Assessment of the delayed repair of uncomplicated inguinal hernias in infants.

CONCLUSION: Delayed repair, up to 2 months later, for uncomplicated infant hernia carries a small risk of incarceration but does not increase the rate of strangulation or other complications. PMID: 32243110 [PubMed - as supplied by publisher]
Source: South African Journal of Surgery - Category: Surgery Tags: S Afr J Surg Source Type: research

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Conclusion: Hook and purse-string methods are equally popular in LHR for paediatric incarcerated hernias, with 50% hernia reductions possible at the time of surgery. Recurrence rate is low and comparable with non-incarcerated hernias; however, it is significantly higher in purse-string method than hook technique.
Source: Journal of Minimal Access Surgery - Category: Surgery Authors: Source Type: research
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...
Source: Surgery Today - Category: Surgery Source Type: research
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.
Source: Hernia - Category: Sports Medicine Source Type: research
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.
Source: Surgery - Category: Surgery Authors: Tags: Letter to the Editor Source Type: research
Abstract A 2-month-old male infant presented for elective repair of inguinal hernias. His preoperative medical history and physical examination were unremarkable. During induction of anesthesia, the infant sustained an adverse cardiac event. The event was characterized by tachycardia, hypotension, and massive ST-segment elevation. Despite vigorous resuscitation, spontaneous hemodynamic stability could not be achieved and extracorporeal membrane oxygenation was required. A transthoracic echocardiogram revealed severe hypoplasia of the ascending aorta. As effective cardiac function did not recover and there was evid...
Source: Annals of Cardiac Anaesthesia - Category: Anesthesiology Authors: Tags: Ann Card Anaesth Source Type: research
The GAS study is an international RCT to evaluate neurodevelopmental outcome comparing general plus regional anesthesia versus regional anesthesia alone in 722 neonates and infants who had inguinal hernia repair up to 60 weeks of postmenstrual age. This paper comprises a secondary descriptive analysis of hernias, aspects of surgery and outcomes.
Source: Journal of Pediatric Surgery - Category: Surgery Authors: Source Type: research
Eur J Pediatr Surg DOI: 10.1055/s-0037-1608802Inguinal hernias in children occur with a prevalence ranging from 3 to 5%. The likelihood of a symptomatic patent processus vaginalis is significantly higher in preterms, as reported by most series. As a consequence, inguinal hernia represents the most common condition requiring surgical repair in the neonate and preterm baby. Surgery aims at avoiding and preventing intestinal and gonadal lesions related to incarceration. Nonetheless, hernia repair is technically demanding, with a relatively high risk of complications including recurrence and testicular atrophy. This paper will...
Source: European Journal of Pediatric Surgery - Category: Surgery Authors: Tags: Review Article Source Type: research
Publication date: Available online 25 January 2017 Source:Journal of Pediatric Surgery Case Reports Author(s): Amanda Dann, Shant Shekherdimian Laparoscopic inguinal hernia repair (LIHR) has been shown to be safe and effective in the pediatric population. However, a number of complications exist that are unique to this approach. Here, we provide a review of the the literature of rare complications of LIHR and present a case of an extraperitoneal sliding inguinal hernia containing bladder that was unrecognized at the time of laparoscopic repair. While LIHR is associated with low complication rates, our review revealed nume...
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
ConclusionChildren ≤3 years of age in our cohort safely underwent LH with similar pain scores, complications, and recurrence as OH. Parents and caregivers report high satisfaction with both techniques.
Source: Pediatric Surgery International - Category: Surgery Source Type: research
ConclusionsOn the basis of our twenty-year experience, we prefer to perform IH repair in children using laparoscopy rather than inguinal approach. Laparoscopy is as fast as inguinal approach, and it has the advantage to treat during the same anesthesia a contralateral patency occured in about 40  % of our cases and to treat also rare hernias in about 3 % of cases.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
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