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Retrospective analysis of laparoscopic management for pediatric complicated appendicitis with concurrent inguinal

Shuan-Ling Li1, Zong-Han Li1, Fang-Nan Xie1

  • 1Department of Emergency Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.

Translational Pediatrics
|May 19, 2025
PubMed

Insights

Simultaneous laparoscopic surgery for pediatric appendicitis and inguinal hernia is safe and effective, even with severe infections. This approach reduces hospital stay and antibiotic use compared to staged procedures.

Area of Science:

  • Pediatric Surgery
  • Laparoscopic Surgery
  • Gastrointestinal Surgery

Background:

  • Concurrent surgical treatment of acute appendicitis and inguinal hernia in children is debated, especially with intra-abdominal infections.
  • Assessing the safety and efficacy of simultaneous laparoscopic surgery for these combined conditions is crucial.

Purpose of the Study:

  • To evaluate the safety and efficacy of simultaneous laparoscopic surgery for complicated appendicitis and concurrent inguinal hernia in pediatric patients.
  • To compare outcomes between simultaneous and staged surgical approaches.

Main Methods:

  • Retrospective review of pediatric patients with complicated appendicitis and inguinal hernia from January 2016 to December 2022.
  • Patients were categorized into simultaneous repair and two-stage procedure groups.
  • Analysis of demographic data, perioperative findings, and follow-up outcomes.

Main Results:

  • 40 patients included; 29 in simultaneous group, 11 in two-stage group.
  • Simultaneous group had shorter hospital stays and less postoperative antibiotic use (P=0.056 and P=0.04, respectively).
  • No inguinal hernia recurrence in the simultaneous group; one complication in the two-stage group over 11-66 months follow-up.

Conclusions:

  • Simultaneous laparoscopic treatment for pediatric appendicitis and inguinal hernia is feasible and safe.
  • This approach is effective even in cases of complicated appendicitis with significant contamination.
  • The simultaneous approach offers potential benefits in reduced hospital stay and antibiotic duration.
Abstract

Keywords:
Appendicitischildrenconcurrentinguinal hernia (IH)laparoscopy

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