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Pediatric incarcerated inguinal hernia: Traditional open or laparoscopic-assisted approach?
Guofeng Zhang1, Huanfei Ding2, Di Wang2
1Department of Pediatric Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Insights
Laparoscopic-assisted surgery for pediatric incarcerated inguinal hernia offers reduced operation time, faster recovery, and fewer complications compared to open surgery. This minimally invasive approach is a safe and effective alternative for treating pediatric hernias.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Hernia Repair
Background:
- Pediatric incarcerated inguinal hernias require prompt surgical intervention.
- Traditional open surgery is a common treatment but associated with certain complications.
- Evaluating alternative surgical techniques is crucial for improving patient outcomes.
Purpose of the Study:
- To compare the safety and efficacy of laparoscopic-assisted surgery versus traditional open surgery for pediatric incarcerated inguinal hernias.
- To assess key outcomes including operation time, recovery, complications, and recurrence rates.
- To determine if laparoscopic-assisted surgery is a viable alternative for this condition.
Main Methods:
- A comparative study involving 58 pediatric patients with incarcerated inguinal hernias.
- Patients were divided into two groups: laparoscopic-assisted surgery (n=36) and traditional open surgery (n=22).
- Outcomes analyzed included operation time, blood loss, recovery time, hospital stay, hematomas, infections, and hernia recurrence.
Main Results:
- Laparoscopic-assisted surgery demonstrated significantly lower operation time, intraoperative blood loss, postoperative recovery time, and hospital stay.
- The laparoscopic group had no incidence of scrotal/vulvar hematomas or surgical site infections, significantly fewer than the open surgery group.
- No statistically significant difference in postoperative hernia recurrence rates was observed between the two groups.
Conclusions:
- Laparoscopic-assisted surgery is a safe and effective treatment for pediatric incarcerated inguinal hernias.
- It offers advantages such as reduced trauma, faster recovery, shorter hospital stays, and fewer complications.
- This technique presents a promising alternative to traditional open surgical approaches.
Abstract:
The objective of this study was to compare the safety and efficacy of laparoscopic-assisted surgery and traditional open surgery for pediatric incarcerated inguinal hernia. A total of 58 pediatric patients with indirect incarcerated inguinal hernia between January 2014 and January 2020 were included in this study. The patients were divided into 2 groups; observational group who underwent laparoscopic-assisted surgery (n = 36), and a control group who underwent traditional open surgery (n = 22). The overall operation time, intraoperative blood loss, postoperative recovery time, length of hospital stay, occurrence of postoperative scrotal or vulvar hematomas, incidence of postoperative surgical site infection, and hernia recurrence were analyzed and compared between the 2 groups. Compared with the control group, the operation time (38.28 ± 5.90) minutes, intraoperative blood loss (1.15 ± 0.54 mL), postoperative recovery time (8.39 ± 1.42 h), and length of hospital stay (1.64 ± 0.59) were significantly lower in the observational group (P < .05). There was no incidence of scrotal or vulvar hematoma or surgical site infection in the observation group, which was significantly lower than that in the control group (P < .05). However, no statistically significant difference was found in the rate of postoperative hernia recurrence between the 2 groups (P > .05). In conclusion, laparoscopic-assisted surgery appears to be a safe and effective alternative approach to traditional open surgery for the treatment of pediatric incarcerated inguinal hernia. Its advantages include reduced trauma, faster recovery, shorter hospital stays, and fewer complications.
