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Laparoscopic repair of inguinal hernia in infants: Comparison with open hernia repair

In Geol Ho1, Kyong Ihn1, Eun-Jung Koo1

  • 1Department of Pediatric Surgery, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.

Journal of Pediatric Surgery
|February 26, 2018
PubMed

Insights

Laparoscopic repair (LR) of infant inguinal hernias is superior to open repair (OR), showing fewer contralateral hernias and shorter operation times. LR offers a better postoperative course, making it a preferred method for infant inguinal hernia treatment.

Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery
  • Hernia Repair

Background:

  • Inguinal hernia is a common condition in infants.
  • Traditional open hernia repair (OR) has limitations.
  • Laparoscopic repair (LR) offers potential advantages.

Purpose of the Study:

  • To compare the effectiveness and outcomes of laparoscopic repair (LR) versus open repair (OR) for inguinal hernias in infants.

Main Methods:

  • Retrospective analysis of clinical data from 465 infants with inguinal hernia (2006-2015).
  • 124 infants underwent LR, and 341 underwent OR.
  • Comparison of recurrence rates, operation times, and postoperative complications.

Main Results:

  • LR significantly reduced metachronous contralateral inguinal hernia development (1.6% vs. 13.6%).
  • Bilateral LR had shorter operation times than bilateral OR (39.8 vs. 51.1 min).
  • Postoperative scrotal swelling was more frequent in OR (4.0% vs. 0.0%).

Conclusions:

  • Laparoscopic repair (LR) demonstrates a lower incidence of metachronous hernias and shorter operative times compared to open repair (OR).
  • LR offers an improved postoperative course for infants with inguinal hernia.
  • LR should be considered a primary surgical option for infant inguinal hernias.
Abstract

Keywords:
InfantInguinal herniaLaparoscopic repair

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