Evidence map›Paper›PMID 25552826›Full record

ArticleJournal of Indian Association of Pediatric Surgeons2015

Management of inguinal hernia in premature infants: 10-year experience.

Stanley John Crankson, Khalil Al Tawil, Mohammad Al Namshan, Saud Al Jadaan, Beverly Jane Baylon, Mutaz Gieballa, Ibrahim Hakim Ahmed

Open access · diamondAbstract read
In one paragraph

Article in Journal of Indian Association of Pediatric Surgeons, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Risk of incarceration in children with inguinal hernia: a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2019
    Pooled it
  2. Elective intraperitoneal procedures do not adversely impact paediatric ventriculoperitoneal shunt survival: 10-year retrospective cohort study.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Article
  3. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Stanley John CranksonDepartment of Surgery, King Abdulaziz Medical City, Riyadh 11426, Saudi Arabia.
Khalil Al TawilDepartment of Pediatrics, King Abdulaziz Medical City, Riyadh 11426, Saudi Arabia.
Mohammad Al NamshanDepartment of Surgery, King Abdulaziz Medical City, Riyadh 11426, Saudi Arabia.
Saud Al JadaanDepartment of Surgery, King Abdulaziz Medical City, Riyadh 11426, Saudi Arabia.
Beverly Jane BaylonDepartment of Pediatrics, King Abdulaziz Medical City, Riyadh 11426, Saudi Arabia.
Mutaz GieballaDepartment of Surgery, King Abdulaziz Medical City, Riyadh 11426, Saudi Arabia.
Ibrahim Hakim AhmedDepartment of Pediatrics, King Abdulaziz Medical City, Riyadh 11426, Saudi Arabia.
King Abdulaziz Medical City · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimDebatable issues in the management of inguinal hernia in premature infants remain unresolved. This study reviews our experience in the management of inguinal hernia in premature infants. MATERIALS AND

methodsRetrospective chart review of premature infants with inguinal hernia from 1999 to 2009. Infants were grouped into 2: Group 1 had repair (HR) just before discharge from the neonatal intensive care unit (NICU) and Group 2 after discharge.

resultsEighty four premature infants were identified. None of 23 infants in Group 1 developed incarcerated hernia while waiting for repair. Of the 61 infants in Group 2, 47 (77%) underwent day surgery repair and 14 were admitted for repair. At repair mean postconceptional age (PCA) in Group1 was 39.5 ± 3.05 weeks. Mean PCA in Group 2 was 66.5 ± 42.73 weeks for day surgery infants and 47.03 ± 8.87 weeks for admitted infants. None of the 84 infants had an episode of postoperative apnea. Five (5.9%) infants presented subsequently with metachronous contralateral hernia and the same number of infants had hernia recurrence.

conclusionsDelaying HR in premature infants until ready for discharge from the NICU allows for repair closer to term without increasing the risk of incarceration. Because of low occurrence of metachronous hernia contralateral inguinal exploration is not justified. Day surgery HR can be performed in former premature infant if PCA is >47 weeks without increasing postoperative complications.

Indexed as

Complicationsinguinal herniapremature infanttiming of repair

Identifiers

PMID25552826
PMCPMC4268751
OpenAlexW1974949607

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.