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The Operative Time for Unilateral Inguinal Hernia Repair in Children Performed with Percutaneous Internal Ring
Przemyslaw Karol Wolak1,2, Agnieszka Strzelecka1, Aneta Piotrowska1
1Collegium Medicum, Jan Kochanowski University, ul. Żeromskiego 5, 25-369 Kielce, Poland.
Insights
The Percutaneous Internal Ring Suturing (PIRS) method is faster for pediatric inguinal hernia repair than the open approach (OA). This finding suggests PIRS may be a preferred surgical option, particularly for female patients.
Area of Science:
- Pediatric Surgery
- Surgical Techniques
- Hernia Repair
Background:
- Inguinal hernias are common in children.
- Surgical repair is the standard treatment.
- Comparing different surgical approaches is crucial for optimizing patient outcomes.
Purpose of the Study:
- To compare the operative time of unilateral inguinal hernia repair in children using the open approach (OA) versus the Percutaneous Internal Ring Suturing (PIRS) method.
- To identify factors influencing operative time, such as hernia laterality and patient gender.
Main Methods:
- Retrospective chart review of pediatric patients (0-18 years) undergoing unilateral inguinal hernia repair.
- Data collected from January 2011 to December 2018.
- Exclusion of patients with bilateral hernias or other complications.
Main Results:
- The Percutaneous Internal Ring Suturing (PIRS) method resulted in significantly shorter operative times compared to the open approach (OA).
- Left-sided hernias were associated with longer operative times (p=0.024).
- Operative time was generally longer in males, and PIRS was faster for both genders, especially females.
Conclusions:
- The PIRS procedure is more time-efficient than the OA for pediatric inguinal hernia repair.
- PIRS may be considered a preferred method, particularly for female patients.
- Further research could explore long-term outcomes and cost-effectiveness of PIRS.
Abstract:
In this study, we compared the operative time for unilateral inguinal hernia repair in children performed with either an open approach (OA) or the Percutaneous Internal Ring Suturing (PIRS) method. It was a retrospective chart review of all patients ages 0 to 18 who underwent unilateral inguinal hernia repair in the Department of Pediatric Surgery, Urology and Traumatology of the Regional Hospital in Kielce between January 2011 and December 2018. Patients with bilateral hernias or additional problems were excluded. Of 878 patients qualified for the study, 701 were in the OA group and 177 in the PIRS group. Overall, the time needed to complete the procedure was significantly longer for the OA method. The operative time was longer if the hernia was left-sided (p = 0.024). Analysis by gender showed that operative time was generally longer in males. For both genders, surgery was shorter if the PIRS method was used. For males in the PIRS group the operative time was affected by the location of the hernia, and it was longer for a left-sided hernia. The take-home message is that the PIRS procedure is faster than the OA for inguinal hernia repair in children and it might be considered as a preferred method, especially in females.
