Single-incision approach for bilateral inguinal hernia repair in children: A retrospective study
To introduce the use of a new surgical approach named single-incision bilateral inguinal herniorrhaphy (SBIH) in pediatric surgical population.This was a STROBE-compliant retrospective cohort study using data from 101 patients who had undergone bilateral inguinal herniorrhaphy in our institution. Ch...
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| Veröffentlicht in: | Medicine (Baltimore) 2020-02, Vol.99 (9), p.e19376-e19376 |
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| creator | Chongxi, Ren Hongqiao, Wang Fengying, Li Xin, Wang Hongxia, Qi Lijun, Xing |
| description | To introduce the use of a new surgical approach named single-incision bilateral inguinal herniorrhaphy (SBIH) in pediatric surgical population.This was a STROBE-compliant retrospective cohort study using data from 101 patients who had undergone bilateral inguinal herniorrhaphy in our institution. Children with bilateral inguinal hernias without contraindications for surgery, ranging in age from 6 months to 12 years, were included. Fifty-six children with bilateral inguinal hernias underwent SBIH (SBIH group) and 45 patients underwent laparoscopic bilateral inguinal herniorrhaphy (LBIH) (LBIH group). Differences in operative time, postoperative pain, recurrence, and complications between the 2 groups were analyzed. Patient satisfaction with cosmetic result was also investigated using questionnaires.There were no statistically significant differences in operative time (P = .2257), postoperative pain (P = .0607), recurrence (P = .8756), and complications (P = .7467) between the 2 groups. Interestingly, the operation time of girls in SBIH group was significantly shorter than that of the boys in this group (P |
| doi_str_mv | 10.1097/MD.0000000000019376 |
| format | Article |
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Children with bilateral inguinal hernias without contraindications for surgery, ranging in age from 6 months to 12 years, were included. Fifty-six children with bilateral inguinal hernias underwent SBIH (SBIH group) and 45 patients underwent laparoscopic bilateral inguinal herniorrhaphy (LBIH) (LBIH group). Differences in operative time, postoperative pain, recurrence, and complications between the 2 groups were analyzed. Patient satisfaction with cosmetic result was also investigated using questionnaires.There were no statistically significant differences in operative time (P = .2257), postoperative pain (P = .0607), recurrence (P = .8756), and complications (P = .7467) between the 2 groups. Interestingly, the operation time of girls in SBIH group was significantly shorter than that of the boys in this group (P < .0001), but also shorter than that of girls in LBIH group (P = .0038). Postoperative pain for boys was lower in SBIH group than in the LBIH group (P = .0340). No ascending testis, testicular atrophy, and hydrocele occurred in either group. According to the questionnaire, both procedures had equally high levels of satisfaction for cosmetic results (P = .7531).Initial results show that SBIH for pediatric patients, regardless of gender, is a safe and feasible procedure compared with LBIH with an equally low recurrence rate, few complication, and satisfactory cosmetic outcomes.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000019376</identifier><identifier>PMID: 32118783</identifier><language>eng</language><publisher>United States: Wolters Kluwer Health</publisher><subject>Chi-Square Distribution ; Child ; Child, Preschool ; Cohort Studies ; Female ; Hernia, Inguinal - epidemiology ; Hernia, Inguinal - surgery ; Herniorrhaphy - methods ; Herniorrhaphy - standards ; Herniorrhaphy - statistics & numerical data ; Humans ; Male ; Observational Study ; Postoperative Complications - epidemiology ; Retrospective Studies ; Statistics, Nonparametric ; Treatment Outcome</subject><ispartof>Medicine (Baltimore), 2020-02, Vol.99 (9), p.e19376-e19376</ispartof><rights>Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c310t-c40518253fa0b91e1efc22978a190c0e58f8bbb3b90b5df15a8d53dc27ad9f2e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7478388/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7478388/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32118783$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chongxi, Ren</creatorcontrib><creatorcontrib>Hongqiao, Wang</creatorcontrib><creatorcontrib>Fengying, Li</creatorcontrib><creatorcontrib>Xin, Wang</creatorcontrib><creatorcontrib>Hongxia, Qi</creatorcontrib><creatorcontrib>Lijun, Xing</creatorcontrib><title>Single-incision approach for bilateral inguinal hernia repair in children: A retrospective study</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description>To introduce the use of a new surgical approach named single-incision bilateral inguinal herniorrhaphy (SBIH) in pediatric surgical population.This was a STROBE-compliant retrospective cohort study using data from 101 patients who had undergone bilateral inguinal herniorrhaphy in our institution. Children with bilateral inguinal hernias without contraindications for surgery, ranging in age from 6 months to 12 years, were included. Fifty-six children with bilateral inguinal hernias underwent SBIH (SBIH group) and 45 patients underwent laparoscopic bilateral inguinal herniorrhaphy (LBIH) (LBIH group). Differences in operative time, postoperative pain, recurrence, and complications between the 2 groups were analyzed. Patient satisfaction with cosmetic result was also investigated using questionnaires.There were no statistically significant differences in operative time (P = .2257), postoperative pain (P = .0607), recurrence (P = .8756), and complications (P = .7467) between the 2 groups. Interestingly, the operation time of girls in SBIH group was significantly shorter than that of the boys in this group (P < .0001), but also shorter than that of girls in LBIH group (P = .0038). Postoperative pain for boys was lower in SBIH group than in the LBIH group (P = .0340). No ascending testis, testicular atrophy, and hydrocele occurred in either group. According to the questionnaire, both procedures had equally high levels of satisfaction for cosmetic results (P = .7531).Initial results show that SBIH for pediatric patients, regardless of gender, is a safe and feasible procedure compared with LBIH with an equally low recurrence rate, few complication, and satisfactory cosmetic outcomes.</description><subject>Chi-Square Distribution</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Hernia, Inguinal - epidemiology</subject><subject>Hernia, Inguinal - surgery</subject><subject>Herniorrhaphy - methods</subject><subject>Herniorrhaphy - standards</subject><subject>Herniorrhaphy - statistics & numerical data</subject><subject>Humans</subject><subject>Male</subject><subject>Observational Study</subject><subject>Postoperative Complications - epidemiology</subject><subject>Retrospective Studies</subject><subject>Statistics, Nonparametric</subject><subject>Treatment Outcome</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdUclOxDAMjRAIhuULkFCPXApZmibhgISGVRrEATiHNHWZoE5aknYk_p4gYFh8sWU_Py8PoX2CjwhW4vj2_Aj_GFFMlGtoQjgrc67KYh1NMKY8F0oUW2g7xpcEYoIWm2iLUUKkkGyCnu6df24hd9666Dqfmb4PnbHzrOlCVrnWDBBMmyXU6HwK5hC8M1mA3riQ0pmdu7YO4E-ys5QdQhd7sINbQhaHsX7bRRuNaSPsffkd9Hh58TC9zmd3VzfTs1luGcFDbgvMiaScNQZXigCBxlKqhDREYYuBy0ZWVcUqhSteN4QbWXNWWypMrRoKbAedfvL2Y7WA2oIf0t66D25hwpvujNN_K97N9XO31KJIj5AyERx-EYTudYQ46IWLFtrWeOjGqCkrlZQEyzJB2SfUpmtjgGY1hmD9oY2-Pdf_tUldB783XPV8i8HeAVnyjK4</recordid><startdate>20200201</startdate><enddate>20200201</enddate><creator>Chongxi, Ren</creator><creator>Hongqiao, Wang</creator><creator>Fengying, Li</creator><creator>Xin, Wang</creator><creator>Hongxia, Qi</creator><creator>Lijun, Xing</creator><general>Wolters Kluwer Health</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200201</creationdate><title>Single-incision approach for bilateral inguinal hernia repair in children: A retrospective study</title><author>Chongxi, Ren ; Hongqiao, Wang ; Fengying, Li ; Xin, Wang ; Hongxia, Qi ; Lijun, Xing</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c310t-c40518253fa0b91e1efc22978a190c0e58f8bbb3b90b5df15a8d53dc27ad9f2e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Chi-Square Distribution</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Hernia, Inguinal - epidemiology</topic><topic>Hernia, Inguinal - surgery</topic><topic>Herniorrhaphy - methods</topic><topic>Herniorrhaphy - standards</topic><topic>Herniorrhaphy - statistics & numerical data</topic><topic>Humans</topic><topic>Male</topic><topic>Observational Study</topic><topic>Postoperative Complications - epidemiology</topic><topic>Retrospective Studies</topic><topic>Statistics, Nonparametric</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chongxi, Ren</creatorcontrib><creatorcontrib>Hongqiao, Wang</creatorcontrib><creatorcontrib>Fengying, Li</creatorcontrib><creatorcontrib>Xin, Wang</creatorcontrib><creatorcontrib>Hongxia, Qi</creatorcontrib><creatorcontrib>Lijun, Xing</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chongxi, Ren</au><au>Hongqiao, Wang</au><au>Fengying, Li</au><au>Xin, Wang</au><au>Hongxia, Qi</au><au>Lijun, Xing</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Single-incision approach for bilateral inguinal hernia repair in children: A retrospective study</atitle><jtitle>Medicine (Baltimore)</jtitle><addtitle>Medicine (Baltimore)</addtitle><date>2020-02-01</date><risdate>2020</risdate><volume>99</volume><issue>9</issue><spage>e19376</spage><epage>e19376</epage><pages>e19376-e19376</pages><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract>To introduce the use of a new surgical approach named single-incision bilateral inguinal herniorrhaphy (SBIH) in pediatric surgical population.This was a STROBE-compliant retrospective cohort study using data from 101 patients who had undergone bilateral inguinal herniorrhaphy in our institution. Children with bilateral inguinal hernias without contraindications for surgery, ranging in age from 6 months to 12 years, were included. Fifty-six children with bilateral inguinal hernias underwent SBIH (SBIH group) and 45 patients underwent laparoscopic bilateral inguinal herniorrhaphy (LBIH) (LBIH group). Differences in operative time, postoperative pain, recurrence, and complications between the 2 groups were analyzed. Patient satisfaction with cosmetic result was also investigated using questionnaires.There were no statistically significant differences in operative time (P = .2257), postoperative pain (P = .0607), recurrence (P = .8756), and complications (P = .7467) between the 2 groups. Interestingly, the operation time of girls in SBIH group was significantly shorter than that of the boys in this group (P < .0001), but also shorter than that of girls in LBIH group (P = .0038). Postoperative pain for boys was lower in SBIH group than in the LBIH group (P = .0340). No ascending testis, testicular atrophy, and hydrocele occurred in either group. According to the questionnaire, both procedures had equally high levels of satisfaction for cosmetic results (P = .7531).Initial results show that SBIH for pediatric patients, regardless of gender, is a safe and feasible procedure compared with LBIH with an equally low recurrence rate, few complication, and satisfactory cosmetic outcomes.</abstract><cop>United States</cop><pub>Wolters Kluwer Health</pub><pmid>32118783</pmid><doi>10.1097/MD.0000000000019376</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Chi-Square Distribution Child Child, Preschool Cohort Studies Female Hernia, Inguinal - epidemiology Hernia, Inguinal - surgery Herniorrhaphy - methods Herniorrhaphy - standards Herniorrhaphy - statistics & numerical data Humans Male Observational Study Postoperative Complications - epidemiology Retrospective Studies Statistics, Nonparametric Treatment Outcome |
| title | Single-incision approach for bilateral inguinal hernia repair in children: A retrospective study |
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