma and disease outcomes. The present study examines the correlation between exposure to GA under three years old and the subsequent course of asthma in a nationwide population-based cohort study. Our cases were acquired from Taiwan’s National Health Insurance Research Database (NHIRD). Children under three years old with either GA exposure or not during in-patient treatment from 1997 to 2008 were included. The study group was age- and sex-matched with a ratio of 1:2 to create the control group for comparison. The cohort included 2261 cases with GA and 4522 cases without GA as a control group. The incidence of asthma onset was significantly reduced in patients with GA exposure under 3 three years old (hazard ratio 0.64 (95% confidence interval 0.57~0.72), p < 0.001). In addition, regardless of whether the asthmatic clinical visits were before or after GA exposure, asthma onset patients before GA exposure have significantly fewer clinical visits than those without GA exposure (both p < 0.001, respectively). Using the Kaplan–Meier method, we also demonstrated that GA exposure was associated with favorable clinical visits in patients with asthma, whether their asthma was onset before GA (p = 0.0102) or after GA exposure (p = 0.0418) compared to non-GA-exposed controls. In the present study, we demonstrated that children with early GA exposure under three years old were at a reduced risk of developing asthma compared to the general population. Furthermore, we first reported that GA exposure significantly reduced clinical visits in patients with asthma regardless of whether their asthma onset was before or after GA exposure. It is indicated that GA exposure at a younger age could have potential clinical benefits for asthma than non-GA-exposed controls.

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Section: Introductionmentioning

confidence: 99%

General Anesthesia in Early Childhood Significantly Reduces Asthma Incidence and Clinical Visits: A Nationwide Population-Based Cohort Study

Yang

Chang

et al. 2023

Children

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Individualized Treatment of Inguinal Hernia in Children

Sakellaris¹,

Zachos²,

Athanasopoulou³

et al. 2023

Hernia Updates and Approaches

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The commonest type of hernia in children is the inguinal one. Either scheduled or as an emergency, hernia surgery is performed daily in every pediatric surgical institution worldwide, regardless of age or gender. In this chapter we deal with the embryology of the inguinal canal and its pathophysiological association with hernia formation. We also discuss the most frequent clinical and diagnostic issues of the pediatric hernia. The management and treatment of the strangulated hernia, the differential diagnosis, and the particular uncommon hernia types are presented as well. We finally present the evolution of hernia surgery from the classical operative methods to the modern laparoscopic and robotic techniques.

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Review and Quality Assessment of Systematic Reviews and Meta-analyses on the Management of Pediatric Inguinal Hernias: A Descriptive Study

Cited by 2 publications

References 46 publications

General Anesthesia in Early Childhood Significantly Reduces Asthma Incidence and Clinical Visits: A Nationwide Population-Based Cohort Study

General Anesthesia in Early Childhood Significantly Reduces Asthma Incidence and Clinical Visits: A Nationwide Population-Based Cohort Study

Individualized Treatment of Inguinal Hernia in Children

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