Surgical Management of Pediatric Inguinal Hernia: A Systematic Review and Guideline from the European Pediatric Surgeons' Association Evidence and Guideline Committee

European systematic review of 72 studies provides evidence-based recommendations for pediatric inguinal hernia management. Key findings support laparoscopic approach for bilateral hernias, delayed surgery with regional anesthesia for preterm infants to reduce respiratory complications and apnea, though overall evidence quality remains moderate-to-low requiring tailored clinical approaches.