Outcomes following laparoscopic versus open surgery for pediatric inguinal hernia repair: Analysis using a national inpatient database in Japan
jpedsurg.org shows its articles on its own site.
Read the article on jpedsurg.org ↗Article · Apr 2018 · 1 min read
In brief
In brief
Large-scale Japanese database study comparing laparoscopic versus open inguinal hernia repair in 75,486 pediatric patients. Laparoscopic approach showed longer anesthesia time but analysis of complications, recurrence, and contralateral hernia development provides evidence for surgical approach selection in children.
Written by the GCMD Library team from the article.
Background
This study compared perioperative outcomes between laparoscopic surgery (LS) and open surgery (OS) for pediatric inguinal hernia repair, using a national inpatient database.
Methods
Using the Diagnosis Procedure Combination database in Japan, we compared duration of anesthesia, postoperative complications, recurrence, and metachronous hernia (MH) between LS and OS for children undergoing inguinal hernia repair from July 2010 to March 2016. We used multivariable logistic regression analysis for postoperative complications and Cox regression analysis for recurrence.
Results
For 75,486 eligible patients (LS 20,186 vs. OS 55,300), the median follow-up was 815 (381–1350) days in LS and 1106 (576–1603) days in OS. The duration of anesthesia was significantly longer in LS than in OS for unilateral surgery (80 vs. 70min, p