Evidence map›Paper›PMID 38063992›Full record

ArticlePediatric surgery international2023

Laparoscopic inguinal hernia repair (LIHR): the benefit of the double stitch in the largest single-center experience.

Zeni Haveliwala, Simon Eaton, Jayaram Sivaraj, Hemanshoo Thakkar, Sara Omar, Stefano Giuliani, Simon Blackburn, Dhanya Mullassery, Joe Curry, Kate Cross and 1 more

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Article in Pediatric surgery international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Zeni HaveliwalaGreat Ormond Street Hospital for Children, London, UK.
Simon EatonSurgery Unit, DBC, NIHR Biomedical Research Centre, UCL Great Ormond Street Institute of Child Health, London, UK.
Jayaram SivarajGreat Ormond Street Hospital for Children, London, UK.
Hemanshoo ThakkarGreat Ormond Street Hospital for Children, London, UK.
Sara OmarGreat Ormond Street Hospital for Children, London, UK.
Stefano GiulianiGreat Ormond Street Hospital for Children, London, UK.
Simon BlackburnGreat Ormond Street Hospital for Children, London, UK.
Dhanya MullasseryGreat Ormond Street Hospital for Children, London, UK.
Joe CurryGreat Ormond Street Hospital for Children, London, UK.
Kate CrossGreat Ormond Street Hospital for Children, London, UK.
Paolo De CoppiGreat Ormond Street Hospital for Children, London, UK. p.decoppi@ucl.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo review our experience of laparoscopic inguinal hernia repair (LIHR) regarding complication rates, the practice of closing the asymptomatic patent processes vaginalis (PPV), and comparison of complication rates between pre-term (< 37 week gestation) and term infants.

methodsRetrospective review of LIHR performed between 2009 and 2021. Repair was performed by intracorporal single or double purse string/purse string + Z-stitch using a non-absorbable suture. Data were analyzed using Chi-squared/Mann-Whitney and are quoted as median (range).

results1855 inguinal rings were closed in 1195 patients (943 (79%) male). 1378 rings (74%) were symptomatic. 492 (41%) patients were pre-term. Corrected gestational age at surgery was 55 weeks (31 weeks-14.6 years) and weight 5.9 kg (1-65.5). Closure of contralateral PPV was higher in the premature group (210/397 [53%] vs. 265/613 [43%] p = 0.003). There were 23 recurrences in 20 patients, of whom 10 had been born prematurely. The only factor significantly associated with a lower recurrence was use of a second stitch (p = 0.011).

conclusionThis is the largest single-center reported series of LIHR. LIHR is safe at any age, the risk of recurrence is low, and can be corrected by re-laparoscopy. Use of a Z-stitch or second purse string is associated with a significantly lower rate of recurrence.

Indexed as

Hernia, InguinalLaparoscopyTesticular HydroceleFemaleHerniorrhaphyHumansInfantMaleRecurrenceRetrospective StudiesTreatment OutcomeInguinal herniaLaparoscopyPatent processus vaginalisPrematurityRecurrence

Identifiers

PMID38063992
PMCPMC10709229

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