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Published on: November 12, 2021
High recurrence rate of children's inguinal hernia after percutaneous internal ring suturing: a single-center study
A Kilda1, M Berzanskis2, A Lukosiute-Urboniene1
1Department of Pediatric Surgery, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Insights
Laparoscopic Intracorporeal Closure of the Processus Vaginalis (LICPV) is associated with lower recurrence rates in pediatric inguinal hernia repair compared to Percutaneous Internal Ring Closure (PIRS). This study highlights LICPV as a potentially more effective technique for reducing hernia recurrence in children.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Hernia Repair
Background:
- Inguinal hernias are common in children.
- Laparoscopic techniques offer minimally invasive repair options.
- Comparing recurrence rates between different laparoscopic methods is crucial for optimizing outcomes.
Purpose of the Study:
- To compare recurrence rates of Laparoscopic Intracorporeal Closure of the Processus Vaginalis (LICPV) versus Percutaneous Internal Ring Closure (PIRS) in pediatric inguinal hernia repair.
- To analyze factors influencing recurrence, including surgical technique and patient demographics.
Main Methods:
- Retrospective analysis of 240 pediatric patients undergoing laparoscopic inguinal hernia repair (2005-2018).
- Comparison of recurrence rates between LICPV (170 patients) and PIRS (70 patients) techniques.
- Analysis included demographic data, operative time, surgeon influence, and recurrence timing.
Main Results:
- Overall recurrence rate was 8.3%.
- PIRS group showed a significantly higher recurrence rate (18.6%) compared to LICPV (4.11%, p < 0.05).
- Males had higher recurrence rates than females; recurrence occurred sooner after PIRS than LICPV.
Conclusions:
- LICPV technique demonstrates a significantly lower recurrence rate than PIRS in pediatric inguinal hernia repair.
- The findings suggest LICPV may be a preferred method for reducing hernia recurrence in children.
Aim:
To evaluate and compare the differences in recurrence rates of post inguinal hernia repair in children using Laparoscopic Intracorporeal Closure of the Processus Vaginalis (LICPV) and Percutaneous Internal Ring Closure (PIRS) operating techniques and compare them to published data.
Methods:
A retrospective data analysis of children who underwent LICPV or PIRS techniques between 2005 and 2018 in the tertiary paediatric surgery department of university hospital was done. We analyzed demographic data, operating time, the influence of surgeon, recurrence rate, and the time until recurrence within an observed period of time post-operatively.
Results:
A total of 240 patients underwent laparoscopic inguinal hernia repair procedures between 2005 and 2018. Of them 138 (57.5%) were male and 102 (42.5%) were female, with mean age of 6.48 (SD ± 4.7). LICPV method accounted for 170 (70.8%) inguinal hernia repairs, whilst 70 (29.2%) underwent the PIRS procedure. The overall recurrence rate was 8.3%; it was significantly higher in the PIRS group (18.6% versus 4.11%, p < 0.05). Males presented higher recurrence rates over females across both procedures. The mean time taken for any recurrence to happen was shorter in patients who underwent the PIRS method as opposed to LICPV techniques, 3.3 and 6.5 months, respectively (p > 0.05).
Conclusion:
In our hands, a significantly higher recurrence rate exists for children undergoing the PIRS method over LICPV techniques when treating inguinal hernias.
