ArticlePediatric surgery international2018
Inguinal hernias in premature neonates: exploring optimal timing for repair.
Article in Pediatric surgery international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Meta-Analysis to Determine Optimal Timing for Repair of Inguinal Hernia in Pre-Term Infants.World journal of surgery · 2025Pooled it
- Current Practices and Priorities of Anesthetists and Consumers for Infants Undergoing Inguinal Hernia Surgery.Paediatric anaesthesia · 2025Article
- Impact of Surgical Timing on Outcomes in Neonatal Inguinal Hernia Repairs: A Systematic Review.Pediatric reports · 2025Review
- Perioperative management of infant inguinal hernia surgery; a review of the recent literature.Paediatric anaesthesia · 2023Review
- Article
- Costs and recurrence of inguinal hernia repair in premature infants during neonatal admission.Journal of pediatric surgery · 2023Article
- Article
- Prematurity is a critical risk factor for respiratory failure after early inguinal hernia repair under general anesthesia.Frontiers in pediatrics · 2022Article
- Laparoscopic repair of bilateral inguinal hernias each containing sigmoid colon in a premature infant.Journal of pediatric surgery case reports · 2021Article
- Delaying surgery for inguinal hernia in neonates: Is it worthwhile?Journal of Taibah University Medical Sciences · 2019Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeInguinal hernias have been reported in as many as 10-30% premature neonates, making inguinal herniorrhaphy (IHR) one of the most commonly performed surgical procedures. The timing of surgery remains controversial. The purpose of this report is to compare outcomes of IHR while in the NICU (inpatient) versus repair following discharge (outpatient) to determine optimal timing.
methodsPremature neonates having undergone IHR over a 5-year period were identified and a retrospective case cohort analysis was performed.
results263 patients underwent IHR during the 5-year study period with 115 (43.7%) having surgical repair inpatient (IP; prior to discharge) and 148 having outpatient herniorrhaphy (OP). Patients with IHR performed IP had significantly lower birth weight (p < 0.001), gestational age (p < 0.001), longer duration of surgery (p = 0.01) and were more likely to have post-operative ventilator dependence following repair; however, there were no differences in the rate of recurrence (p = 0.44) and incarceration (p = 0.45).
conclusionOur study demonstrated no significant differences in the rates of incarceration or recurrence, following in- or out-patient IHR. These findings suggest that IHR can potentially be offered as an outpatient procedure following hospital discharge in appropriate patients. The optimal timing of IHR in premature infants remains elusive and will likely require additional multicenter investigation.
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