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Comparison of inguinal hernia repair outcomes between open and laparoscopic approaches in a pediatric population: a
Wahyudhy Adriansyah1, Aditya Rifqi Fauzi1, Verrell Christopher Amadeus1
1Pediatric Surgery Division, Department of Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito General Hospital, Yogyakarta, Indonesia.
Insights
Laparoscopic hernia repair in children may reduce hospital stay compared to open surgery. No significant risk factors were found to be associated with hernia recurrence after repair.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Surgical Outcomes Research
Background:
- Comparative studies on pediatric hernia repair techniques are ongoing.
- Limited data exists from developing countries regarding surgical outcomes.
- Clarification of outcomes between open and laparoscopic methods is needed.
Purpose of the Study:
- To compare outcomes of pediatric hernia repair using open versus laparoscopic techniques.
- To identify potential risk factors associated with hernia recurrence.
Main Methods:
- A comparative study involving 92 children undergoing hernia repair.
- Surgical procedures included laparoscopy (46 children) and open repair (46 children).
- Outcomes analyzed included length of stay, duration of surgery, and hernia recurrence, with risk factor assessment.
Main Results:
- Laparoscopic repair was associated with a significantly shorter length of stay (LOS) than open repair (1.09 vs. 1.37 days, P=0.004).
- No significant difference in surgical duration was observed between the two techniques (P=0.801).
- Multivariate analysis showed no significant association between hernia recurrence and surgical procedure, sex, age, or prematurity (P>0.05).
Conclusions:
- Laparoscopic hernia repair may offer a shorter LOS compared to open repair in children.
- Identified risk factors were not significantly associated with hernia recurrence post-repair.
- Further prospective, multicenter studies with larger sample sizes are recommended to validate these findings.
Purpose:
Many studies compared the outcomes of hernia repair in children between open and laparoscopic techniques. However, the results still need to be clarified. Moreover, the reports from developing countries are also limited.
Methods:
We compared the outcomes of hernia repair between the open and laparoscopic techniques in children and associated them with risk factors.
Results:
We involved 92 children, consisting of laparoscopy (36 males and 10 females) and open (42 males and 4 females) methods. There was a significant difference between 2 groups regarding the gestational age and age at surgery (both P < 0.001). Laparoscopy had a shorter length of stay (LOS) than the open group (1.09 ± 0.28 days vs. 1.37 ± 0.57 days, P = 0.004), while the duration of surgery was similar in both groups (P = 0.801). Multivariate analysis revealed no significant association between the recurrence of hernia and risk factors, including the surgical procedure, sex, age at surgery, and prematurity (P > 0.05).
Conclusion:
Laparoscopic surgery might have a beneficial effect on shorter LOS compared with open hernia repair. None of the risk factors is significantly associated with hernia recurrence after repair. A further prospective multicenter study with a larger sample size is necessary to clarify our findings.