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Published on: July 28, 2022
Nutritional state and herniorrhaphy in premature infants
Maria Weber Guimarães Barreto1, Antonio Aldo Melo-Filho, Jaime Oliveira Neto
1Division of Pediatric Surgery, Department of Surgery, State University of Campinas-Unicamp, Campinas, São Paulo, Brazil.
Insights
Early surgical repair of inguinal hernias in premature infants is safe and effective, reducing complications like incarceration. Postoperative outcomes for these infants are similar, irrespective of their nutritional status.
Area of Science:
- Pediatric Surgery
- Neonatal Medicine
- Surgical Outcomes
Background:
- Inguinal hernia is common in premature infants, with debated optimal surgical timing.
- The impact of neonatal nutritional status on hernia diagnosis and surgical outcomes is unclear.
Purpose of the Study:
- To evaluate the safety and efficacy of early inguinal hernia repair in premature infants before hospital discharge.
- To compare clinical and perioperative data between two nutritional groups of premature neonates undergoing hernia repair.
Main Methods:
- Retrospective analysis of premature neonates undergoing inguinal hernia repair.
- Comparison of outcomes based on two distinct nutritional status groups.
Main Results:
- Early inguinal hernia repair is feasible and does not increase complication rates.
- Early repair reduces the risk of hernia incarceration and prevents readmission.
- Postoperative outcomes were comparable between premature infants with different nutritional statuses.
Conclusions:
- Early surgical correction of inguinal hernias in premature infants is a safe and beneficial approach.
- Nutritional status does not appear to significantly affect the postoperative results of inguinal hernia repair in this population.
Abstract:
The incidence of inguinal hernia in premature infants is significantly high, and the optimal timing for its correction is controversial. Furthermore, whether the nutritional status of neonates will alter hernia diagnosis and postoperative results has not been demonstrated. The aim of this study was to analyze the results of premature neonates who underwent inguinal hernia repair before hospital discharge, comparing clinical features and perioperative data of two distinct nutritional groups. It was verified that early inguinal hernia repair is feasible without an escalation in the incidence of complications, thereby reducing the risk of incarceration and avoiding subsequent hospitalization. Moreover, premature infants had similar postoperative outcomes regardless of their nutritional status.
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