J Korean Assoc Pediatr Surg.  2017 Dec;23(2):48-51. 10.13029/jkaps.2017.23.2.48.

Laparoscopic versus Open Herniorrhapy in Corrected Age 3 Months

Affiliations
  • 1Department of Pediatric Surgery, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, Korea. kimdy@amc.seoul.kr

Abstract

PURPOSE
Inguinal hernia in early infant is a challenging surgical condition. This study aims to evaluate the efficacy and safety of laparoscopic inguinal hernia repair (LH) for small babies in corrected age 3 months compared with the traditional open inguinal hernia repair (OH).
METHODS
Medical records were retrospectively reviewed in 232 pediatric patients under corrected age 3 months who underwent inguinal hernia repair from January 1, 2013 to December 31, 2015. The chi-squared and Fisher's exact test were used to analyze the results of the study.
RESULTS
As for operative time, in unilateral/bilateral inguinal hernia repair, OH is faster than LH (p < 0.05 vs. p=0.06). But operation time gap is shorter in bilateral hernia than unilateral hernia. As for operation site, bilateral inguinal hernia case was more performed in LH than OH (p < 0.05). For comparison with the spontaneous breathing recovery time, there was no statistical difference between the two techniques (p=0.96). As for the recurrence rate, no significant difference was observed between the two techniques (p=0.36), whereas the relative risk of recurrence was higher for OH compared with LH (OR=1.56).
CONCLUSION
LH is also feasible and safe procedure as OH for small babies in corrected age 3 months for experienced pediatric surgeons.

Keyword

Infant; Hernia; Inguinal; Herniorrhaphy; Laparoscopy

MeSH Terms

Hernia
Hernia, Inguinal
Herniorrhaphy
Humans
Infant
Laparoscopy
Medical Records
Operative Time
Recurrence
Respiration
Retrospective Studies
Surgeons
Full Text Links
  • JKAPS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
    DB Error: unknown error