ArticlePediatric surgery international2010
Optimal timing for repair of an inguinal hernia in premature infants.
Article in Pediatric surgery international, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 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
- Optimal Timing of Inguinal Hernia Repair in Premature Infants: A Retrospective Study.Children (Basel, Switzerland) · 2026Article
- Neighborhood child opportunity and its association with complicated inguinal hernia in children: an analysis of a national insurance claims-based database.Pediatric surgery international · 2025Article
- Can we preserve the necrotic testis caused by incarcerated inguinal hernia in infants under 3 months?Pediatric surgery international · 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
- Costs and recurrence of inguinal hernia repair in premature infants during neonatal admission.Journal of pediatric surgery · 2023Article
- A multi-institution analysis of predictors of timing of inguinal hernia repair among premature infants.Journal of pediatric surgery · 2018Article
- Emergency repair of inguinal hernia in the premature infant is associated with high direct medical costs.Hernia : the journal of hernias and abdominal wall surgery · 2016Article
- Inguinal hernia in neonates and ex-preterm: complications, timing and need for routine contralateral exploration.Pediatric surgery international · 2015Article
- Does timing of neonatal inguinal hernia repair affect outcomes?Journal of pediatric surgery · 2015Article
- Management of inguinal hernia in premature infants: 10-year experience.Journal of Indian Association of Pediatric Surgeons · 2015Article
- Apneas in Infants with Postconceptional Age bellow 60 Weeks Undergoing Herniorrhaphy.Iranian journal of pediatrics · 2014Article
- Laparoscopic inguinal hernia repair in premature neonates: is it safe?Pediatric surgery international · 2013Article
- Controversies regarding neonatal inguinal hernia.Journal of neonatal surgeryArticle
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study was to determine the optimal timing for inguinal herniotomy in premature infants treated in the neonatal intensive care unit.
methodsA two-institutional-center retrospective study was performed including 41 prematures at gestational age 28-35 weeks who underwent herniotomy within 1 week of diagnosis [short-waiting group (SWG), median 5 days, n = 25] or more than 1 week after diagnosis [long-waiting group (LWG), median 30.55 days, n = 16]. Gestational age, birthweight, post-conceptional age at diagnosis, age at diagnosis, post-conceptional age at surgery, age at surgery, weight at surgery, timing of surgery, operative time, and occurrence of incarceration, postoperative apnea, hernia recurrence, testicular atrophy, and hospital stay were compared between the two groups. Statistical analysis was performed using one-way ANOVA.
resultsTwelve preoperative episodes of incarceration occurred: three in the SWG and nine in the LWG (P < 0.05). Six infants had apnea postoperatively: four in the SWG and two in the LWG (P > 0.05). Follow-up revealed five hernia recurrences, one in the SWG and four in the LWG (P < 0.05); four testicular atrophies were found, one in the SWG and three in the LWG (P > 0.05).
conclusionEarly elective herniotomy should be considered in prematures in order to avoid perioperative morbidity and to reduce the risk of incarceration and subsequent testicular ischemia, and hernia recurrence.
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