Single-center, retrospective study of the outcome of laparoscopic inguinal herniorrhaphy in children

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Sucharitha Geiger1, Andrei Bobylev, Sabine Schädelin

  • 1Department of Pediatric Surgery, University Children's Hospital Basel Clinical Trial Unit, Department of Clinical Research, University Hospital Basel, Basel, Switzerland University Hospital for Pediatric Surgery Leipzig, Leipzig, Germany.

Medicine
|February 1, 2018
PubMed

Insights

Pediatric laparoscopic hernia repair is safe and effective in children after an initial learning curve. This study found low recurrence and complication rates, with good cosmetic outcomes in most cases.

Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery

Background:

  • Laparoscopic hernia repair is increasingly utilized in pediatric surgical practice.
  • Assessing outcomes is crucial for establishing best practices in pediatric inguinal hernia treatment.

Purpose of the Study:

  • To analyze the outcomes of laparoscopic inguinal hernia repair in children.
  • Evaluate recurrence rates, complications, pain management, and cosmetic results.

Main Methods:

  • STROBE-compliant retrospective cohort study of 123 pediatric patients undergoing laparoscopic hernia repair.
  • Data collected via hospital records and prospective questionnaires.
  • Follow-up duration ranged from 13 to 58 months.

Main Results:

  • Overall recurrence rate was 6.5% (8/123 patients).
  • Postoperative infection occurred in 1.6% (2/123 patients).
  • 86.2% of patients had excellent or good wound cosmesis.

Conclusions:

  • Laparoscopic inguinal hernia repair is a safe and efficient procedure in children, following an initial learning period.
  • Further prospective research is needed to confirm long-term outcomes.

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