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Pediatric Surgery International
Published in: Pediatric Surgery International 6/2011

01-06-2011 | Original Article

Laparoscopic versus open inguinal herniotomy in infants and children: a meta-analysis

Author: Abdulrahman Alzahem

Published in: Pediatric Surgery International | Issue 6/2011

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Abstract

Purpose

To undertake a meta-analysis of comparative data of laparoscopic versus open inguinal herniotomy in infants and children.

Methods

We searched MEDLINE, EMBASE, and The Cochrane Central Controlled Trials Registry for relevant randomized controlled trials and observational studies comparing laparoscopic with open inguinal hernia repair in children aged less than 19 years.

Results

Data on 2,699 children were identified from 10 comparative studies. Laparoscopic techniques were associated with a trend towards higher recurrence rate (OR = 1.81; 95% CI 0.89–3.67; p = 0.10), longer operative time for unilateral repairs (WMD = 10.23; 95% CI 8.82–11.64; p < 0.00001), and may be shorter operative time for bilateral repairs (WMD = −4.54; 95% CI −11.63 to 2.55; p = 0.21). There was a significant reduction in developing a contralateral metachronous inguinal hernia in the laparoscopic group (OR = 0.37; 95% CI 0.20–0.67; p = 0.001).

Conclusions

Laparoscopic inguinal herniotomy is significantly associated with longer operative time for unilateral cases and a reduction in metachronous hernia development. There was a trend towards higher recurrence rate for laparoscopic repairs and shorter operative time for bilateral cases. A well conducted randomized controlled trial is warranted to compare both approaches.
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Metadata
Title
Laparoscopic versus open inguinal herniotomy in infants and children: a meta-analysis
Author
Abdulrahman Alzahem
Publication date
01-06-2011
Publisher
Springer-Verlag
Published in
Pediatric Surgery International / Issue 6/2011
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI
https://doi.org/10.1007/s00383-010-2840-x

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