Laparoscopic versus Open Herniorrhapy in Corrected Age 3 Months

Yu Jeong Cho; Dae Yeon Kim

doi:10.13029/jkaps.2017.23.2.48

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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

DOI: https://doi.org/10.13029/jkaps.2017.23.2.48

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

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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ABSTRACT
NOTES
REFERENCES

ABSTRACT

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

NOTES

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

REFERENCES

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3. Shalaby R, Ismail M, Dorgham A, Hefny K, Alsaied G, Gabr K, et al. Laparoscopic hernia repair in infancy and childhood: evaluation of 2 different techniques. J Pediatr Surg 2010;45:2210-2216.
4. Schier F. Laparoscopic inguinal hernia repair-a prospective personal series of 542 children. J Pediatr Surg 2006;41:1081-1084.
5. Cam C, Celik C, Sancak A, Iskender C, Karateke A. Inguinal herniorrhaphy in childhood may result in tubal damage and future infertility. Arch Gynecol Obstet 2009;279:175-176.
6. Eshtewi SA. Laparoscopy complications in neonates and small infants. World J Laparosc Surg 2008;1:15-19.
7. Hillier SC, Krishna G, Brasoveanu E. Neonatal anesthesia. Semin Pediatr Surg 2004;13:142-151.
8. Turial S, Enders J, Krause K, Schier F. Laparoscopic inguinal herniorrhaphy in babies weighing 5 kg or less. Surg Endosc 2011;25:72-78.
9. Chan IH, Lau CT, Chung PH, Chan KL, Lan LC, Wong KK, et al. Laparoscopic inguinal hernia repair in premature neonates: is it safe? Pediatr Surg Int 2013;29:327-330.
10. Lee SL, Gleason JM, Sydorak RM. A critical review of premature infants with inguinal hernias: optimal timing of repair, incarceration risk, and postoperative apnea. J Pediatr Surg 2011;46:217-220.
11. Lautz TB, Raval MV, Reynolds M. Does timing matter? A national perspective on the risk of incarceration in premature neonates with inguinal hernia. J Pediatr 2011;158:573-577.
12. Schier F. Laparoscopic herniorrhaphy in girls. J Pediatr Surg 1998;33:1495-1497.
13. Chan KL, Tam PK. Technical refinements in laparoscopic repair of childhood inguinal hernias. Surg Endosc 2004;18:957-960.
14. Lee Y, Liang J. Experience with 450 cases of micro-laparoscopic herniotomy in infants and children. Pediatr Endo Surg Innov Tech 2002;6:25-28.
15. Ron O, Eaton S, Pierro A. Systematic review of the risk of developing a metachronous contralateral inguinal hernia in children. Br J Surg 2007;94:804-811.

Fig. 1

View of vas and spermatic vessel.

Fig. 2

The purse-string suture with non-absorbable suture.

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.

Figure & Data

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Short-term outcomes of pediatric laparoscopic inguinal hernia repair in Korea based on Korean Health Insurance Big Data: 2011–2015
J. W. Park, H. Y. Jang, G. W. Kang
Hernia.2021; 25(1): 205. CrossRef

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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

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

Figure

Laparoscopic versus Open Herniorrhapy in Corrected Age 3 Months

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

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 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.

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Laparoscopic versus Open Herniorrhapy in Corrected Age 3 Months

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ABSTRACT

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REFERENCES

View of vas and spermatic vessel.

The purse-string suture with non-absorbable suture.

Data for the Study Patients according to Operative Type

Figure & Data

References

Citations

CITE

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Fig. 1

Fig. 2

Data for the Study Patients according to Operative Type

Table 1

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