Comparison of intra- and extra-corporeal laparoscopic hernia repair in children: A systematic review and pooled data-analysis
Topic overview
Systematic review comparing laparoscopic inguinal hernia repair techniques in children found single-port extra-corporeal closure superior to intra-corporeal purse-string suture, with significantly lower recurrence rates (0.6% vs 5.5%) and shorter operative times. Analysis of 3,680 pediatric patients showed no difference in perioperative complications between approaches.
Key takeaways
- Single-port extra-corporeal laparoscopic hernia repair has significantly lower recurrence rates than intra-corporeal technique (0.6% vs 5.5%).
- Extra-corporeal approach offers shorter operative times for both unilateral and bilateral pediatric inguinal hernia repairs.
- No significant difference in perioperative or postoperative complications between intra- and extra-corporeal techniques.
- Evidence supports single-port extra-corporeal closure as the preferred laparoscopic technique for pediatric inguinal hernias.
- Study limitations include heterogeneity preventing definitive conclusions on hospital stay, pain, and cosmetic outcomes.
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