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Original Article

Laparoscopic versus Open Herniorrhapy in Corrected Age 3 Months

Yu Jeong Cho, Dae Yeon Kim
Journal of the Korean Association of Pediatric Surgeons 2017;23(2):48-51.
Published online: December 20, 2017

Department of Pediatric Surgery, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, Korea.

Correspondence: Dae Yeon Kim, Department of Pediatric Surgery, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea. Tel: +82-2-3010-3510, Fax: +82-2-3010-6701, kimdy@amc.seoul.kr
• Received: May 11, 2017   • Revised: August 16, 2017   • Accepted: August 23, 2017

Copyright © 2017 Korean Association of Pediatric Surgeons

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Purpose
    Inguinal hernia in early infant is a challenging surgical condition. This study aims to evaluate the efficacy and safety of laparoscopic inguinal hernia repair (LH) for small babies in corrected age 3 months compared with the traditional open inguinal hernia repair (OH).
  • Methods
    Medical records were retrospectively reviewed in 232 pediatric patients under corrected age 3 months who underwent inguinal hernia repair from January 1, 2013 to December 31, 2015. The chi-squared and Fisher's exact test were used to analyze the results of the study.
  • Results
    As for operative time, in unilateral/bilateral inguinal hernia repair, OH is faster than LH (p<0.05 vs. p=0.06). But operation time gap is shorter in bilateral hernia than unilateral hernia. As for operation site, bilateral inguinal hernia case was more performed in LH than OH (p<0.05). For comparison with the spontaneous breathing recovery time, there was no statistical difference between the two techniques (p=0.96). As for the recurrence rate, no significant difference was observed between the two techniques (p=0.36), whereas the relative risk of recurrence was higher for OH compared with LH (OR=1.56).
  • Conclusion
    LH is also feasible and safe procedure as OH for small babies in corrected age 3 months for experienced pediatric surgeons.
  • Keywords: Infant; Hernia; Inguinal; Herniorrhaphy; Laparoscopy

No potential conflict of interest relevant to this article was reported.

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Fig. 1

View of vas and spermatic vessel.

jkaps-23-48-g001.jpg
Fig. 2

The purse-string suture with non-absorbable suture.

jkaps-23-48-g002.jpg
Table 1

Data for the Study Patients according to Operative Type

Values are presented as n (%), mean±SD (median), or mean (median).

OH, open inguinal hernia repair; LH, laparoscopic inguinal hernia repair.

*p<0.05.

Right/left: a)56/60; b)8/13.

jkaps-23-48-i001.jpg

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Laparoscopic versus Open Herniorrhapy in Corrected Age 3 Months
J Korean Assoc Pediatr Surg. 2017;23(2):48-51.   Published online December 20, 2017
DOI: https://doi.org/10.13029/jkaps.2017.23.2.48
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
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Laparoscopic versus Open Herniorrhapy in Corrected Age 3 Months
J Korean Assoc Pediatr Surg. 2017;23(2):48-51.   Published online December 20, 2017
DOI: https://doi.org/10.13029/jkaps.2017.23.2.48
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Laparoscopic versus Open Herniorrhapy in Corrected Age 3 Months
Image Image
Fig. 1 View of vas and spermatic vessel.
Fig. 2 The purse-string suture with non-absorbable suture.

Fig. 1

Fig. 2

Laparoscopic versus Open Herniorrhapy in Corrected Age 3 Months

Data for the Study Patients according to Operative Type

Values are presented as n (%), mean±SD (median), or mean (median).

OH, open inguinal hernia repair; LH, laparoscopic inguinal hernia repair.

*p<0.05.

Right/left: a)56/60; b)8/13.

Table 1 Data for the Study Patients according to Operative Type

Values are presented as n (%), mean±SD (median), or mean (median).

OH, open inguinal hernia repair; LH, laparoscopic inguinal hernia repair.

*p<0.05.

Right/left: a)56/60; b)8/13.

Table 1

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