OBJECTIVES: To determine the incidence of inguinal hernia in premature neonates and identify risk factors for incarceration. STUDY DESIGN: The 2003 and 2006 Kids' Inpatient Databases were queried for diagnoses indicative of premature birth and inguinal hernia. RESULTS: Inguinal hernia was diagnosed during the birth hospitalization in 1463 ± 87 of 49 273 ± 1561 premature neonates (3%). Male sex, gestational age, birth weight, and prolonged mechanical ventilation were associated with inguinal hernia (all P < .01). Incarceration occurred in 176 of 1123 premature neonates (16%) who underwent hernia repair during the birth hospitalization. Delaying repair beyond 40 weeks post-conceptual age doubled the risk of incarceration (21%), as compared with 36 to 39 weeks (9%) or <36 weeks (11%, P = .002). Sex, race, and insurance were not associated with incarceration. CONCLUSION: The risk of incarceration is doubled in premature neonates with inguinal hernia when repair is delayed beyond 40 weeks post-conceptual age. This increased incarceration risk should be one of the factors considered when deciding on the optimal timing of inguinal hernia repair.
OBJECTIVES: To determine the incidence of inguinal hernia in premature neonates and identify risk factors for incarceration. STUDY DESIGN: The 2003 and 2006 Kids' Inpatient Databases were queried for diagnoses indicative of premature birth and inguinal hernia. RESULTS:Inguinal hernia was diagnosed during the birth hospitalization in 1463 ± 87 of 49 273 ± 1561 premature neonates (3%). Male sex, gestational age, birth weight, and prolonged mechanical ventilation were associated with inguinal hernia (all P < .01). Incarceration occurred in 176 of 1123 premature neonates (16%) who underwent hernia repair during the birth hospitalization. Delaying repair beyond 40 weeks post-conceptual age doubled the risk of incarceration (21%), as compared with 36 to 39 weeks (9%) or <36 weeks (11%, P = .002). Sex, race, and insurance were not associated with incarceration. CONCLUSION: The risk of incarceration is doubled in premature neonates with inguinal hernia when repair is delayed beyond 40 weeks post-conceptual age. This increased incarceration risk should be one of the factors considered when deciding on the optimal timing of inguinal hernia repair.
Authors: A Pini Prato; V Rossi; M Mosconi; N Disma; L Mameli; G Montobbio; A Michelazzi; F Faranda; S Avanzini; P Buffa; L Ramenghi; P Tuo; G Mattioli Journal: Pediatr Surg Int Date: 2014-11-09 Impact factor: 1.827
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Authors: Ayman Al-Jazaeri; Lama Alshwairikh; Manar A Aljebreen; Nourah AlSwaidan; Tarfah Al-Obaidan; Abdulrahman Alzahem Journal: Ann Saudi Med Date: 2017 Jul-Aug Impact factor: 1.526