ArticleScientific reports2025
Surgical methods and outcomes of inguinal hernia repair in children, adolescents and young adults in a retrospective cohort study.
Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Optimal surgical approach to inguinal hernia repair in adolescents and young adults: is herniotomy alone adequate? a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Is percutaneous internal ring suturing (PIRS) a safe option for adolescent inguinal hernia repair? A comparative analysis.Pediatric surgery international · 2026Article
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7 authors.
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Abstract
Laparoscopic repair as an alternative option for pediatric inguinal hernia has increased worldwide. We aimed to analyze the surgical methods of inguinal hernia repair among children, adolescents and young adults, and evaluate the surgical outcomes of reoperation and postoperative complications. This is a hospital-based retrospective cohort study. 3249 inpatients who were ≤ 25 years and underwent inguinal hernia repair between 2015 and 2021 were included. Baseline data, hernia characteristics, surgical approach and technique, outcomes including reoperation and postoperative complications before discharge were identified from electronic medical records. Multivariable Cox regression and logistic regression were used to analyze the association between surgical methods and outcomes. Of all participants, 72.82% were children younger than 9 years, 79.62% were male, 81.19% underwent laparoscopic surgery. Laparoscopic sac high ligation was the mostly used method among infants and children who were younger than 13 years (from 61.11% in 10-12 years old to 96.77% in 0-3 years old), open and laparoscopic tension-free repairs were more common for adolescents and young adults older than 13 years (from 92.38% in 13-15 years old to 100% in 19-21 years old). During a median follow-up of 51.91 months, 24 (0.74%) reoperations were identified, including 3 (0.09%) ipsilateral recurrence, and 21 (0.65%) metachronous contralateral inguinal hernia (MCIH) repair. The rate of complications before discharge was 0.37%. There were no significantly differences in reoperation (aHR = 0.51, 95%CI: 0.12-2.19) and complications (aOR = 0.83, 95%CI: 0.17-4.11) between laparoscopic and open surgery. Age < 3 years (aHR = 6.40, 95%CI: 1.66-24.61), unilateral hernia (aHR = 11.09, 95%CI: 1.46-84.30), and anemia (aHR = 8.58, 95%CI: 1.94-38.05) were independent risk factors for reoperation. Obstruction/gangrene was independent risk factor for complications (aOR = 17.16, 95%CI: 4.07-72.38). Laparoscopic sac high ligation was most commonly performed in children < 13 years, and open and laparoscopic tension-free repairs were more frequently in those > 13 years. Both laparoscopic and open approaches were safe and effective, with low incidence of reoperations and complications.
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