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https://doi.org/10.14300/mnnc.2023.18031

Outcomes of pediatric inguinal hernia repair: the single-center cohort study

[Original research] [Surgery]
Alexander Stolyar; Mikhail Aksel’rov; Maxim Razin; Sergey Minaev; Ramiz Poluxov; Natusya Barova; Tatyana Borisovna Agalakova;

The article compares the outcomes of traditional open and laparoscopic inguinal hernia repair performed in 550 children. The following parameters were assessed and analyzed in a specific cohort of children with an inguinal hernia: surgery time, postoperative pain severity, changes in the gonads on sonographic examination, and quality of life. The study demonstrates that the patients who underwent laparoscopic surgery show better results in the majority of the criteria if compared with those who underwent open resection. Moreover, the author-developed technique has slightly favorable outcomes. We introduce our method and report our experience with its application in this paper.

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References:
1. Esposito C., Escolino M., Turrà F., Agnese R., Mariapina C. [et al.] Current concepts in the management of inguinal hernia and hydrocele in pediatric patients in laparoscopic era. semin Pediatr surg. 2016;25(4):232-240 https://doi.org/10.1053/j.sempedsurg.2016.05.006
2. Petridou M., Karanikas M., Kaselas C. Laparoscopic vs. laparoscopically assisted pediatric inguinal hernia repair: a systematic review. Pediatr. surg. Int. 2023;39(1):212. https://doi.org/10.1007/s00383-023-05492-0
3. Chang S. J., Chen J. Y. C., Hsu C. K., Chuang F. C., Yang S. S. D. The incidence of inguinal hernia and associated risk factors of incarceration in pediatric inguinal hernia: a nation-wide longitudinal population-based study. Hernia. 2016;20(4):559-563. https://doi.org/10.1007/s10029-015-1450-x
4. Raveenthiran V., Agarwal P. Choice of repairing inguinal hernia in children: open versus laparoscopy. The Indian Journal of Pediatrics. 2017;84:555-563 https://doi.org/10.1007/s12098-017-2354-9
5. Yilmaz E., Afsarlar C. E., Senel E., Cavusoglu Y. H., Karaman I. [et al.] A novel technique for laparoscopic inguinal hernia repair in children: single-port laparoscopic percutaneous extraperitoneal closure assisted by an optical forceps. Pediatr. surg. Int. 2015;31(7):639-646. https://doi.org/10.1007/s00383-015-3722-z
6. Davies D. A., Rideout D. A., Clarke S. A. The international pediatric endosurgery group evidence-based guideline on minimal access approaches to the operative management of inguinal hernia in children. Journal of Laparoendoscopic & Advanced surgical Techniques. 2023:30(2):438-446 https://doi.org/10.1089/lap.2016.0453
7. Maat S., Dreuning K., Nordkamp S., van Gemert W., Twisk J. [et al.] Comparison of intra- and extra-corporeal laparoscopic hernia repair in children: a systematic review and pooled data-analysis. J Pediatr surg. 2021;56(9):1647-1656. https://doi.org/10.1016/j.jpedsurg.2021.01.049
8. Kantor N., Travis N., Wayne C., Nasr A. Laparoscopic versus open inguinal hernia repair in children: which is the true gold-standard? A systematic review and metaanalysis. Pediatr. surg. Int. 2019;35(9):1013-1026. https://doi.org/10.1007/s00383-019-04521-1
9. Axelrov M. A., Minaev S. V., Razin M. P., Yusupov S. A., Tsap N. A. [et al.] Treatment of cryptorchidism in pediatric surgical practice: a multicenter study. Urology Herald. 2023;11(1):13-25. https://doi.org/10.21886/2308-6424-2023-11-1-13-25
