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Open Access 01-12-2020 | Laparoscopy | Research article

A comparative study examining laparoscopic and open inguinal hernia repair in children: a retrospective study from a single center in China

Authors: Jie Liu, XiongWei Wu, WenLi Xiu, XiWei Hao, Jing Zhao, Bin Wei, Qian Dong

Published in: BMC Surgery | Issue 1/2020

Abstract

Background

Pediatric inguinal hernia (PIH) is a common disease in children. Laparoscopic hernia repair (LHR) has developed rapidly in recent years, but there are still different opinions compared with traditional open hernia repair (OHR). The purpose of this study was to compare the advantages and disadvantages of LHR and OHR in the treatment of pediatric inguinal hernia.

Methods

We performed a retrospective review of all children (< 14 years) who underwent repair of inguinal hernia in the pediatric surgery center of the Affiliated Hospital of Qingdao University from January 2015 to December 2015. We collected the medical records of all the children and analyzed the clinical characteristics, operation-related information and follow-up.

Results

In the OHR group, 202 cases underwent unilateral inguinal hernia repair, and 43 cases underwent bilateral inguinal hernia repair. In the LHR group, 168 cases underwent unilateral inguinal hernia repair, and 136 cases underwent bilateral inguinal hernia repair. There was a significant difference in the operation time between the two groups, but there were no significant differences in postoperative hospitalization time and incidence of ipsilateral recurrent hernia between the two groups. The incidence rates of metachronous contralateral hernia (MCH) and surgical site infection in LHR group were significantly lower than those in the OHR group.

Conclusion

Our study shows that compared with OHR, LHR has the advantages of concealed incision, minimal invasiveness, reduced operation time, detection of contralateral patent processus vaginalis, and reduced incidence of MCH. In conclusion, LHR is safe and effective in the treatment of pediatric indirect inguinal hernia.

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Title: A comparative study examining laparoscopic and open inguinal hernia repair in children: a retrospective study from a single center in China
Authors: Jie Liu
XiongWei Wu
WenLi Xiu
XiWei Hao
Jing Zhao
Bin Wei
Qian Dong
Publication date: 01-12-2020
Publisher: BioMed Central
Keywords: Laparoscopy
Incision
Inguinal Hernia
Published in: BMC Surgery / Issue 1/2020
Electronic ISSN: 1471-2482
DOI: https://doi.org/10.1186/s12893-020-00912-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A comparative study examining laparoscopic and open inguinal hernia repair in children: a retrospective study from a single center in China

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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