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Pandemic's impact on inguinal hernia management in infants

C de la Sen Maldonado1, N Albertos Mira-Marcellí1, V Díaz Díaz1

  • 1Pediatric Surgery Department. Alicante General University Hospital. Alicante (Spain).

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|January 17, 2022
PubMed

Insights

Reduced surgical activity during the SARS-CoV-2 pandemic did not increase inguinal hernia morbidity in pediatric patients. However, a rise in cases with prior health issues was observed, highlighting the need to prioritize severe cases.

Area of Science:

  • Pediatric Surgery
  • Public Health
  • Infectious Diseases

Background:

  • The COVID-19 pandemic led to a significant decrease in elective surgical procedures.
  • This study investigates the pandemic's effect on inguinal hernia morbidity in pediatric patients.

Purpose of the Study:

  • To analyze the impact of reduced surgical activity during the SARS-CoV-2 pandemic on inguinal hernia morbidity in children.
  • To identify any changes in patient demographics and preoperative conditions.

Main Methods:

  • Retrospective case-control study of pediatric patients undergoing inguinal hernia surgery.
  • Comparison of patients operated before (Group A) and after (Group D) the declaration of the state of alarm in Spain.
  • Analysis of primary outcomes: incarceration episodes and postoperative complications; secondary outcome: surgery type (urgent vs. scheduled).

Main Results:

  • No statistically significant differences in incarceration rates (25.6% vs. 33.3%) or postoperative complications (9.3% vs. 14.3%) between groups.
  • A significant increase in patients with previous pathologies was observed in Group D (38.1%) compared to Group A (16.3%) (p=0.05).
  • No significant differences in gestational age, age at diagnosis, or age at surgery between the two groups.

Conclusions:

  • Despite reduced surgical capacity during the pandemic, inguinal hernia morbidity did not increase in this pediatric cohort.
  • The observed increase in comorbidities among operated patients suggests a need for careful patient selection and prioritization of severe cases.
Abstract

Keywords:
General surgeryInguinal childhood herniaPediatricsSARS-CoV-2

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