T E Lobe1, F M Bianco2. 1. Division of Pediatric Surgery, Department of Surgery, The University of Illinois, 840 S Wood Street, Ste 416, Chicago, IL, 60612, USA. tlobe@uic.edu. 2. Department of Surgery, The University of Illinois, Chicago, IL, USA.
Abstract
BACKGROUND: The choice of how to repair inguinal hernias in adolescents has historically been a matter of experience and differed between pediatric surgeons who traditionally performed a high ligation of the sac and general surgeons who typically perform a repair using mesh. This up-to-date review thoroughly examines the subject and discusses the suitability of both types of repairs in this unique age group. METHODS: A 20-year Pub Med search was performed for the following terms: adolescent hernia repair including reports of mesh hernia repair in adolescents and postoperative complications including chronic inguinal pain and recurrences. RESULTS: The evidence in the literature suggests that while there appears to be no difference between the two types of repairs with regards to recurrence and complications, changes in the pelvic floor physiology in adolescents suggest that a selective, individualized approach can be recommended depending on the size and nature of the presenting pathology. CONCLUSIONS: A selective approach to the inguinal hernia in adolescent patients based on the size of the defect appears justified.
BACKGROUND: The choice of how to repair inguinal hernias in adolescents has historically been a matter of experience and differed between pediatric surgeons who traditionally performed a high ligation of the sac and general surgeons who typically perform a repair using mesh. This up-to-date review thoroughly examines the subject and discusses the suitability of both types of repairs in this unique age group. METHODS: A 20-year Pub Med search was performed for the following terms: adolescent hernia repair including reports of mesh hernia repair in adolescents and postoperative complications including chronic inguinal pain and recurrences. RESULTS: The evidence in the literature suggests that while there appears to be no difference between the two types of repairs with regards to recurrence and complications, changes in the pelvic floor physiology in adolescents suggest that a selective, individualized approach can be recommended depending on the size and nature of the presenting pathology. CONCLUSIONS: A selective approach to the inguinal hernia in adolescent patients based on the size of the defect appears justified.
Authors: Allison C Lure; Xinsong Du; Erik W Black; Raechel Irons; Dominick J Lemas; Janice A Taylor; Orlyn Lavilla; Diomel de la Cruz; Josef Neu Journal: J Pediatr Surg Date: 2020-11-13 Impact factor: 2.545
Authors: Matthew T Hey; Mackenzie M Mayhew; Stephanie Rico; Juan Calisto; Fuad Alkhoury Journal: J Laparoendosc Adv Surg Tech A Date: 2021-07-12 Impact factor: 1.878
Authors: Kathleen Lockhart; Douglas Dunn; Shawn Teo; Jessica Y Ng; Manvinder Dhillon; Edward Teo; Mieke L van Driel Journal: Cochrane Database Syst Rev Date: 2018-09-13