Related Experiment Video
Updated: May 23, 2025
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
Exploration of laparoscopic day surgery mode for pediatric inguinal hernia: a large cohort study
Shuhao Zhang1, Duote Cai1, Yi Jin1
1Department Of General Surgery, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Children's Health, Hangzhou, 310052, Zhejiang, China.
Insights
Pediatric day surgery for inguinal hernias shows laparoscopic repair in day wards is safe and cost-effective. This model offers higher parent satisfaction and reduces recurrence rates compared to open surgery.
Area of Science:
- Pediatric Surgery
- Surgical Outcomes
- Healthcare Management
Background:
- Pediatric day surgery has rapidly advanced.
- Investigating the efficacy and benefits of day surgery models in pediatric settings is crucial.
Purpose of the Study:
- To evaluate the prospects of day surgery for pediatric inguinal hernia repair.
- To compare open versus laparoscopic approaches and traditional versus day ward settings.
Main Methods:
- Retrospective analysis of 17,549 pediatric patients undergoing inguinal hernia repair (July 2018-August 2023).
- Patients categorized into four groups: open/laparoscopic repair in traditional/day wards.
- Data analyzed for operative time, total OR time, costs, recurrence, infection, and parent satisfaction.
Main Results:
- Laparoscopic inguinal hernia repair (LIHR) in day wards significantly reduced total operating room time and hospitalization costs compared to traditional wards.
- LIHR demonstrated lower recurrence rates than open inguinal hernia repair (OIHR).
- Day ward patients reported higher parent satisfaction, with no significant difference in incision infection rates between wards.
Conclusions:
- The day surgery model utilizing laparoscopic inguinal hernia repair is a safe, reliable, and economically beneficial approach for pediatric hospitals.
- This model is highly recommended for improving patient outcomes and satisfaction in pediatric surgical care.
Abstract:
The pediatric day surgery has experienced a rapid development in recent years. This study aims to investigate the prospects of day surgery in pediatric hospitals. A total of 17,549 pediatric patients with inguinal hernia (IH) treated between July 2018 and August 2023 were included. The patients were divided into four groups: group A1 (open IH repair [OIHR] in the traditional ward), A2 (laparoscopic IH repair [LIHR] in the traditional ward), B1 (OIHR in the day ward), and B2 (LIHR in the day ward). A retrospective analysis was conducted based on clinical data, satisfaction and prognosis. The present study showed that the operative time between groups A2 and B2 showed no significant difference (p = 0.1205). However, the total time from entering to exiting the operating room was significantly longer in group A2 compared to group B2 (p < 0.0001). Hospitalization costs were significantly lower for patients in the day ward compared to the traditional ward (p < 0.0001). There was no significant difference in the recurrent IH rate between groups A2 and B2 (p = 0.977) or in incision infection rates between the day and traditional wards. The recurrent IH rate was significantly higher after OIHR compared to LIHR (p < 0.0001). The parent satisfaction in the day ward is higher than the traditional ward. The day surgery model of LIHR is a safe, reliable, and economically beneficial surgical management model that is highly recommended for pediatric hospitals.
