Emergent groin hernia repair at a County Hospital in Guatemala: patient-related issues vs. health care system limitations
ConclusionA high number of patients present emergently for groin hernia repair at a county hospital in Guatemala compared to developed countries. Our data suggest that emergent hernias are likely the result of patient-related issues rather than health care system limitations.
AbstractPurposeWe compared the outcomes of laparoscopic surgery (LS) with those of open surgery (OS) for unilateral and bilateral pediatric inguinal hernia.MethodsUsing a nationwide claim-based database in Japan, we analyzed data from children younger than 15 years old, who underwent inguinal hernia repair between January 2005 and December 2017. Patient characteristics, incidence of reoperation, postoperative complications, length of hospital stay, and duration of anesthesia were compared between LS and OS for unilateral and bilateral hernia.ResultsAmong 5554 patients, 2057 underwent LS (unilateral 1095, bilateral 96...
Conclusions: All patients had successful abdominal wall closure. Most of the patients had minimal scar of the large hernia repair and the umbilicus was normal looking and well accepted cosmetically.
ConclusionThis preliminary study showed that NAIRS after cauterization of the neck of the hernia sac in infants and children is safe, feasible, reproducible with excellent cosmetic results.
ConclusionSPLPEC of inguinal hernia using “two-hooked” core needle apparatus in children is a feasible and reliable minimal invasive procedure. It has the advantages of short operating time, low complication rate, low recurrence rate and better cosmetic result.
We thank Dr. Argo for his interest and for his thoughtful comments on our work.1 There is unquestionably a role for perioperative nonopioid analgesia in reducing the use of opioids after surgery. Although the amount of tissue disruption in pediatric umbilical hernias is generally minimal and local anesthetic and nonnarcotic oral analgesics are —in our experience—highly effective, more sophisticated techniques, such as regional nerve blocks, are increasingly being used in both pediatric and adult surgery.
ConclusionOur results indicate similar outcome after laparoscopic and open techniques for groin hernia repair in children. The surgeon ’s preference as well as the wishes of the patient and parents should therefore determine the surgical approach.
AbstractPurposeThe introduction of laparoscopy for hernia repair permits intra-abdominal observation of a hernia and contralateral persistent processus vaginalis (CPPV). The current study ’s aim was to investigate the diameter of opening of an inguinal hernia and CPPV in patients with unilateral inguinal hernia, and to evaluate their correlation with age.MethodsFrom September 2012 to August 2017, 569 pediatric patients underwent laparoscopic repair of unilateral inguinal hernia. We retrospectively evaluated the size of the hernia and CPPV by measuring the diameter of opening. Pearson correlation analysis and linear-b...
We examined variation in opioid prescription fills after repair of uncomplicated umbilical hernias to characterize the types and doses of medication used and persistent postsurgical use.
AbstractPurposeUmbilical hernias are common in young children. Many resolve spontaneously by age four with very low risk of symptoms or incarceration. Complications associated with surgical repair of asymptomatic umbilical hernias have not been well elucidated. We analyzed data from one hospital to test the hypothesis that repair at younger ages is associated with increased complication rates.MethodsA retrospective chart review of all umbilical hernia repairs performed during 2007 –2015 was conducted at a tertiary care children’s hospital. Patients undergoing repairs as a single procedure for asymptomatic herni...
ConclusionLaparoscopic reoperation with hernia sac removal and suture repair of the muscular arch of the internal inguinal ring with nonabsorbable material is an effective operation with few recurrences and complications.