ArticlePediatric surgery international2013
Laparoscopic inguinal hernia repair in premature neonates: is it safe?
Article in Pediatric surgery international, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 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
- Optimizing surgical techniques for the repair of inguinal hernias in infants.Journal of pediatric surgery · 2026Article
- Comparing Outcomes of Single-Incision Laparoscopic Herniorrhaphy in Newborns and Infants.Diagnostics (Basel, Switzerland) · 2023Article
- Comparison of Recurrence and Complication Rates Following Laparoscopic Inguinal Hernia Repair among Preterm versus Full-Term Newborns: A Systematic Review and Meta-Analysis.Children (Basel, Switzerland) · 2021Review
- Comparison of laparoscopic percutaneous internal ring suturing method and open inguinal hernia repair in children under 3 months of age.Turkish journal of surgery · 2021Article
- Long-term outcomes of pediatric laparoscopic needled-assisted inguinal hernia repair: A 10-year experience.Journal of pediatric surgery · 2021Article
- Choice of Repairing Inguinal Hernia in Children: Open Versus Laparoscopy.Indian journal of pediatrics · 2017Review
- Neonatal laparoscopic inguinal hernia repair: a 3-year experience.Hernia : the journal of hernias and abdominal wall surgery · 2015Article
- Inguinal hernia in neonates and ex-preterm: complications, timing and need for routine contralateral exploration.Pediatric surgery international · 2015Article
- Management of inguinal hernia in premature infants: 10-year experience.Journal of Indian Association of Pediatric Surgeons · 2015Article
- Controversies regarding neonatal inguinal hernia.Journal of neonatal surgeryArticle
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWith advances in clinical medicine, many premature babies nowadays can have excellent survival outcomes. As the incidence of inguinal hernias in this group is high and there is scarce data in the literature regarding the optimal timing for repair, this study aims to review our experience in laparoscopic repair in premature infants.
methodsIn our centre, premature neonates with inguinal hernia noted during hospitalization were offered laparoscopic repair when the body weights reached 2.5 kg unless there is contraindication for laparoscopy. A retrospective review was carried out for all premature neonates who underwent laparoscopic inguinal hernia repair from 2001 to 2011. The operative results, complications, incarceration risk and postoperative apnea risk were recorded.
resultA total of 79 premature neonates received laparoscopic inguinal hernia repair during this period. The mean gestational age at birth was 31.9 weeks (27-36 weeks) and the mean gestational age at operation was 46.5 weeks (33-92 weeks). One patient had incarceration and required emergency operation while waiting for the elective repair. The mean operative time was 44.9 min (25-93 min). One patient (1.3 %) had recurrence. No postoperative apnea was noted in any patient.
conclusionLaparoscopic hernia repair is safe and feasible in premature neonates when they attain reasonable body size, as long as there is excellent anaesthesia support. Low risk of incarceration was noted in this study and it is worth waiting for the body weight to build up and hence facilitate laparoscopic repair.
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