Results of Inguinal Hernia Repair with and without Opening External Ob-lique Muscle Fascia in Children Under 6 Years

Document Type : Original Article(s)

Authors

1 Assistant Professor, Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Resident, Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Inguinal herniotomy is the most common operation in pediatric surgery. The aim of this study was to compare two methods of herniotomy with and without opening external oblique muscle fascia.Methods: 49 patients with inguinal hernia were surveyed in two groups. 25 patients were operated without opening (close surgery) and 24 with opening (open surgery) of facia in Alzahra Hospital, Isfahan. Data of age, sex, postoperative complications (score of pain and firmness of wound), time of surgery and anesthesia were analyzed with t-test and chi-square at the meaningful level of P < 0.05.Finding: No meaningful different was observed in age and sex between the two groups. The score of postoperative pain, mean time of operation and anesthetia were less in close surgery group but the difference was not significant. The mean of firmness was less in close surgery group significantly (P < 0.001). No recurrence of hernia was observed in any of patients of two groups in one year follow-up.Conclusion: Inguinal herniotomy without opening of fascia was effective as another procedure with fewer complications.

Keywords

References

  1. Grosfeld, JL. Current concepts in inguinal hernia in infants and children. World J Surg 1989; 13:506.
  2. MCI ntosh , A , Hutchinson , A , Roberts , A , Withers , H . Evidence –based management of groin hernia in primary care a systematic review . Fam pract 2000 ; 17 : 442 .
  3. Skoog, SJ, Conli.n, MJ. Pediatric hernias and hydroceles. The urologist's perspective. Urol Clin North Am 1995; 22: 119.
  4. Rescorla, FJ, Grosfeld, JL. Inguinal hernia repair in the perinatal period and early in-fancy: clinical considerations. J Pediatr Surg 1984; 19:832.
  5. Puri, P, Guiney, EJ, Q'Donnell, B. Inguinal her-nia in infants: the fate of the testis following incarceration. J Pediatr Surg 1984; 19:44.
  6. Clatworthy, WH Jr, Thompson, AG. Incar-cerated and strangulated inguinal hernia in infants: a preventable risk. J Am Med Assoc 1954; 154:123.
  7. Stylianos, S, Jacir, NN, Harris, BH. Incar-ceration of inguinal hernia in infants prior to elective repair. J Pediatr Surg 1993; 28:582.
  8. Rowe, MI, Clatworthy, HW. Incarcerated and strangulated hernias in children. A statistical study of high-risk factors. Arch Surg 1970; 101:136.
  9. Grosfeld, JL, Cooney, DR. Inguinal hernia after ventriculoperitoneal shunt for hydrocephalus. J Pediatr Surg 1974; 9:311.
  10. Stephens, BJ, Rice, WT, Koucky, CJ, Gruenberg, JC. Optimal timing of elective indirect inguinal hernia repair in healthy children: clinical considerations for improved outcome. World J Surg 1992; 16:952.
  11. Stringer, MD, Higgins, M, Capps, SN, Holmes, SJ. Irreducible inguinal hernia [letter; comment]. Br J Surg 1991; 78:504.
  12. Gahukamble, DB, Khamage, AS. Early versus delayed repair of reduced incarcerated inguinal hernias in the pediatric population. J Pediatr Surg 1996; 31:1218.
  13. Moss, RL, Hatch, El Jr. Inguinal hernia repair in early infancy. AmJ Surg 1991; 161:596.
  14. Spurbeck, WW, Prasad, R, Lobe, TE. Two-year experience with minimally invasive herniorrhaphy in children. Surg Endosc 2005; 19:551.
  15. Schier, F. Laparoscopic inguinal hernia repair-a prospective pe~sonal series of 542 children. J Pediatr Surg 2006; 41:.1 081.
  16. Takehara, H, Yakabe, S, Kameoka, K. Laparo-scopic percutaneous extraperitoneal closure for inguinal hernia in children: clinical outcome of 972 repairs done in 3 pediatric surgical institutions. J Pediatr Surg 2006; 41: 1999.
  17. Steinau, G, Treutner, KH, Feeken, G, Schumpelick, V. Recurrent inguinal hernias in infants and children. World J Surg 1995; 19:303.
  18. Wiener ES , Toulakian RJ . Hernia survey of the section on surgery of American Academy of pediatric . J pediatt surg 1996 ; 3 1 (8). 1166 -1169.
  19. Ashcraft KW , Holder TM . Pediatric surgery, third edition, WB sanders company, 2000 ; ca-hapter 49 :657-661 .
  20. Recorta F J , Grosfeld JL : Inguinal hernia repair in the perinatal period and early in fancy, clinical considerations J ped surg 1998 ; 19(6):832-837.
Journal of Isfahan Medical School
Volume 28, Issue 119 - Serial Number 119
November and December 2011
Pages 1419-1427

Files

History

  • Receive Date: 28 March 2011
  • Revise Date: 25 May 2024
  • Accept Date: 06 April 2022

Share

How to cite

Statistics