SynthesisSurgical endoscopy2019
Laparoscopic versus open repair of groin hernias in children: a systematic review and meta-analysis.
Synthesis in Surgical endoscopy, 2019. 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.
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
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Laparoscopic vs. laparoscopically assisted pediatric inguinal hernia repair: a systematic review.Pediatric surgery international · 2023Pooled it
- Article
- Risk factors for recurrence after open neonatal hernia repair: A single-center, retrospective study.World journal of gastrointestinal surgery · 2025Article
- Surgical methods and outcomes of inguinal hernia repair in children, adolescents and young adults in a retrospective cohort study.Scientific reports · 2025Article
- Penetrating versus non-penetrating mesh fixation in laparoscopic groin hernia repair.The Cochrane database of systematic reviews · 2025Review
- Modifications of surgical techniques in laparoscopic percutaneous extraperitoneal closure of inguinal ring for childhood inguinal hernia to achieve zero recurrence and zero subcutaneous stitch granuloma.Pediatric surgery international · 2024Article
- Reduction of recurrence by peritoneal thermal injury in laparoscopic percutaneous extraperitoneal closure of internal ring for inguinal hernia in children.Pediatric surgery international · 2023Article
- Laparoscopic versus open inguinal hernia repair in infants: an initial experience.ANZ journal of surgery · 2022Article
- Should the processus vaginalis sac be opened or closed in pediatric herniotomy? A two-center cohort study.Pediatric surgery international · 2022Article
- Single-incision approach for bilateral inguinal hernia repair in children: A retrospective study.Medicine · 2020Observational
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
backgroundRegarding groin hernia repair in children, guidelines do not favor open or laparoscopic repair. Even so, most surgeons prefer an open technique. The aim of this systematic review was to compare short- and long-term outcomes after laparoscopic and open groin hernia repair in children.
methodsSystematic searches were conducted in three databases, and all randomized controlled trials comparing laparoscopic and open groin hernia repair in children under 18 years were included. Outcomes were postoperative complications, intraoperative complications, operative time, length of hospital stay, time to recovery, and wound appearance. The outcomes were compared between open and laparoscopic repairs in meta-analyses.
resultsWe included ten studies with 1270 patients involving 1392 hernias. We found no differences in recurrence rate, testicular atrophy, hydrocele, hematoma, seroma, infection, pain, length of hospital stay, or time to full recovery. Laparoscopic repair was superior regarding wound appearance. Laparoscopic repair had shorter operative time than open repair for bilateral groin hernias. For unilateral groin hernias, extraperitoneal laparoscopic repair was faster than open repair, but open repair was faster than intraperitoneal laparoscopic repair.
conclusionOur results indicate similar outcome after laparoscopic and open techniques for groin hernia repair in children. The surgeon's preference as well as the wishes of the patient and parents should therefore determine the surgical approach.
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Registered trials
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