Long-term follow-up of pediatric open and laparoscopic inguinal hernia repair
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In brief
In brief
Large retrospective study comparing open versus laparoscopic inguinal hernia repair in 1697 children found significantly lower rates of metachronous contralateral hernias with laparoscopic approach (0.9%) and open with exploration (0.7%) versus open unilateral without exploration (3.8%), supporting routine contralateral assessment.
Written by the GCMD Library team from the article.
Background
Pediatric laparoscopic inguinal hernia repair is not widely accepted.
Study design
Children 0–14 years who underwent inguinal hernia repair during 2010–2016 at Kaiser Permanente Northern California were classified into five groups: (1) open unilateral repair without contralateral exploration; (2) open unilateral repair with contralateral laparoscopic exploration ("open+explore"); (3) open bilateral repair; (4) laparoscopic unilateral repair; and (5) laparoscopic bilateral repair. Outcomes included ipsilateral reoperation, metachronous contralateral repair, incision time, and complications.
Results
The study included 1697 children. Follow-up averaged 3.6 years after open (N = 1156) and 2.6 years after laparoscopic (N = 541) surgery. Metachronous contralateral repair was performed in 3.8% (26/683) of patients with open unilateral surgery without contralateral exploration, 0.7% (2/275) of open+explore patients, and 0.9% (3/336) of laparoscopic unilateral patients (p