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Indian Journal of Pediatrics
Published in: Indian Journal of Pediatrics 7/2017

01-07-2017 | Review Article

Choice of Repairing Inguinal Hernia in Children: Open Versus Laparoscopy

Authors: Venkatachalam Raveenthiran, Prakash Agarwal

Published in: Indian Journal of Pediatrics | Issue 7/2017

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Abstract

Inguinal hernia is a common disorder of childhood that requires surgical repair at diagnosis. Traditionally, it is operated upon by open inguinal incision. However, with the introduction of laparoscopic repair in 1990, opinion of scientific community is divided concerning the best method of pediatric herniotomy. Educated parents, who long to have the choicest of the best, often gather information from internet and prefer to discuss their concerns with primary care physicians. This descriptive review is intended to provide practicing pediatricians with updated evidence-based information which will enable them to counsel parents regarding the choice of hernia repair. Based on careful analysis of current literature, unacceptable standards are defined in this paper and rationalized recommendations are proposed. Laparoscopy appears to be beneficial in bilateral hernia of girls, giant hernia, recurrence following failed open repair and in hernia associated with undescended testis or ambiguous genitalia. On the other hand, open herniotomy appears to be advantageous in male inguinal hernia, unilateral female hernia, premature newborns, failed laparoscopic repair and in hernia associated with serious co-morbidity.
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Metadata
Title
Choice of Repairing Inguinal Hernia in Children: Open Versus Laparoscopy
Authors
Venkatachalam Raveenthiran
Prakash Agarwal
Publication date
01-07-2017
Publisher
Springer India
Published in
Indian Journal of Pediatrics / Issue 7/2017
Print ISSN: 0019-5456
Electronic ISSN: 0973-7693
DOI
https://doi.org/10.1007/s12098-017-2354-9

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