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A comparative study examining laparoscopic and open inguinal hernia repair in children: a retrospective study from a
Jie Liu1,2, XiongWei Wu1, WenLi Xiu1
1Department of Pediatric Surgery, Affiliated Hospital of Qingdao University, Qingdao University, No. 16 Jiangsu Road, Shinan District, Qingdao, 266000, Shandong Province, China.
Insights
Laparoscopic hernia repair (LHR) offers advantages over open hernia repair (OHR) for pediatric inguinal hernias, including shorter operation times and lower infection rates. LHR is a safe and effective treatment option for children.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
Background:
- Pediatric inguinal hernia (PIH) is a prevalent condition in children.
- Laparoscopic hernia repair (LHR) is increasingly used, yet its comparison with traditional open hernia repair (OHR) remains debated.
Purpose of the Study:
- To compare the advantages and disadvantages of LHR versus OHR for pediatric inguinal hernia treatment.
Main Methods:
- Retrospective review of pediatric patients (<14 years) undergoing inguinal hernia repair between January 2015 and December 2015.
- Analysis of clinical characteristics, operative details, and follow-up data for both LHR and OHR groups.
Main Results:
- LHR group showed significantly lower rates of metachronous contralateral hernia (MCH) and surgical site infection compared to OHR.
- No significant differences were observed in postoperative hospitalization or ipsilateral recurrent hernia rates.
- Operation time differed significantly between LHR and OHR groups.
Conclusions:
- LHR offers benefits such as concealed incisions, minimal invasiveness, and reduced MCH incidence.
- LHR facilitates detection of contralateral patent processus vaginalis.
- Laparoscopic hernia repair is a safe and effective method for treating pediatric indirect inguinal hernias.
Background:
Pediatric inguinal hernia (PIH) is a common disease in children. Laparoscopic hernia repair (LHR) has developed rapidly in recent years, but there are still different opinions compared with traditional open hernia repair (OHR). The purpose of this study was to compare the advantages and disadvantages of LHR and OHR in the treatment of pediatric inguinal hernia.
Methods:
We performed a retrospective review of all children (< 14 years) who underwent repair of inguinal hernia in the pediatric surgery center of the Affiliated Hospital of Qingdao University from January 2015 to December 2015. We collected the medical records of all the children and analyzed the clinical characteristics, operation-related information and follow-up.
Results:
In the OHR group, 202 cases underwent unilateral inguinal hernia repair, and 43 cases underwent bilateral inguinal hernia repair. In the LHR group, 168 cases underwent unilateral inguinal hernia repair, and 136 cases underwent bilateral inguinal hernia repair. There was a significant difference in the operation time between the two groups, but there were no significant differences in postoperative hospitalization time and incidence of ipsilateral recurrent hernia between the two groups. The incidence rates of metachronous contralateral hernia (MCH) and surgical site infection in LHR group were significantly lower than those in the OHR group.
Conclusion:
Our study shows that compared with OHR, LHR has the advantages of concealed incision, minimal invasiveness, reduced operation time, detection of contralateral patent processus vaginalis, and reduced incidence of MCH. In conclusion, LHR is safe and effective in the treatment of pediatric indirect inguinal hernia.
