PURPOSE: The purpose of this study was to review our management of neonatal inguinal hernias in premature infants over a 5-year period to ascertain any change in practice. METHODS: Premature infants who underwent inguinal herniotomy between 2002 and 2006 were identified. Case notes were analyzed recording patient demographics, primary side, complications, recurrence and how many re-presented with a metachronous hernia. RESULTS: 172 preterm infants were identified: 162 males (94.2%) and 10 females (5.8%). Median gestation was 31 weeks (25-36.7). Eighteen (10.4%) were incarcerated. Median age at surgery was 66.5 days (0-284). Thirty-two (18.6%) had bilateral hernias. Of the 63 who underwent unilateral herniotomy, 9 (14.3%) re-presented with a metachronous hernia. Median time to returning was 24 days. The number of contralateral explorations decreased over the study period. The complication rate was 6.4%. Median follow-up was 2.83 years (0.33-5.4). CONCLUSIONS: This is one of the largest series showing the current practice in managing preterm infants with inguinal hernia. There are limitations to this study and the follow-up period is short. The value of contralateral groin exploration in premature neonates remains doubtful and we have shown that the overall practice has changed.
PURPOSE: The purpose of this study was to review our management of neonatal inguinal hernias in premature infants over a 5-year period to ascertain any change in practice. METHODS: Premature infants who underwent inguinal herniotomy between 2002 and 2006 were identified. Case notes were analyzed recording patient demographics, primary side, complications, recurrence and how many re-presented with a metachronous hernia. RESULTS: 172 preterm infants were identified: 162 males (94.2%) and 10 females (5.8%). Median gestation was 31 weeks (25-36.7). Eighteen (10.4%) were incarcerated. Median age at surgery was 66.5 days (0-284). Thirty-two (18.6%) had bilateral hernias. Of the 63 who underwent unilateral herniotomy, 9 (14.3%) re-presented with a metachronous hernia. Median time to returning was 24 days. The number of contralateral explorations decreased over the study period. The complication rate was 6.4%. Median follow-up was 2.83 years (0.33-5.4). CONCLUSIONS: This is one of the largest series showing the current practice in managing preterm infants with inguinal hernia. There are limitations to this study and the follow-up period is short. The value of contralateral groin exploration in premature neonates remains doubtful and we have shown that the overall practice has changed.
Authors: L D Tackett; C K Breuer; F I Luks; A A Caldamone; J G Breuer; F G DeLuca; R E Caesar; E Efthemiou; C W Wesselhoeft Journal: J Pediatr Surg Date: 1999-05 Impact factor: 2.545
Authors: Stanley John Crankson; Khalil Al Tawil; Mohammad Al Namshan; Saud Al Jadaan; Beverly Jane Baylon; Mutaz Gieballa; Ibrahim Hakim Ahmed Journal: J Indian Assoc Pediatr Surg Date: 2015-01
Authors: K M A Dreuning; C E M Ten Broeke; J W R Twisk; S G F Robben; R R van Rijn; J I M L Verbeke; L W E van Heurn; J P M Derikx Journal: Eur Radiol Date: 2018-07-27 Impact factor: 5.315