GuidelineEuropean journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie2022
Surgical Management of Pediatric Inguinal Hernia: A Systematic Review and Guideline from the European Pediatric Surgeons' Association Evidence and Guideline Committee.
Guideline in European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.
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Who cites it
40 citing papers in PubMed, 89 citations in OpenAlex.
- Percutaneous internal ring suturing versus conventional laparoscopic repair of congenital inguinal hernia: a randomized controlled trial.Surgical endoscopy · 2026Trial
- Effect of an enhanced recovery after surgery-based multidisciplinary perioperative care pathway in children undergoing laparoscopic high ligation of the hernia sac.Frontiers in surgery · 2026Trial
- Natural history of inguinal hernia in neonates and infants: clinical regression and incarceration.Pediatric surgery international · 2026Article
- Sequential laparoscopic percutaneous extraperitoneal closure for inguinal hernia during NICU/GCU hospitalization in low birth weight infants.Pediatric surgery international · 2026Article
- Article
- The potential role of dynein heavy chain genes in the pathophysiology of undescended testis.Pediatric surgery international · 2026Article
- Article
- Strangulated Amyand's hernia containing gangrenous appendix and cecum in a preterm neonate.Journal of surgical case reports · 2026Article
- Article
- A nomogram for predicting emergence agitation after laparoscopic high ligation of the hernia sac in children.Frontiers in pediatrics · 2026Article
- A novel technique of a laparoscopic percutaneous guide wire for extraperitoneal internal ring closure in the management of a pediatric communicating hydrocele.Frontiers in pediatrics · 2026Article
- Laparoscopic management of a pediatric pantaloon hernia with contralateral patent processus vaginalis: a case report.Frontiers in pediatrics · 2026Article
- Article
- Single port laparoscopic umbilical fold reinforcement surgery reduces the postoperative recurrence rate of pediatric giant inguinal hernia.Scientific reports · 2025Article
- Diverse surgical techniques for laparoscopic transumbilical intraperitoneal suturing of the internal ring in male pediatric patients.Scientific reports · 2025Article
- Groin hernia.Nature reviews. Disease primers · 2025Review
- Reoperation for Recurrence After Groin Hernia Repair in Adolescents: A Nationwide Register-Based Cohort Study.World journal of surgery · 2025Article
- Surgical methods and outcomes of inguinal hernia repair in children, adolescents and young adults in a retrospective cohort study.Scientific reports · 2025Article
- Effect of ligamentum teres uteri preservation in laparoscopic high hernia sac ligation in children with indirect inguinal hernia.World journal of gastrointestinal surgery · 2025Article
- Impact of Surgical Timing on Outcomes in Neonatal Inguinal Hernia Repairs: A Systematic Review.Pediatric reports · 2025Review
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Authors and funding
15 authors at 9 institutions in 9 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionInguinal hernia repair represents the most common operation in childhood; however, consensus about the optimal management is lacking. Hence, recommendations for clinical practice are needed. This study assesses the available evidence and compiles recommendations on pediatric inguinal hernia. MATERIALS AND
methodsThe European Pediatric Surgeons' Association Evidence and Guideline Committee addressed six questions on pediatric inguinal hernia repair with the following topics: (1) open versus laparoscopic repair, (2) extraperitoneal versus transperitoneal repair, (3) contralateral exploration, (4) surgical timing, (5) anesthesia technique in preterm infants, and (6) operation urgency in girls with irreducible ovarian hernia. Systematic literature searches were performed using PubMed, MEDLINE, Embase (Ovid), and The Cochrane Library. Reviews and meta-analyses were conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) statement.
resultsSeventy-two out of 5,173 articles were included, 27 in the meta-analyses. Laparoscopic repair shortens bilateral operation time compared with open repair. In preterm infants, hernia repair after neonatal intensive care unit (NICU)/hospital discharge is associated with less respiratory difficulties and recurrences, regional anesthesia is associated with a decrease of postoperative apnea and pain. The review regarding operation urgency for irreducible ovarian hernia gained insufficient evidence of low quality.
conclusionLaparoscopic repair may be beneficial for children with bilateral hernia and preterm infants may benefit using regional anesthesia and postponing surgery. However, no definite superiority was found and available evidence was of moderate-to-low quality. Evidence for other topics was less conclusive. For the optimal management of inguinal hernia repair, a tailored approach is recommended taking into account the local facilities, resources, and expertise of the medical team involved.
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