Laparoscopic repair of inguinal hernia in infants: Comparison with open hernia repair
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In brief
In brief
Retrospective study of 465 infants comparing laparoscopic versus open inguinal hernia repair found laparoscopic approach enabled higher rates of primary bilateral repair (75.8% vs 16.1%) and significantly reduced metachronous contralateral hernias (1.6% vs 13.6%), with shorter operative times for bilateral cases.
Written by the GCMD Library team from the article.
Purpose
This study aimed to evaluate the usefulness of laparoscopic repair of inguinal hernia (LR) in infants in comparison with open hernia repair (OR).
Methods
We retrospectively analyzed the clinical data of 465 infants treated for inguinal hernia from January 2006 to December 2015. Among them, 124 underwent LR and 341 underwent OR.
Results
In the OR group, 16.1% (55/341) primarily underwent bilateral inguinal hernia repair and 13.6% (42/308) subsequently developed metachronous contralateral inguinal hernia during follow-up. In the LR group, 75.8% (94/124) underwent primary bilateral inguinal hernia repair and only 1.6% (2/123) developed metachronous contralateral inguinal hernia. The mean operation times of unilateral inguinal hernia repair showed no statistical differences between LR and OR. However, the mean operation times of bilateral inguinal hernia repair were shorter in LR (39.8±10.4 vs. 51.1±14.4min, p