10. Mahmood B., Christoffersen M., Miserez M., Bisgaard T. Laparoscopic or open paediatric inguinal hernia repair – a systematic review. Dan. Med. J. 2020;67(7):A12190725. https://doi.org/10.3390/children9030348
11. Abdulhai S., Glenn I.C., Ponsky T.A. Inguinal Hernia. Clin. Perinatol. 2017;44(4):865-877. https://doi.org/10.1016/j.clp.2017.08.005
12. Li S., Li M., Wong K. K. Y., Liu L., Tam P. K. H. Laparoscopically assisted simple suturing obliteration (LASSO) of the internal ring using an epidural needle: a handy single-port laparoscopic herniorrhaphy in children. J. Pediatr. surg. 2014;49(12):1818-1820. https://doi.org/10.1016/j.jpedsurg.2014.09.027
13. Akselrov M. A., Mashkin A. M., Komarov A. P., Stolyar A. V., Kozlov L. B. [et al.] Hernioraphy needle. Patent for invention RU 163478 U1. Publ. 20.07.2016, Bull. № 20. https://new.fips.ru/registers-doc-view/fips_servlet?DB=RUPM&DocNumber=0000163478&TypeFile=html
14. Aksel’rov M. A., Panteleev S. M., Stolyar A. V., Margaryan A. V., Vihareva L. V. Clinical anatomy, types of oblique congenital inguinal hernias and features of their laparoscopic herniorrhaphy. Novosti Hirurgii. 2020;28(4):404-411. https://doi.org/10.18484/2305-0047.2020.4.404
15. Minaev S. V., Khodzhayan A. B., Tsutsieva V. V., Minaeva N. V., Obedin A. N. [et al.] Modern approaches to studying the quality of life in children. Medical News of North Caucasus. 2010;6(1):77-83.
16. Esposito C., Peter S. D., Escolino M., Juang D., Settimi A., Holcomb G. W. Laparoscopic versus open inguinal hernia repair in pediatric patients: a systematic review. J. Laparoendosc. Adv. surg. Tech. A. 2014;24(11):811-818. https://doi.org/10.1089/lap.2014.0194
17. Sapieva S. T., Abatov N. T., Aliyakparov M. T., Badyrov R. M., Badyrova E. S. Assessment of quality of life in patients after autoplasty of the inguinal canal with a displaced aponeurotic flap. science & Healthcare. 2020;5(22):92-99. https://doi.org/10.34689/SH.2020.22.5.009
18. Çelebi S., Yıldız A., Üçgül A., Karadağ Ç. A., Sever N. [et al.] Do open repair and different laparoscopic techniques in pediatric inguinal hernia repairs affect the vascularization of testes? Journal of Pediatric surgery. 2012;47(9):1706-1710. https://doi.org/10.1016/j.jpedsurg.2012.03.044
19. Schier F., Turial S., Hückstädt T., Klein K. U., Wannik T. Laparoscopic inguinal hernia repair does not impair testicular perfusion. J. Pediatr. surg. 2008;43(1):131-135; https://doi.org/10.1016/j.jpedsurg.2007.09.033
20. Thomas D. T., Tulgar S. Percutaneous Internal Ring Suturing for the Minimally Invasive Repair of Congenital Inguinal Hernia in Neonates: A Retrospective Cohort Study. Cureus. 2023;15(3):e36180. https://doi.org/10.7759/cureus.36180
21. Leng S., Jackson T., Houlton A., Dumitriu E., Pacilli M. [et al.] Laparoscopic versus open inguinal hernia repair in infants: an initial experience. ANZ J. surg. 2022;92(10):2505-2510. https://doi.org/10.1111/ans.17962
22. Obayashi J., Yamoto M., Fukumoto K., Furuta S., Kitagawa H. The comorbidities of recurrent inguinal hernia in children: A systematic review. Pediatr. Int.2023;65(1):e15547. https://doi.org/10.1111/ped.15547

Keywords: inguinal hernia, children, inguinal ring, quality of life, postoperative pain, resistance index, Doppler ultrasonography