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Inguinal herniotomy in children: a five year survey.
The British Journal of Surgery
|June 1, 1985
Summary
This review of 436 pediatric hernia repairs found a 2.5% recurrence rate, primarily linked to junior surgeons. Improved training in inguinal herniotomy could enhance outcomes in British hospitals.
Area of Science:
- Pediatric Surgery
- Surgical Outcomes
Background:
- Inguinal hernias are common in children.
- Management strategies vary, impacting recurrence and complication rates.
Purpose of the Study:
- To review the outcomes of pediatric hernia repairs over five years.
- To identify factors influencing recurrence and complications.
Main Methods:
- Retrospective review of 436 hernia repairs in 392 children (up to 15 years).
- Analysis of emergency presentations, conservative management, operative cases, recurrences, and complications.
Main Results:
- A 2.5% recurrence rate (11 cases) was observed, with all recurrences involving operations by junior surgeons.
- The complication rate, excluding recurrences, was 2.8%.
- Emergency presentations accounted for 18.1%, with most occurring in infants under 12 months.
Conclusions:
- Pediatric hernia repair outcomes can be improved through enhanced training and supervision of junior surgical staff.
- Results suggest a need for standardized training to match outcomes in specialist pediatric units.