Live Event Content
Incarcerated Hernia
Everything in the library about incarcerated hernia — built automatically from the recorded discussions that name it
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Surgical Management
2 items
Focus on Technique- Laparoscopic Pediatric Hernia Repair 2015
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Dr. Todd Ponsky introduces the event focusing on Laparoscopic Pediatric Hernia Repair. Recently, the non-mesh laparoscopic pediatric hernia repair in children and adolescents has gained immense popularity. This event, "Focus on Technique: L
video2:20:52 · Jan 2019
Laparoscopic Pediatric Hernia Repair 2025
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Full 2025 Laparoscopic Pediatric Hernia Repair Event
video2:20:51 · Jun 2025
In-Depth Reviews
1 item
Pediatric Hernia: Update Course 2013
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During the first annual Stay Current in Pediatric Surgery Update Course in 2013, Dr. Peter Mattei, general, thoracic and fetal surgery, of The Children's Hospital of Philadelphia, discusses hernia management. Topics of discussion include in
video52:50 · Jan 2019
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Every expert statement below comes from the recorded discussions, with its speaker and moment.
Focus on Technique- Laparoscopic Pediatric Hernia Repair 2015
Felix Schier's original laparoscopic hernia recurrence rate was 6%, more recent data 3%
host_summary37:47 ↗
Craig Albanese and Sanjeev Dutta reported 1.5% recurrence with the SEAL repair
host_summary38:16 ↗
CK Young has had one or two recurrences in over 2000 laparoscopic hernia repairs
host_summary38:35 ↗
In rabbit model at 2 weeks: suture alone stayed closed in 25% after suture removal; with anterior injury 87% stayed closed
clinical1:03:35 ↗
In rabbit model at 4 weeks: suture alone stayed closed in 17%; with anterior injury 100% stayed closed even at 36mmHg pressure
clinical1:03:53 ↗
Silk suture (braided) had better closure rates than Vicryl or Prolene (monofilament) in rabbit model without injury
clinical1:05:23 ↗
When adult hernia surgeons see pediatric recurrences, they are finding direct hernias not indirect
host_summary30:23 ↗
Mayo Clinic study and others show that direct hernias may be the most common cause of pediatric hernia recurrence
host_summary29:59 ↗
Grossfeld found 30% of recurrences are direct hernias
host_summary30:26 ↗
In 50-year Mayo Clinic follow-up study, 5% of hernia patients were infertile, similar to general population
host_summary40:38 ↗
Javetz study: 6% of 8500 fertility clinic patients had prior hernioplasty; those with hernia repair had markedly reduced semen quality
host_summary41:07 ↗
In adolescent hernia series (13-18 years, 5-year follow-up), recurrence rate was 3% with open high ligation
clinical1:44:16 ↗
Adult hernia surgeons report 10-15% incidence of chronic pain with mesh repair; one study showed 30%
host_summary1:45:16 ↗
Modified SEAL technique (two-pass suture ligature) has 1.4% recurrence rate in 210 repairs over 4 years
clinicalMatthias Bruzzoni2:19:22 ↗
Single-pass SEAL technique has 2-3% recurrence rate
clinicalMatthias Bruzzoni2:19:37 ↗
In the UK, open hernia repair involves dividing the sac without ligation, with recurrence rates equivalent to traditional ligation
host_summary59:56 ↗
The speaker has had two preemies spit out the stitch without hernia recurrence, suggesting the suture may act as a seton
clinical57:53 ↗
The speaker has had two stitch abscesses in preemies using braided suture; both hernias stayed closed
clinical1:07:25 ↗
The speaker has had two hydroceles form after laparoscopic repair, both on asymptomatic contralateral sides repaired with SEAL technique
clinical1:17:36 ↗
Laparoscopic hernia repair in preemies rarely recurs; recurrences are more common in older children
opinion23:26 ↗
Pediatric Hernia: Update Course 2013
68% of audience members repair premature infant bilateral inguinal hernias prior to NICU discharge
host_summary3:24 ↗
Jack Langer's data shows very high incarceration rate in newborns and preemies with inguinal hernias
host_summaryTodd Ponsky2:08 ↗
VA cooperative study in adults showed 1.7% incidence of incarceration in adults with inguinal hernia
host_summaryTodd Ponsky11:44 ↗
80% of pediatric hernia incarcerations occur in children under 12 months of age
epidemiological12:01 ↗
Only 20% of patent processus vaginalis cases will ever become a clinical hernia
epidemiologicalJack8:03 ↗
If you have a patent processus vaginalis, you have 4 times greater risk than general population of developing a hernia on that side
host_summaryTodd Ponsky8:31 ↗
Reincarceration rate after reduction starts to go back up at 72 hours based on published data
epidemiologicalJack17:18 ↗
Data on anesthesia neurocognitive risk in premature infants is immature; unclear what the risk is or whether it's impacted by duration of case or age of child
host_summaryDan14:47 ↗
Most anesthesia neurocognitive data is from animal studies, not human data, so direct extrapolation is uncertain
opinion15:07 ↗
Mesh inguinal hernia repair has 30% incidence of chronic pain, validated in multiple studies
host_summaryTodd Ponsky28:16 ↗
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