ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2008
Risk of incarceration of inguinal hernia among infants and young children awaiting elective surgery.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03185637 (Paediatric Surgery Across Sub-Saharan Africa), which is not on this map. Cited by 35 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Paediatric Surgery Across Sub-Saharan Africa: A Multi-Centre Prospective Cohort Study
Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it, 111 citations in OpenAlex.
- Risk of incarceration in children with inguinal hernia: a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2019Pooled it
- Sutureless versus conventional open herniotomy in children with unilateral inguinal hernia.Hernia : the journal of hernias and abdominal wall surgery · 2026Trial
- Natural history of inguinal hernia in neonates and infants: clinical regression and incarceration.Pediatric surgery international · 2026Article
- Challenges and enablers in accessing paediatric inguinal hernia surgical care in Sierra Leone: a qualitative exploratory study.BMJ open · 2026Article
- Strangulated inguinal hernia with testicular gangrene and bowel ischemia.Journal of surgical case reports · 2026Article
- Article
- Low Detection Rate of Possible Anesthesia-Related Complications After Pediatric Inguinal Hernia Repair Challenges Current Postoperative Monitoring Protocols.Journal of clinical medicine · 2026Article
- The Safety and Feasibility of Single-Stage Versus Staged Laparoscopic Approach for Acute Appendicitis with Inguinal Hernia in Pediatric Patients: A Comparative Study.Journal of clinical medicine · 2025Article
- The Impact of Surgical Repair on Restlessness in Infants with Non-Incarcerated Inguinal Hernias: A Prospective Study.Journal of clinical medicine · 2025Article
- Article
- Prenatal discovery of a testicular mass: A rare silver lining to timely management of giant congenital inguinal hernia.Clinical case reports · 2024Article
- AI's deep dive into complex pediatric inguinal hernia issues: a challenge to traditional guidelines?Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Optimal timing for inguinal hernia repair in premature infants: surgical issues for inguinal hernia in premature infants.Annals of surgical treatment and research · 2023Article
- Pediatric surgery backlog at a Ugandan tertiary care facility: COVID-19 makes a chronic problem acutely worse.Pediatric surgery international · 2022Article
- Article
- Inguinal ovarian hernia on point of care ultrasound: case reports and review of the literature.Emergency radiology · 2022Review
- Inguinal hernia repair in inpatient children: a nationwide analysis of German administrative data.BMC surgery · 2021Article
- Unique challenges in pediatric anesthesia created by COVID-19.Journal of anesthesia · 2021Article
- Epidemiology of abdominal wall and groin hernia repairs in children.Pediatric surgery international · 2021Article
- The incidence of infantile hypertrophic pyloric stenosis nearly halved from 2005 to 2017: analysis of German administrative data.Pediatric surgery international · 2021Review
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe determined the rate of incarceration of inguinal hernia among infants and young children waiting for elective surgery and examined the relation to wait times. We also explored the relation between wait times and the use of emergency department services before surgery.
methodsWe used linked data from administrative databases to identify infants and children less than 2 years of age who underwent surgical repair of an inguinal hernia between Apr. 1, 2002, and Mr. 31, 2004. We determined the rate of hernia incarceration during the wait for surgery and stratified the risk by patient age and sex. We used logistic regression analysis to examine factors associated with hernia incarceration and wait times.
resultsA total of 1065 infants and children less than 2 years old underwent surgical repair of an inguinal hernia during the study period. The median wait time was 35 days (interquartile range 17-77 days). Within 30 days after diagnosis, 126 (11.8%) of the patients had at least 1 emergency department visit; 23.8% of them presented with hernia incarceration. The overall rate of hernia incarceration was 11.9%. The rate was 5.2% with a wait time of up to 14 days (median time from diagnosis to first emergency department visit), as compared with 10.1% with a wait time of up to 35 days (median wait time to surgery) (p < 0.001). Factors associated with an increased risk of incarcerated hernia were age less than 1 year (odds ratio [OR] 2.07, 95% confidence interval [CI] 1.32-3.23), female sex (OR 1.75, 95% CI 1.04-2.93) and emergency department visits (1 visit, OR 2.73, 95% 1.65-4.50; > or = 2 visits, OR 3.77, 95% CI 1.89-7.43). Children less than 1 year old who waited longer than 14 days had a significant 2-fold risk of incarcerated hernia (OR 1.92, 95% CI 1.11-3.32).
interpretationA wait time for surgery of more than 14 days was associated with a doubling of the risk of hernia incarceration among infants and young children with inguinal hernia. Our data support a recommendation that inguinal hernias in this patient population be repaired within 14 days after diagnosis.
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