SynthesisHernia : the journal of hernias and abdominal wall surgery2019
Risk of incarceration in children with inguinal hernia: a systematic review.
Synthesis in Hernia : the journal of hernias and abdominal wall surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Meta-Analysis to Determine Optimal Timing for Repair of Inguinal Hernia in Pre-Term Infants.World journal of surgery · 2025Pooled it
- Natural history of inguinal hernia in neonates and infants: clinical regression and incarceration.Pediatric surgery international · 2026Article
- Sex-specific predictors of contralateral patent processus vaginalis in unilateral pediatric inguinal hernia or hydrocele: a cohort study of 1031 laparoscopic cases.Surgical endoscopy · 2026Observational
- Identification and Assessment of Systematic Reviews for Evidence-Based Guideline Recommendations on Follow-Up of Preterm Born Children: A Mapping Review.Acta paediatrica (Oslo, Norway : 1992) · 2026Review
- Challenges and enablers in accessing paediatric inguinal hernia surgical care in Sierra Leone: a qualitative exploratory study.BMJ open · 2026Article
- Learning Curve Analysis of Laparoscopic Intracorporeal Sac Transection and Purse-String Suture for Pediatric Inguinal Hernia Repair.Children (Basel, Switzerland) · 2026Article
- Article
- Groin hernia.Nature reviews. Disease primers · 2025Review
- Costs and recurrence of inguinal hernia repair in premature infants during neonatal admission.Journal of pediatric surgery · 2023Article
- Prevalence, incidence, repair rate, and morbidity of groin hernias in Sierra Leone: cross-sectional household study.BJS open · 2023Article
- No Reason to Use Mesh in Groin Hernia Repair in Adolescents.Journal of abdominal wall surgery : JAWS · 2023Review
- Successful prioritisation of inguinal herniotomies in children during the COVID-19 pandemic to minimise emergency presentations.Annals of pediatric surgery · 2023Article
- Article
- Large intestine as content of congenital inguinal hernia: A case report of intestinal obstruction.Annals of medicine and surgery (2012) · 2022Article
- Application Effect of Combining Image-Text Communication-Based Healthcare Education with Shifting of Attention on Child Patients Undergoing Inguinal Hernia Repair under General Anesthesia.Contrast media & molecular imaging · 2022Article
- Effect of implementing enhanced recovery after surgery principles in the perioperative period of pediatric inguinal hernia.American journal of translational research · 2021Article
- A rare content of congenital inguinal hernia: a case report of splenogonadal fusion.BMC pediatrics · 2019Article
- Delaying surgery for inguinal hernia in neonates: Is it worthwhile?Journal of Taibah University Medical Sciences · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSurgical repair is recommended for all children with inguinal hernia due to fear of incarceration. The aim of this study was to assess the risk of incarceration and strangulation of inguinal hernias in children treated with delayed surgery or no surgery.
methodsSystematic searches were conducted in three databases. We included studies reporting on children with inguinal hernia, with the majority ≤ 10 years old. The interventions were non-acute inguinal hernia surgery or no surgery. The main outcomes were incarceration and strangulation. Secondary outcomes were postoperative complications. Randomized controlled trials, non-randomized controlled trials, and observational studies were included.
resultsWe included 22 studies with 14,959 children. All studies reported on elective repairs. None of the studies specifically reported on watchful waiting. Of the studies reporting wait time as mean or median, the median wait time was 46 days (range 1-552). The crude incarceration rate across the included studies was 7% for all children and 11% for preterm children. The testicular atrophy rate was 1% and the recurrence rate was 1%.
conclusionsThe risk of incarceration in children awaiting inguinal hernia surgery is substantial. In general, we cannot support delaying surgery unnecessarily. However, there may be benefits of delaying surgery in individual cases. In such cases, the surgeon should assess if the benefits may overrule the risk of incarceration.
Indexed as
Identifiers
30637615What OpenQuestion holds
Registered trials
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.